Osteochondritis Dissecans of the Elbow: Difference between revisions
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== Outcome Measures == | == Outcome Measures == |
Revision as of 21:56, 13 June 2009
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Clinically Relevant Anatomy
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Involved anatomy of this disorder includes the radial head or the central and/or lateral aspect of the capitellum.
Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]
Diagnostic Procedures[edit | edit source]
Outcome Measures[edit | edit source]
An outcome measure appropriate for this injury is the DASH questionnaire which measures disabilities of the arm, shoulder and hand as they relate to everyday function.
Management / Intervention[edit | edit source]
Conservative care for this condition include physical therapy, use of non-steroidal anti-inflammatory drugs (NSAIDs), rest from sport from 6-8 weeks, and bracing.
Surgical management may be an option if conservative care fails or if the lesion is Grade III or higher.
Surgical interventions are aimed at:
Promoting re-vascularization to the area
Debriding the area
Fragment stabilization
Bone grafting if needed
Most of these procedures are done arthroscopically (minimally invasive via portal sites); although depending on the size of the loose fragments an open procedure may be required.
Differential Diagnosis
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If there is no radiologic confirmation of osteochondritis dissecans, other diagnoses may include inflammatory arthritides, osteoarthritis, bone cysts, and septic arthritis.
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources
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add appropriate resources here
Case Studies[edit | edit source]
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[1][2][3]References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ http://www.mayoclinic.com/health/osteochondritis-dissecans/DS00741
- ↑ Patient UK. http://www.patient.co.uk/showdoc/40001133/ (accessed 6/13/09))
- ↑ O’Sullivan S, Siegelman R. National Physical Therapy Examination Review & Study Guide. Evanston, IL: International Educational Resources Ltd, 2006.