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Lateral compression injuries in the pediatric elbow: Panner's disease and osteochondritis dissecans of the capitellum.

Authors
  • Kobayashi, Ky
  • Burton, Kevin J
  • Rodner, Craig
  • Smith, Brian
  • Caputo, Andrew E
Type
Published Article
Journal
Journal of the American Academy of Orthopaedic Surgeons
Publisher
American Academy of Orthopaedic Surgeons
Publication Date
Jan 01, 2004
Volume
12
Issue
4
Pages
246–254
Identifiers
PMID: 15473676
Source
Medline
License
Unknown

Abstract

Lateral compression injuries of the elbow typically occur in throwing athletes and gymnasts. In the preadolescent and adolescent patient, these injuries predominantly include Panner's disease and osteochondritis dissecans. Panner's disease, an osteochondrosis of the capitellum, is a rare disorder that usually affects the dominant extremity in individuals younger than age 10 years. Symptomatic management of Panner's disease consisting of reduction of stressful activities of the elbow is usually sufficient to allow resolution. Although a prolonged period is required for healing, most patients demonstrate excellent long-term results. Osteochondritis dissecans of the capitellum typically occurs in adolescents and is associated with loose body formation. Panner's disease and osteochondritis dissecans likely represent a continuum of disordered endochondral ossification with presentation and prognosis dependent primarily on age at onset.

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