scholarly journals Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players

2018 ◽  
Vol 8 (1) ◽  
pp. e8 ◽  
Author(s):  
Hiroyuki Oshiba ◽  
Toshiro Itsubo ◽  
Masatoshi Komatsu ◽  
Shigeharu Uchiyama ◽  
Hiroyuki Kato
Keyword(s):  
Osteochondritis Dissecans ◽  
Baseball Players

scholarly journals Age-Specific Prevalence and Clinical Characteristics of Humeral Medial Epicondyle Apophysitis and Osteochondritis Dissecans: Ultrasonographic Assessment of 4249 Players

2017 ◽  
Vol 5 (5) ◽  
pp. 232596711770770 ◽  
Author(s):  
Kenichi Otoshi ◽  
Shinichi Kikuchi ◽  
Kinshi Kato ◽  
Ryohei Sato ◽  
Takahiro Igari ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Morphological Changes ◽  
Medial Epicondyle ◽  
Baseball Players ◽  
Elbow Pain ◽  
Elbow Injuries ◽  
Bony Healing ◽  
History Of ◽  
Study Participants ◽  
Ultrasonographic Assessment

Background: Traction apophysitis of medial epicondyle (MEC) lesions and osteochondritis dissecans (OCD) of the capitellum are common elbow injuries in adolescent baseball players. However, the age-specific prevalence of these pathologies and their influence on elbow pain remain unknown. Purpose: To investigate the age-specific prevalence of each MEC lesion and capitellar OCD and to identify the incidence of elbow pain in each condition. Study Design: Descriptive epidemiology study. Methods: Study participants consisted of 4249 baseball players aged 6 to 17 years. A questionnaire was used to assess history of elbow pain, and morphological changes of the elbow joint were assessed using ultrasonography. Results: Regarding MEC lesions, fragmented (FG) and irregular (IR) lesions both reached their greatest respective prevalence at 11 to 12 years of age. After 14 years of age, IR decreased sharply, whereas FG was maintained at approximately 10%. Hypertrophic (HT) lesions increased sharply, reaching over 50% at 16 years of age, while there was a decrease in IR and FG lesions in the same age group. The prevalence of capitellar OCD remained the same (approximately 2%) throughout all ages except for in players aged 7 to 8 years (>7%). Players with MEC lesions had significantly greater prevalence of a history of elbow pain compared with those without (68.0% vs 39.1%) and were at a significantly greater risk for FG lesions (odds ratio [OR], 4.04; 95% CI, 3.16-5.22) compared with IR (OR, 3.22; 95% CI, 2.44-4.27) and HT lesions (OR, 2.03; 95% CI, 1.75-2.36). Players with capitellar OCD also had a significantly greater risk of a history of elbow pain (OR, 2.34; 95% CI, 1.40-4.11). Conclusion: Controlling the amount of practice and its intensity according to the condition of each player in the preadolescent and adolescent periods may be important in accelerating bony healing and decreasing preventable elbow pain in adulthood.

Early Detection of Osteochondritis Dissecans of the Capitellum in Young Baseball Players. Report of Three Cases*

1998 ◽  
Vol 80 (6) ◽  
pp. 892-7 ◽  
Author(s):  
MASATOSHI TAKAHARA ◽  
MOTOYUKI SHUNDO ◽  
MAKOTO KONDO ◽  
KATSUNORI SUZUKI ◽  
TOSHIKAZU NAMBU ◽  
...  
Keyword(s):  
Early Detection ◽  
Osteochondritis Dissecans ◽  
Baseball Players

Cumulative Incidence of Osteochondritis Dissecans of the Capitellum in Preadolescent Baseball Players

2019 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Tetsuya Matsuura ◽  
Toshiyuki Iwame ◽  
Naoto Suzue ◽  
Shoichiro Takao ◽  
Susumu Nishio ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Cumulative Incidence ◽  
Baseball Players

scholarly journals Results of Bone Peg Grafting for Capitellar Osteochondritis Dissecans in Adolescent Baseball Players

2016 ◽  
Vol 44 (12) ◽  
pp. 3171-3178 ◽  
Author(s):  
Hiroyuki Oshiba ◽  
Toshiro Itsubo ◽  
Shota Ikegami ◽  
Koichi Nakamura ◽  
Shigeharu Uchiyama ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Baseball Players

scholarly journals Outcome of Asymptomatic Osteochondritis Dissecans of the Capitellum in Adolescent Baseball Players

2017 ◽  
Vol 5 (3_suppl3) ◽  
pp. 2325967117S0012
Author(s):  
Tetsuya Matsuura ◽  
Toshiyuki Iwame ◽  
Naoto Suzue ◽  
Koichi Sairyo
Keyword(s):  
Conservative Treatment ◽  
Osteochondritis Dissecans ◽  
Early Stage ◽  
Stage I ◽  
Stage Ii ◽  
Radiological Outcome ◽  
Loose Bodies ◽  
Baseball Players ◽  
Complete Repair

Objectives: Osteochondritis dissecans (OCD) of the capitellum is a well-recognized cause of elbow pain and disability in adolescent baseball players. OCD is classified into three different stages based on AP radiographs of the elbow in 45°flexion. Stage I was characterized by radiolucent areas. In stage II, nondisplaced fragments were present. Loose bodies and sclerotic change indicated stage III. Matsuura et al performed the conservative treatment on 101 patients with stage I or II lesions. Conservative treatment consisted of discontinuation of heavy use of the elbow for at least 6 months. Of 101 patients, 84 were diagnosed as stage I, with a mean age of 11.3 years and 17 were in stage II, with a mean age of 13.9 years. Of the 84 patients in stage I, healing was observed in 90.5%. In stage II, the incidence of healing decreased to 52.9%. Mean period required for healing was 14.9 months in stage I and 12.3 months in stage II. These results suggest that conservative treatment is recommended for the early stage lesions. However, little is known about the outcome of conservative treatment for asymptomatic OCD patients. The purpose of this study was to investigate 2year follow-up outcome of asymptomatic OCD in adolescent baseball players. Methods: We retrospectively reviewed 33 baseball players aged 9-12 years (mean, 11.3 years) with asymptomatic OCD. There were 23 stage I lesions and 10 stage II lesions. We recommended the conservative treatment including stop throwing to all the players. Sixteen players (48.5%) agreed to our advice. The remaining 17 players did not follow the authors’ advice. Twelve players (36.4%) changed position or throwing side and 5 players (15.1%) did not change throwing level. Two years later, subjects were evaluated clinically and radiographically. Radiological outcome was divided into 3 types, complete repair, incomplete repair, and failure. Results: Stop throwing produced complete repair in 93.7%, incomplete repair in 6.3%, and none of the failure. Changing position or throwing side produced complete repair in 41.7%, incomplete repair in 25%, and failure in 33.3%. Not changing throwing level produced complete repair in 20%, none of incomplete repair, and failure in 80% ( Table 1 ). Players with complete or incomplete repair had not any symptom at the follow-up. On the other hand, all the players with failure had symptom such as pain and/or catching. Six of 8 players (75%) with symptom needed operation. [Table: see text] Conclusion: Even in the asymptomatic early stage OCD, it is desirable to stop throwing until the healing is observed.

Arthroscopic Surgery for Isolated Capitellar Osteochondritis Dissecans in Adolescent Baseball Players: Minimum Three-Year Follow-Up

2002 ◽  
Vol 30 (4) ◽  
pp. 474-478 ◽  
Author(s):  
J. W. Thomas Byrd ◽  
Kay S. Jones
Keyword(s):  
Osteochondritis Dissecans ◽  
Retrospective Cohort ◽  
Rating Scale ◽  
Arthroscopic Surgery ◽  
Return To Sport ◽  
Primary Lesion ◽  
Degenerative Changes ◽  
Baseball Players ◽  
Grade Ii

Background Osteochondritis dissecans of the capitellum of the humerus usually occurs in adolescence and is caused by the valgus forces associated with excessive throwing. Hypothesis Arthroscopic surgery is an appropriate procedure for this condition. Study Design Retrospective cohort study. Methods Arthroscopic surgery was performed on 10 baseball players (average age, 13.8 years) with osteochondritis dissecans whose symptoms had been apparent for an average of 9 months before the operation. Follow-up at an average of 3.9 years included use of a standard rating scale, radiographs, and a questionnaire regarding return to sport. Results There were two grade I, one grade II, two grade IV, and five grade V lesions. Symptoms and objective findings correlated poorly with the grade of the lesion. The postoperative score averaged 195, reflecting excellent results. Radiographically, the primary lesion was still apparent in one patient, secondary degenerative changes were evident in one patient, and, in one patient, the lesion was still evident and degenerative changes had occurred. Only four athletes returned to organized baseball. Conclusions Arthroscopic surgery for symptomatic osteochondritis dissecans of the capitellum in adolescent baseball players can provide excellent rating scores with intermediate follow-up but does not assure return to baseball.

scholarly journals Osteochondritis Dissecans of the Glenoid in Adolescent Baseball Players: A Report of 4 Cases

2021 ◽  
Author(s):  
Kenta Takatsuji ◽  
Yoshikazu Kida ◽  
Ryuhei Furukawa ◽  
Hisakazu Tachiiri ◽  
Toru Morihara ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Baseball Players

Short-term clinical results of arthroscopic osteochondral fixation for elbow osteochondritis dissecans in teenaged baseball players

2015 ◽  
Vol 24 (11) ◽  
pp. 1749-1756 ◽  
Author(s):  
Jun Takeba ◽  
Toshiaki Takahashi ◽  
Seiji Watanabe ◽  
Hiroshi Imai ◽  
Satoshi Kikuchi ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Clinical Results ◽  
Short Term ◽  
Baseball Players

scholarly journals The Effects of Initial Rehabilitation Exercise on Range of Motion, Muscular Strength, and Muscle Pain after Surgery for Osteochondritis Dissecans of the Humeral Capitellum in Middle and High School Baseball Players

2021 ◽  
Author(s):  
Jung-Shik Seo ◽  
Jin-Ho Yoon
Keyword(s):  
High School ◽  
Range Of Motion ◽  
Grip Strength ◽  
Osteochondritis Dissecans ◽  
Rehabilitation Program ◽  
Baseball Players ◽  
Special Clinic ◽  
Flexion And Extension ◽  
Rehabilitation Exercise ◽  
Wrist Joints

Background: This study evaluated the effects of a 4-week initial rehabilitation program in middle and high school baseball players who underwent removal of a loose body from osteochondritis dissecans of the capitellum humerus. Methods: Middle and high school baseball players with osteochondritis dissecans of the capitellum humerus were enrolled in this study. Each had more than 3 yr of experience and had undergone arthroscopic removal of loose bodies from the same expert at Kim's Orthop Special Clinic in Seoul. The initial exercise rehabilitation program was based on a two-stage program. Body composition, range of motion of flexion and extension in the elbow and wrist joints, grip strength, and subjective pain scale were measured before and after rehabilitation. To assess the differences between groups, we used a two-way analysis of variance. Results: The range of motion for flexion and extension of the elbow and wrist joints, grip strength, and score on the visual analog scale each were significantly improved following the 4-week program (P<0.001), had an interactive effect in time × group (P<0.001), and had significance between groups (P<0.05). Conclusion: The 4-week initial rehabilitation exercise program might improve the overall range of motion of the elbow joint and has a positive therapeutic effect on grip strength and visual analog scores. However, future welldesigned studies with more subjects and multicentric research groups are necessary for verification.

Effectiveness of ultrasonography screening and risk factor analysis of capitellar osteochondritis dissecans in adolescent baseball players

2018 ◽  
Vol 27 (11) ◽  
pp. 2038-2044 ◽  
Author(s):  
Tsung-Hsun Yang ◽  
Yan-Yuh Lee ◽  
Chung-Cheng Huang ◽  
Yu-Chi Huang ◽  
Po-Cheng Chen ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Risk Factor ◽  
Osteochondritis Dissecans ◽  
Risk Factor Analysis ◽  
Baseball Players
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