Study of outcome of conservative management in osteochondritis dissecans of trochlea
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Osteochondritis dissecans (OCD) of elbow has been known to be one of the causes of chronic pain in elbow region, targeted population being children and adolescents. Usual location was thought to be capitellum but rarely trochlea. Conservative and operative treatments have been studied and published. Aim of this study is to discuss outcome in conservatively managed 8 cases in our institution. Materials and Methods: Prospective analysis has been done in our study over 8 children of age in range between 11-17 who presented to our outpatient department between the years 2009 to 2016 with complaints of chronic elbow pain and no history of trauma. Nelsons classification for staging OCD appreciable on MRI is used. Results: There were 8 children with age varying from 11-17 years, 6 being boys and 2 girls. 5 cases had flexion contracture ranging from 5-10 degrees in the affected elbow. 2 cases (female) had hyperextension in the contra lateral un-affected elbow of 5 and 10 degrees respectively. After 3 months, 3 patients developed flexion contracture. 6 months later flexion contracture was seen in 2 patients. Motion pain of the joint disappeared and full range of movements were achieved at 6 months after first visit. Conclusion: In conclusion OCD of trochlea though an infrequent occurrence, is important differential diagnosis in chronic elbow pain. Reviewing the elbows both clinically and radiologically would lead to early diagnosis and effectiveness of conservative management.
Authors and Affiliations
Dr. Dilip Kumar Naidu, Dr. Vijay Anand, Dr. Sriram Thanigai
Keywords
Related Articles
- EP ID EP494555
- DOI 10.22271/ortho.2017.v3.i3a.07
- Views 116
- Downloads 0
Retrospective critical analysis of treatment of closed extra capsular proximal Femur fractures with proximal femur nail at rural teaching setup
Background: For extracapsular proximal femur fractures, the treatment options are innumerous, though the implant choice is debatable. In our institute we use proximal femoral nail for the treatment of extracapsular proxi...
Management of acetabular wall fractures with hip dislocation: A case series
Introduction: Posterior wall fractures are the most common type of acetabular fractures. Comminuted fractures with extensions to acetabular roof are associated with poor prognosis. Accurate evaluation of resuting union a...
An atypical type of Monteggia equivalent: A case report
Monteggia fracture dislocations comprise about 5-10 % of all forearm fractures in adults and was first described in 1814. Since then there has been many descriptions of Monteggia equivalents. We present a case of 47 year...
A Comparative study to evaluate the effectiveness of lumbar epidural local anaesthetic injection with or without corticosteroid in managing chronic low back pain
The aim was to compare and evaluate the effectiveness of lumbar epidural local anaesthetic injections with and without corticosteroids in managing low back pain. We studied a 100 patients to assess effectiveness of epidu...
To study the outcome of micro decompression by unilateral laminotomy in lumbar canal stenosis
Introduction: Lumbar Canal Stenosis is developmental or congenital narrowing of the spinal canal that produces compression of the neural elements before their exit from the neural foramen. The narrowing may be limited to...