Challenge of the Week / Shoulder & Elbow / 02.07.20

A 16-year-old female patient who is a high school softball pitcher presents with failed treatment of an osteochondritis dissecans of the capitellum. Magnetic resonance imaging shows a contained lesion sized 6 x 6 mm with high signal and incongruency through the chondral cap. Treatment should include elbow arthroscopy with which of the following?
  • Fragment excision and marrow stimulation
  • The operative approach for small contained lesions includes excision and marrow stimulation and has good results.

  • Fragment excision and osteochondral autograft transfer
  • The operative approach for small contained lesions includes excision and marrow stimulation and has good results. Larger lesions are treated with osteochondral autograft transfers.

  • Bone marrow aspirate concentrate injection
  • The operative approach for small contained lesions includes excision and marrow stimulation and has good results.

  • Fragment excision and posterolateral ligament complex reconstruction
  • operative approach for small contained lesions includes excision and marrow stimulation and has good results. The ligaments are intact in these patients and do not require reconstruction.

Previous Post
Challenge of the Week / Pediatrics / 01.31.20
Next Post
Challenge of the Week / Spine / 02.14.20

Enter your information below to receive the JBJS Clinical Classroom Challenge of the Week.

 

Menu
%d bloggers like this: