OSTEOCHONDRITIS-DISSECANS OF THE HUMERAL CAPITELLUM IN CHILDREN

被引:15
作者
JAWISH, R [1 ]
RIGAULT, P [1 ]
PADOVANI, JP [1 ]
TOUZET, P [1 ]
FINIDORI, G [1 ]
CHAUMIEN, JP [1 ]
机构
[1] HOP NECKER ENFANTS MALAD,SERV CHIRURG ORTHOPED & TRAUMATOL,149 RUE SEVRES,F-75743 PARIS 15,FRANCE
关键词
OSTEOCHONDRITIS DISSECANS;
D O I
10.1055/s-2008-1063520
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We studied 13 cases of osteochondritis dissecans of capitellum humeri in 12 children, 11 boys and 1 girl, aged between 10 and 15 years. We distinguished this affection from Panner's disease which affects young children and resembles Legg-Perthes-Calve disease of the hip. Operative treatment was performed in 7 out of 13 elbows for removal of loose bodies or excision of osteochondritis in situ with cartilage damage. In other cases, functional treatment was carried out. At long-term follow-up, ranging from 2 to 13 years, clinical examination demonstrated satisfactory results in 9 cases; in 3 cases limitation of movement was related to fracture of the radial head or to delay in operative treatment for too long. Roentgenographically, changes related to growth disturbance were constantly observed; they involved the radial head, the olecranon, the trochlea and the proximal end of the ulna.
引用
收藏
页码:97 / 100
页数:4
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