Challenge of the Week / Shoulder & Elbow / 02.07.20
Aidan Smith
Closeup woman with hands holding her shoulder pain. Office syndrome and Health care concept.
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.
