Elbow OCD Flashcards
1
Q
AKA
A
Panner’s disease
2
Q
What’s going on!?
A
AVN of capitellum joint surface
Inflammation d/t fissures in articular cartilage and bone, fragmentation
3
Q
Who gets this yo?
A
UNCOMMON
Adolescent athletes!
M>F (10:1); javelin/pitchers; female gymasts
MC site of OCD in UE
4
Q
How does it happen, yo?
A
Repetitive valgus stress pressing against capitellum
Medial epicondylosis
Instability
5
Q
What’s it look like?
A
Gradual onset! Lateral elbow pain with or without creptitis Decreased AROM ESPECIALLY IN EXT Tender, large radial head Lateral elbow pain with valgus
6
Q
What tests should i do?
A
Xray, depending on severity, mgt and prognosis
7
Q
Early treatment
A
POLICE: rest (months), sling
AVOID MANIP
STM, EMS, hand exercises if post surg or w/o fragmentation
8
Q
Late tx?
A
Adjust through pain, use caution with da young boys
