Long-term outcomes of arthroscopic debridement with or without drilling for osteochondritis dissecans of the capitellum in adolescent baseball players: A ≥10-year follow-up study
Arthroscopy Jan 31, 2020
Matsuura T, Iwame T, Suzue N, et al. - In order to find out the long-term clinical outcomes of arthroscopic debridement for capitellar osteochondritis dissecans (OCD) in adolescent baseball players, researchers conducted a retrospective study including 23 elbows of 23 baseball players (mean age, 14.7 [range, 13–17] years) between 2003 and 2006. They analyzed individuals for the presence of pain, inflammation (effusion), and range of motion (ROM). Using Timmerman/Andrews scores, they determine outcome measures. They divided defect severity on preoperative radiographs into 3 grades: small, moderate, and large. According to defect severity, return to baseball, pre- and postoperative ROM and Timmerman/Andrews elbow score were examined. In adolescent baseball players, the data indicated that arthroscopic debridement with or without drilling allowed return to play for positions other than pitchers. Besides, long-term results are likely durable regardless of lesion size.
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