The Korean journal of sports medicine (대한스포츠의학회지)

The Korean Society of Sports Medicine (대한스포츠의학회)
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Early Lateral Compartment Physeal Closure of the Elbow in Osteochondritis Dissecans of the Adolescent Baseball Players

청소년기 야구 선수의 박리성 골연골염에서 주관절 외측 구획 성장판의 조기 폐쇄

  • Ku, Jung Hoei (Department of Orthopaedic Surgery, Good Samsun Hospital) ;
  • Cho, Hyung Lae (Department of Orthopaedic Surgery, Good Samsun Hospital) ;
  • Park, Ki Bong (Department of Orthopaedic Surgery, Good Samsun Hospital) ;
  • Lee, Wan Seok (Department of Orthopaedic Surgery, Good Samsun Hospital)
  • 구정회 (좋은삼선병원 정형외과) ;
  • 조형래 (좋은삼선병원 정형외과) ;
  • 박기봉 (좋은삼선병원 정형외과) ;
  • 이완석 (좋은삼선병원 정형외과)
  • Received : 2018.09.07
  • Accepted : 2018.11.16
  • Published : 2018.12.01
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Abstract

Purpose: The purpose of this study is to identify bilateral differences of physeal closure of the lateral compartment of the elbow in osteochondritis dissecans (OCD) and related factors with premature physeal closure. Methods: Initial radiographs of the bilateral elbows in 40 baseball players with OCD (group I) were reviewed for the status of physeal closure of the lateral compartment; capitellum, radial head, lateral epicondyle. Forty baseball players with medial epicondylar apophysitis (group II) were enrolled as a control. Relative status of physeal closure of dominant elbow was defined as early, same, and delayed. Bilateral differences of the status of physeal closure were analyzed between groups, and according to the radiographic stages, extent of the lesions and demographic factors in group I. Results: Significant early physeal closures of dominant elbows were identified in group I in capitellum (group I, 55%; group II, 3%), radial head (group I, 53%; group II, 3%), and lateral epicondyle (group I 37%; group II, 5%). In group I, advanced stage and extended lesion showed early lateral compartment physeal closure especially in capitellum and radial head, and players with longer career length and limitation of motion showed early closure. Conclusion: Over the half of the adolescent baseball players with OCD demonstrated early radiocapitellar physeal closures of dominant elbow in initial presentation. Because premature physeal closure contributes to the development of arthritis without appropriate radiocapitellar remodeling, early detection of OCD is essential for prevention of arthritis and successful conservative management.

Keywords

References

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