Osteochondral flap fracture in a child is rare. Osteochondral lesions in the elbow still remain a challenging field of surgery. Intraoperatively, the osteochondral fragment in the olecranon fossa was connected to a part of the medial collateral ligament. Several sports specific injuries of the elbow have been well-described. Osteochondral lesions of the elbow are injuries that disrupt the cartilage and subjacent bone, and they most commonly involve the capitellum. In recent years promising clinical results were described for the osteochondral transplantation technique. Osteochondral injury (or osteochondral defect) of the ankle is an injury to the bone or smooth cartilage covering the joint surface in the ankle. Prognosis of these lesions depends on stability, location, and size of the lesion.Imaging has an essential role in the diagnosis, staging, and management of osteochondral lesions. Osteochondral Fractures are also sometimes known as articular cartilage injuries. Hip. This is particularly true of young athletes who continue to place high demands on their joints. Osteochondral fractures are relatively uncommon injuries that typically present after an acute or subacute traumatic injury. Capitellum fractures are uncommon, but their prompt diagnosis and management are crucial due to the severity of the consequent functional impairment resulting from these intra-articular elbow fractures. A 7 year-old boy with an osteochondral flap fracture is reported. Sometimes the torn piece of cartilage also contains a bone fragment. To the best of our knowledge, only 12 cases are reported in the literature. For example, the prevalence of medial elbow instability is high in throwing athletes such as baseball players. He was noted to have almost full extension and flexion to 120 degrees. Osteochondritis dissecans (OCD) is a condition that develops in joints, most often in children and adolescents. It occurs more often in adolescent males. Foot & Ankle. Olecranon Stress Fracture Lateral Ulnar Collateral Ligament Injury (PLRI) Tendon Conditions & Tears ... (unlike OCD elbow) Prognosis ... osteochondral autograft or allograft transplantation surgery (OATS) indications. On review of all literature describing transchondral fractures of the talus, Berndt and Harty developed a classification system for staging of osteochondral lesions of the talus (OLTs). What exactly causes Osteochondral Defect is something which is still a matter of research, but majority of the cases of Osteochondral Defect arise from repetitive knee injuries or excessive stress on the knees due to activities like playing contact sports or lifting heavy objects. In some cases abnormal bony development since childhood has also resulted in the development of Osteochondral Defect. During this procedure the surgeon removed several loose bodies and the unstable osteochondral fracture from capitellum. In the elbow, the capitellum and the radius touch to absorb some of the pressure transmitted from the wrist. The incidence of osteochondral fractures with ACL injuries may be as high as 80% [20, 21]. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. Due to the poor biologic properties of articular… Fracture of the Elbow Area Golfer’s Elbow Tennis Elbow Olecranon Fracture Osteochondritis Dissecans of the Elbow UCL Injury Ulnar Nerve Entrapment Uncommon Nerve Compression Syndromes Cubital Tunnel Syndrome Median Nerve Compression Radial Nerve Compression Elbow Treatments Elbow Arthroscopy Arthroscopic Release of the Stiff Elbow Arthroscopic Treatment of Elbow … Compartment syndrome is one recognized complication after elbow dislocation and distal humeral and radial neck fracture.3 Osteochondral flap Osteochondral Flap Avulsion Fracture in … Hand & Wrist. Elbow arthroscopy for osteochondral lesions in athletes – Written by Luigi Pederzini et al, Italy . Only 1 case was accompanied with lateral condyle fracture classified as Milch I, which was nondisplaced. This condition may also be referred to as an Osteochondral Fracture. Home / Knee / Osteochondral Fixation Share; Contact; Feedback; Quote or Evaluation; The Arthrex approach to osteochondral fixation includes the Chondral Dart a bioabsorbable PLLA Chondral Dart featuring a unique, double reversed barbed design, and Bio-Compression Screws offering interfragmentary … Osteochondral lesions are relatively common in children and adolescents, and the incidence is increasing. The aim of this retrospective study was to evaluate the clinical and radiological outcome in the mid-term follow-up of a large cohort of patients following osteochondral transplantation in the elbow. The second most common cause of hemarthrosis to the knee, after ACL injury, is patellar dislocation with an incidence of osteochondral fracture in approximately 70% of patients [23-25] (Fig. Elbow. The term osteochondritis dissecans has persisted, and has since been broadened to describe a similar process occurring in many other joints, including the knee, hip, elbow, and metatarsophalangeal joints . Osteochondral fracture of the patella is a common concomitant injury of the knee, especially in lateral patellar instability, and the importance of early stable fixation with minimal complication and early mobilization should be emphasized. Osteochondral fractures, although relatively common, are frequently misdiagnosed bybothclinicians andradiologists. The mechanism of injury most often occurs in a weight-bearing position with a twisting or torquing force on the joint. Conclusion: Trochlear lesions should be considered in throwing athletes presenting with medial elbow pain and flexion contracture/extension block. It occurs when a small segment of bone begins to crack and separate from its surrounding region due to a lack of blood supply. A 7 year-old boy with an osteochondral flap fracture is reported. Factors such as repetitive trauma and valgus stress in the elbow are believed to be a cause for OCL of the elbow, though the exact aetiology is not clear [2]. Osteochondral fractures explained. Inmany ofthese cases positive radiographic findings are present although subtle. This fragment is sometimes known as a loose body as it tends to float around within the elbow joint. Simple elbow dislocation is defined as a dislocation without associated fractures, which comprises approximately 10% of all elbow dislocation cases. The cartilage can be torn crushed or damaged and in rare cases a cyst can form in the cartilage. Osteochondral flap fracture in a child is rare. Open treatment of Elbow Fracture Dislocation with arthroplasty: 24587: Open treatment of Acute or Chronic Elbow Dislocation: 24615: ORIF of Monteggia Elbow Fracture: 24635: ORIF of Radial head or neck fracture: 24665: Ulnar Nerve Transposition: 64718 . Thispaperreviews themechanisms ofInjury bywhich osteochondral fractures occur anddis-cusses theradiographic features ofsuchfractures. Most classification systems are based on lesion descriptions by Berndt and Harty ( 2 ): Following surgery he was immobilised in a backslab for one week. Ananaly-sisof43surgIcal casesofosteochondral fractures … The term Osteochondritis Dissecans is actually falling out of favour because the ‘itis’ at the end suggests inflammation, which is now known not to be present in this injury. The only difference is that with an osteochondral fracture, there may also be a bone fracture involved. 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