Osteochondritis dissecans of the elbow

The clinical findings, roentgenographic findings, and results of various forms of treatment of osteochondritis dissecans in 50 elbows were reviewed in a study of the records of 42 patients. All the patients were males; two-thirds were between 9 and 15 years of age when they first had symptoms. Pain, loss of motion, locking, and clicking were the most common symptoms. Roentgenographically, rarefaction and flattening of the capitellum were common features. Some form of surgical treatment was used for 38 elebows; removal of loose bone and curettage and trimming of the crater were the most frequent procedures. The results of treatment were generally satisfactory. This review suggests that loose bodies should be removed and that, in most instances, no other procedures are indicated.