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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

22.02.2024 | Arthroscopy and Sports Medicine

Bone deformity in sports-related elbow osteoarthritis: influence of osteochondritis dissecans of the capitellum—a cross-sectional study

verfasst von: Ko Temporin, Yuji Miyoshi, Satoshi Miyamura, Kozo Shimada

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 4/2024

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Abstract

Introduction

Sports activity can cause elbow osteoarthritis, which subsequently induces bone deformity. Osteochondritis dissecans (OCD) of the capitellum develops defects of articular surfaces and can exacerbate bone deformity. This study aimed to investigate whether OCD exacerbates deformities in sports-related elbow osteoarthritis.

Materials and methods

Twenty-one patients who underwent bilateral computed tomography preoperatively followed by surgery for sports-related elbow osteoarthritis were included. Patients were divided into two groups according to the presence or absence of an OCD history: OCD + (n = 6) and OCD- (n = 15). Bilateral three-dimensional bone models of the humerus, ulna, and radius were created using computed tomography data, and bone deformities were extracted by subtracting healthy mirror models from the affected models using a Boolean operation. Bone deformities were divided into 22 regions in the 3 bones. The volume of the deformity was estimated by correlating the anteroposterior and lateral diameters of the OCD and by comparing the two groups.

Results

The anteroposterior diameter of the OCD correlated with the articular surface of the medial trochlear notch, whereas the lateral diameter correlated with the whole ulna, medial gutter of the ulna, whole radius, and lateral side of the radial head. The deformities were 2.2 times larger in the whole humerus, 1.9 times larger in the whole ulna, and 3.0 times larger in the whole radius in the OCD + group than in the OCD- group. The deformities were significantly larger in the OCD + group than in the OCD- group in the radial fossa, posterior capitellum, medial gutter, and lateral gutter in the humerus, medial gutter in the ulna, and lateral, anterior, and posterior sides of the radial head.

Conclusion

Larger OCD exacerbated deformity in elbow OA, and the presence of OCD exacerbated deformities in sports-related elbow OA. These results demonstrate the highlight of preventing OCD progression.

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Titel: Bone deformity in sports-related elbow osteoarthritis: influence of osteochondritis dissecans of the capitellum—a cross-sectional study
verfasst von: Ko Temporin
Yuji Miyoshi
Satoshi Miyamura
Kozo Shimada
Publikationsdatum: 22.02.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 4/2024
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-024-05214-8

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Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Bone deformity in sports-related elbow osteoarthritis: influence of osteochondritis dissecans of the capitellum—a cross-sectional study

Abstract

Introduction

Materials and methods

Results

Conclusion

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

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Update Orthopädie und Unfallchirurgie

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Introduction

Materials and methods

Results

Conclusion

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