2022 AOSSM Annual Meeting Recordings with CME-Elbow OCD (gymnast)

Video Transcription

Video Summary

In this video, the speaker discusses pediatric OCD (osteochondritis dissecans) and its presentation in athletes, particularly gymnasts. They highlight differences between males and females in terms of age and bone maturity when presenting with OCD lesions. The speaker emphasizes the need for individualized treatment approaches and discusses nonoperative care options such as activity restriction, casting, and splinting. They also mention predictors for poor outcomes and indications for surgical intervention, including complex reconstruction procedures. The effectiveness of debridement and fixation methods in treating OCD lesions is discussed, with various studies cited. The speaker concludes by providing recommendations for treatment approaches based on lesion characteristics and athlete type. Due to the lack of comprehensive outcomes data, the optimal treatment approach for gymnasts with OCD lesions remains controversial. The speaker includes their own experiences and research findings to support their recommendations. The video is credited to John D. Polousky, MD.

Asset Caption

John Conway, MD

Keywords

pediatric OCD

athletes

individualized treatment

surgical intervention

lesion characteristics