AOSSM Specialty Day 2023 with ISAKOS - no CME-3. AOSSM-ISAKOS - Session VIII

Video Transcription

Video Summary

The video summarizes a study on Capitella osteochondritis dissecans (OCD), a condition that affects adolescent overhead throwers and gymnasts. The study aimed to report long-term outcomes of operative and non-operative management, identify factors associated with the failure of non-operative management, and determine if a delay in surgery affects final outcomes. A total of 50 elbows were identified, with 70% failing non-operative management and eventually undergoing surgery. Surgical management resulted in superior outcomes in terms of pain scores, mechanical symptoms, and elbow flexion. Factors predictive of failure of non-operative management were older age and the presence of a loose body. The study did not find a significant difference in outcomes due to a delay in surgery. The limitations of the study include its retrospective nature and limited sample size. Overall, non-operative management failed 70% of the time, and surgical management showed better outcomes for patients.

Keywords

Capitella osteochondritis dissecans

adolescent overhead throwers

gymnasts

operative management

non-operative management