Direct suture repair of unstable osteochondritis dissecans lesions of the capitellum

A surgical technique

Jeremy Somerson, Mark E. Morrey, Bernard F. Morrey

Research output: Contribution to journalArticle

Abstract

Osteochondritis dissecans of the capitellum represents a challenging clinical entity. For lesions that are unstable, cause mechanical symptoms, or fail conservative management, surgical intervention may be considered. Prior reports have described debridement, microfracture, retrograde drilling, osteochondral autologous transplantation surgery, distal humeral realignment osteotomy, and direct repair with pins or osteochondral pegs. For well-attached lesions without significant fragmentation, fixation may be achieved using a simple direct suture repair technique. This method involves passage of a mattress-type suture through the lesion that is tied over the posterior cortex. No specialized instruments or implants are required. To date, no patients treated in this manner have been reoperated.

Original languageEnglish (US)
Pages (from-to)103-106
Number of pages4
JournalTechniques in Shoulder and Elbow Surgery
Volume16
Issue number4
StatePublished - 2015
Externally publishedYes

Fingerprint

Osteochondritis Dissecans
Suture Techniques
Stress Fractures
Autologous Transplantation
Debridement
Osteotomy
Sutures
Conservative Treatment

Keywords

  • Capitellar OCD
  • Capitellum
  • Fixation
  • OCD
  • Osteochondritis dissecans

ASJC Scopus subject areas

  • Surgery

Cite this

Direct suture repair of unstable osteochondritis dissecans lesions of the capitellum : A surgical technique. / Somerson, Jeremy; Morrey, Mark E.; Morrey, Bernard F.

In: Techniques in Shoulder and Elbow Surgery, Vol. 16, No. 4, 2015, p. 103-106.

Research output: Contribution to journalArticle

@article{82cb65cc0bf244adb3ab2d7d4d8079fc,
title = "Direct suture repair of unstable osteochondritis dissecans lesions of the capitellum: A surgical technique",
abstract = "Osteochondritis dissecans of the capitellum represents a challenging clinical entity. For lesions that are unstable, cause mechanical symptoms, or fail conservative management, surgical intervention may be considered. Prior reports have described debridement, microfracture, retrograde drilling, osteochondral autologous transplantation surgery, distal humeral realignment osteotomy, and direct repair with pins or osteochondral pegs. For well-attached lesions without significant fragmentation, fixation may be achieved using a simple direct suture repair technique. This method involves passage of a mattress-type suture through the lesion that is tied over the posterior cortex. No specialized instruments or implants are required. To date, no patients treated in this manner have been reoperated.",
keywords = "Capitellar OCD, Capitellum, Fixation, OCD, Osteochondritis dissecans",
author = "Jeremy Somerson and Morrey, {Mark E.} and Morrey, {Bernard F.}",
year = "2015",
language = "English (US)",
volume = "16",
pages = "103--106",
journal = "Techniques in Shoulder and Elbow Surgery",
issn = "1523-9896",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Direct suture repair of unstable osteochondritis dissecans lesions of the capitellum

T2 - A surgical technique

AU - Somerson, Jeremy

AU - Morrey, Mark E.

AU - Morrey, Bernard F.

PY - 2015

Y1 - 2015

N2 - Osteochondritis dissecans of the capitellum represents a challenging clinical entity. For lesions that are unstable, cause mechanical symptoms, or fail conservative management, surgical intervention may be considered. Prior reports have described debridement, microfracture, retrograde drilling, osteochondral autologous transplantation surgery, distal humeral realignment osteotomy, and direct repair with pins or osteochondral pegs. For well-attached lesions without significant fragmentation, fixation may be achieved using a simple direct suture repair technique. This method involves passage of a mattress-type suture through the lesion that is tied over the posterior cortex. No specialized instruments or implants are required. To date, no patients treated in this manner have been reoperated.

AB - Osteochondritis dissecans of the capitellum represents a challenging clinical entity. For lesions that are unstable, cause mechanical symptoms, or fail conservative management, surgical intervention may be considered. Prior reports have described debridement, microfracture, retrograde drilling, osteochondral autologous transplantation surgery, distal humeral realignment osteotomy, and direct repair with pins or osteochondral pegs. For well-attached lesions without significant fragmentation, fixation may be achieved using a simple direct suture repair technique. This method involves passage of a mattress-type suture through the lesion that is tied over the posterior cortex. No specialized instruments or implants are required. To date, no patients treated in this manner have been reoperated.

KW - Capitellar OCD

KW - Capitellum

KW - Fixation

KW - OCD

KW - Osteochondritis dissecans

UR - http://www.scopus.com/inward/record.url?scp=84947063024&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947063024&partnerID=8YFLogxK

M3 - Article

VL - 16

SP - 103

EP - 106

JO - Techniques in Shoulder and Elbow Surgery

JF - Techniques in Shoulder and Elbow Surgery

SN - 1523-9896

IS - 4

ER -