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Osteochondritis Dissecans of the Elbow: Arthroscopic Debridement

  • Nick F. J. HilgersomEmail author
  • Rens Bexkens
  • Michel P. J. van den Bekerom
  • Denise Eygendaal
Chapter

Abstract

The aim of arthroscopic debridement is creating a stable rim and improving nutrient supply by chondral abrasion to provide an optimal environment for the cartilage to regenerate. Microfracturing can be added to further improve nutrient supply and formation of fibrocartilaginous tissue [1, 2]. Additionally, loose or fixed bodies can be removed, or impinging posteromedial olecranon osteophytes debrided, in advanced OCD lesions or concomitant posteromedial impingement, respectively [3, 4]. Concomitant posteromedial impingement is rare among the young overhead athlete diagnosed with OCD of the elbow and more likely in the older overhead athlete.

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Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Nick F. J. Hilgersom
    • 1
    • 2
    Email author
  • Rens Bexkens
    • 2
  • Michel P. J. van den Bekerom
    • 3
  • Denise Eygendaal
    • 2
    • 4
  1. 1.Deparment of Orthopaedic SurgerySports Medicine Service, Massachusetts General HospitalBostonUSA
  2. 2.Department of Orthopaedic Surgery, Academic Medical CentreUniversity of AmsterdamAmsterdamThe Netherlands
  3. 3.Deparment of Orthopaedic SurgeryOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  4. 4.Deparment of Orthopaedic SurgeryAmphia HospitalBredaThe Netherlands

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