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Chapter 02 Video 1: Arthroscopic Treatment of Osteochondritis Dissecans

July 02, 2016

Contributors: Christopher S Ahmad, MD, FAAOS; Lauren H Redler, MD

This video demonstrates arthroscopic treatment of osteochondritis dissecans in a 14 year old female elite diver. The patient presented with pain in the lateral aspect of the elbow associated with a locking and catching sensation and crepitus. Set up and preparation are demonstrated. Portals are established, and a diagnostic arthroscopy is carried out in the anterior and posterior compartments. Visualization is improved and findings include synovitis and loose bodies. A synovectomy is performed, and loose bodies are removed with a grasper. The OCD lesion is found and fibrous bone is removed. Care is taken to make the edges of the remaining cartilage vertical. Drilling perpendicular to the surface with a K wire is carried out, and this penetrates deep enough into the bone to access adequate marrow elements. More loose bodies are removed. Rehab is discussed and includes early range of motion.

Results for "Advanced Reconstruction: Elbow 2"