The surgical treatment of XXXX of the capitellum.

@entity1 @entity4713 @entity75 @entity158 @entity130
This paper reviews 14 @entity1 who underwent elbow arthrotomy for @entity4713 of the capitellum. The etiology in 7 of the 14 cases appears to be the result of repeated @entity130 from throwing sports. Five of the 14 described a singular significant traumatic episode, and in 2 of the 14, a clear etiology is uncertain. The diagnostic features including signs, symptoms, and elbow range of motion are examined. The operative findings are correlated with plain x-ray films of the elbow in all cases and with an elbow arthrogram in 11 out of 14 cases. The average length of followup was 24 months. The postoperative range of motion was increased an average of 18 degrees. Eighty-six percent (12 out of 14) @entity1 returned to organized, competitive athletic activity without restrictions. The Little League background of those @entity1 with apparent repetitive microtrauma to the elbow is examined in terms of length of pitching experience and types of pitches thrown. In addition, the throwing mechanism of these @entity1 is evaluated with respect to the type of delivery at possible risk for the development of @entity4713 . We conclude that after a failure of conservative therapy, surgical treatment, including removal of the intraarticular loose bodies, excision of @entity75 , and curettage to bleeding bone can be expected to produce @entity158 relief and improvement in joint motion. A return to organized competitive sport activities can be expected.
