Nonoperative treatment for XXXX .

@entity1843 @entity1 @entity1442 @entity75
BACKGROUND: Spontaneous healing potential and progression of @entity1843 have been unclear. HYPOTHESIS: Healing potential is high in the early stage of @entity1843 and low in the advanced stage. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This retrospective study examines 39 @entity1 with @entity1843 who were treated conservatively. All @entity1 were baseball players (mean age, 12.8 years). After initial examination, all @entity1 were advised to stop heavy use of the elbow. Physical and radiographic examinations were regularly performed and assessed. Mean duration of follow-up was 14.4 months. RESULTS: Early-stage lesions were present in 30 @entity1 , while 9 @entity1 were diagnosed with @entity1442 . Open capitellar growth plates were observed in 17 @entity1 , and closed capitellar growth plates were seen in 22 @entity1 . On final radiography, 25 of 30 early-stage lesions were assessed as healed. However, only 1 of 9 advanced-stage lesions was assessed as healed. The remaining 8 @entity1442 were unimproved or progressed. @entity75 was seen in 16 of 17 @entity1 with an open growth plate and in 11 of 22 @entity1 with a closed growth plate, representing a significant difference between @entity1 with open and closed growth plates (P < .05). CONCLUSION: Spontaneous healing potential of @entity1843 in @entity75 , especially in @entity1 with open capitellar growth plates, appears high, and nonoperative treatment is appropriate. Conversely, healing potential is extremely low in advanced @entity1843 . Surgical intervention is recommended to achieve lesion healing in advanced cases.
