Arthroscopic surgery for isolated XXXX in adolescent baseball players: minimum three-year follow-up.

@entity1843 @entity1 @entity4713 @entity75
BACKGROUND: @entity1843 of the humerus usually occurs in adolescence and is caused by the valgus forces associated with excessive throwing. HYPOTHESIS: Arthroscopic surgery is an appropriate procedure for this condition. STUDY DESIGN: Retrospective cohort study. METHODS: Arthroscopic surgery was performed on 10 baseball players (average age, 13.8 years) with @entity4713 dissecans whose symptoms had been apparent for an average of 9 months before the operation. Follow-up at an average of 3.9 years included use of a standard rating scale, radiographs, and a questionnaire regarding return to sport. RESULTS: There were two grade I, one grade II, two grade IV, and five grade V lesions. Symptoms and objective findings correlated poorly with the grade of the lesion. The postoperative score averaged 195, reflecting excellent results. Radiographically, the @entity75 was still apparent in one @entity1 , secondary degenerative changes were evident in one @entity1 , and, in one @entity1 , the lesion was still evident and degenerative changes had occurred. Only four athletes returned to organized baseball. CONCLUSIONS: Arthroscopic surgery for symptomatic @entity1843 in adolescent baseball players can provide excellent rating scores with intermediate follow-up but does not assure return to baseball.
