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Osteochondritis Dissecans (Loose Bone Cartilage)

In throwing movements the lateral part of the elbow joint is exposed to considerable loads, because of compression due to valgus loads. This can cause the convex upper articular surface of the radius in the forearm to come into violent contact with, and even to injure, the lateral outer portion of the articular surface of […]

Tennis Elbow

Basics Description Lateral epicondylitis (tennis elbow) is a tendinopathy of the origin of the ECRB tendon. The lateral epicondyle is the origin of the common wrist extensor tendon, including: ECRL ECRB Extensor digitorum communis Extensor carpi ulnaris The ECRB lies beneath the ECRL. These extensors stabilize the wrist and are used in sports (such […]

Osteochondritis Dissecans of the Knee

Basics Description A pathologic joint entity of localized bone necrosis with overlying cartilage injury Osteochondritis dissecans primarily affects the knee, but it is also seen in the hip (in late Legg-Calve-Perthes disease), elbow, and ankle. Osteochondritis dissecans occurs primarily in the 2nd decade of life, but it also is seen in children and older […]

Little League Elbow

Basics Description Little League elbow refers to a group of injuries about the elbow that arise in children and adolescents (ages 7-15 years) from repetitive throwing or use of a racquet or bat. Younger patients (7-11 years old) in that group often have an injury of the physis, whereas older adolescents (15-19 years old) […]

Knee Pain

Basics Description Knee pain has many causes, including pathologic processes in the knee and disorders in distant locations with referral to the knee area. Diffuse or located in a specific region A characteristic history and physical examination frequently narrow the diagnosis. Classification: Traumatic Acquired Risk Factors Athletic activity Obesity Sedentary lifestyle Etiology Traumatic injury […]

Knee Examination in the Child

Basics Description It is important, during a knee examination, to keep in mind the child’s age and to understand the age-specific pediatric knee disorders. Congenital hyperextension or dislocation of the knee: Varies from simple hyperextension to anterior dislocation of the tibia on the femur Hyperextended knee presents at birth. A hyperextensible knee resolves spontaneously, […]

Ankle Fracture

Basics Description Fractures of the distal end of the fibula and tibia are termed ankle fractures. Usually caused by the twisting of the body around a planted foot or a misstep that results in overstressing the ankle joint Severe fractures may result in dislocation of the ankle. 2 fracture classification systems are used currently: […]

A Patient’s Guide to Osteochondritis Dissecans of the Talus

Introduction

Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. It can occur in all age groups. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface.

This guide will help you understand

how OCD develops how the condition […]

A Patient’s Guide to Panner’s Disease of the Elbow

Introduction

Panner’s disease affects the dominant elbow of children, mainly boys, between the ages of five and 10. For unknown reasons, normal growth in the outer edge of the elbow is disrupted, which causes the small area of bone to flatten out. The child begins to complain of pain during activity. The pain eases with […]

A Patient’s Guide to Adolescent Osteochondritis Dissecans of the Elbow

Introduction

Young gymnasts and overhand athletes, particularly baseball pitchers and racket-sport players, are prone to an odd and troubling elbow condition. The forceful and repeated actions of these sports can strain the immature surface of the outer part of the elbow joint. The bone under the joint surface weakens and becomes injured, which damages the […]