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Show 34 Trever Whiting college of health Background: 16 year old male baseball player with pain on lateral aspect of his right elbow. The athlete played with the pain for a year until the pain increased to an unmanageable level and he was unable to throw the baseball anymore. Differential Diagnosis: Tennis Elbow, Tendonitis, Bone Contusion, Arthritis, Bone Cyst, Panner's disease, Osteochondritis Dissecans. Treatment: The athlete was referred to a physi-cian, who diagnosed him with Osteochondritis Dissecans of the Capitellum. Since the athlete was 12 months post onset of symptoms the physician told the athlete and his parents that he would strongly advise against returning to play and recommended that he not play baseball again due the late diagnosis and severity of the symptoms. The athlete decided to return to playing baseball however, this time utiliz-ing his left hand for throwing. During this time the athlete received a second opinion and saw a different physician who suggested performing arthroscopic osteochondral transplantation from the intercondylar notch of the right knee to right capitellum. The athlete opted for this arthoscopic surgery technique and received the transplant alongside debridement and drilling of the right capitellum, and resection of the radiocapitellar synovial plica. The surgery was a success and the athlete underwent a post surgical rehabili-tation program. This program consisted of range of motion exercises with light resistance exercises during weeks 1-2 and additional range of motion exercises with heavier resistance exercises during weeks 3-4. The athlete then performed a sport specific home program containing light throwing exercises for the fol-lowing weeks. He returned to pain free play at 6 months post surgery. Uniqueness: This is a unique case due to the difficultly in diagnosing osteochondritis dissecans of the capitellum and the rarity of this condi-tion. There is no direct mechanism of injury associated with this condition other than a result of overuse and it presents very much like other injuries that are more commonly seen. Conclusion: It is important for Athletic Trainers to be aware of this type of injury due to the fact that if recognized early it is more likely that the injury can be successfully treated conservatively therefore eliminating the need for surgical inter-vention or loss of playing time. OSTEOCHONDRITIS DISSECANS OF THE CAPITELLUM (ELBOW): A CASE STUDY Trever Whiting, Kristin Schelin (Charlie Hicks-Little, Craig Switzler) Department of Exercise and Sport Science University of Utah UNDERGRADUATE RESEARCH ABSTRACTS Charlie Hicks-Little |
