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- Title
The Value of Using Radiographic Criteria for the Treatment of Persistent Symptomatic Olecranon Physis in Adolescent Throwing Athletes.
- Authors
Matsuura, Tetsuya; Kashiwaguchi, Shinji; Iwase, Takenobu; Enishi, Tetsuya; Yasui, Natsuo
- Abstract
Background: Previously published reports present a variety of nonoperative and operative treatments for a persistent olecranon physis. However, the radiographic indication for the operative treatment is not clear. Hypothesis: Our radiographic classification of persistent olecranon physis is helpful in formulating treatment decisions. Study Design: Cohort study; Level of evidence, 3. Methods: Sixteen male baseball players with persistent olecranon physis were retrospectively evaluated. The mean age at first presentation was 14.7 years (range, 12-17 years). The lesion was classified into 2 stages based on radiographic appearance. Stage I demonstrated widening of the olecranon epiphyseal plate when compared with the contralateral elbow on the lateral view. Sclerotic change indicated stage II. All patients underwent nonoperative treatment for at least 3 months. Follow-up radiographs were taken at 1-month intervals. Operative treatment was provided to the patients whose condition had failed to improve after nonoperative treatment. Results: Of the 16 patients, 12 had stage I lesions and 4 had stage II lesions. Nonoperative management produced healing in 91.7% of patients with stage I lesions and none of the patients with stage II lesions. Conclusion: Our radiographic classification of persistent olecranon physis is useful for treatment decision making. In addition, our results demonstrated that sclerotic change is a high predictive indicator of the need for operative treatment.
- Subjects
RADIOGRAPHY; FUNNY bone; THROWING (Sports); PHYSICAL fitness; ATHLETES' health; BASEBALL players; BASEBALL injuries; SPORTS injuries; PRECANCEROUS conditions
- Publication
American Journal of Sports Medicine, 2010, Vol 38, Issue 1, p141
- ISSN
0363-5465
- Publication type
Article
- DOI
10.1177/0363546509342677