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The American Journal of Sports Medicine 28:534-537 (2000)
© 2000 American Orthopaedic Society for Sports Medicine

Closed-Wedge Osteotomy for Osteochondritis Dissecans of the Capitellum

A 7- to 12-Year Follow-up

Yoshiro Kiyoshige, MD, PhD*, Michiaki Takagi, MD, PhD, Katsunori Yuasa, MD, PhD and Makoto Hamasaki, MD

a From the Department of Orthopaedic Surgery, Saiseikai Yamagata Hospital, Yamagata, Japan

* Address correspondence and reprint requests to Yoshiro Kiyoshige, MD, PhD, Department of Orthopaedic Surgery, Saiseikai Yamagata Hospital, 79–1 Oki-machi, Yamagata, 990-8545 Japan

This article details a 7- to 12-year follow-up of seven young male baseball players with osteochondritis dissecans of the capitellum that we treated using closed-wedge osteotomy. This procedure was established by Yoshizu in 1986 for the treatment of "Little League elbow." The bone of the capitellum was revascularized and remodeled within 6 months in all seven patients. Six of the patients were able to return to full athletic activity and continued to play baseball. Radiographic assessment during the follow-up study revealed minimal osteoarthritic change and suggests that the treatment is useful for such an injury.




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