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Lateral Compression Injuries in the Pediatric Elbow: Panner’s Disease and Osteochondritis Dissecans of the Capitellum

Dr. Kobayashi is Chief Resident, University of Connecticut Health Center, West Hartford, CT. Dr. Burton is Resident, University of Connecticut Health Center, Glastonbury, CT. Dr. Rodner is Resident, University of Connecticut Health Center, West Hartford. Dr. Smith is Assistant Clinical Professor, Department of Orthopaedic Surgery, University of Connecticut Health Center, Connecticut Children’s Medical Center, Hartford, CT. Dr. Caputo is Co-Director of Hand Surgery Service, Hartford Hospital and Connecticut Children’s Medical Center, Hartford, and Assistant Clinical Professor, Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT.

Reprint requests: Dr. Rodner, University of Connecticut Health Center, 83 Hartwell Road, West Hartford, CT 06107.

Lateral compression injuries of the elbow typically occur in throwing athletes and gymnasts. In the preadolescent and adolescent patient, these injuries predominantly include Panner’s disease and osteochondritis dissecans. Panner’s disease, an osteochondrosis of the capitellum, is a rare disorder that usually affects the dominant extremity in individuals younger than age 10 years. Symptomatic management of Panner’s disease consisting of reduction of stressful activities of the elbow is usually sufficient to allow resolution. Although a prolonged period is required for healing, most patients demonstrate excellent long-term results. Osteochondritis dissecans of the capitellum typically occurs in adolescents and is associated with loose body formation. Panner’s disease and osteochondritis dissecans likely represent a continuum of disordered endochondral ossification with presentation and prognosis dependent primarily on age at onset.

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