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cessation of throwing activities.
94%
669/715
a long arm cast for 3 months.
4%
29/715
a corticosteroid injection into the elbow joint.
1%
5/715
excision of the fragment.
6/715
arthroscopic drilling of the lesion.
0%
2/715
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The radiograph shows osteochondritis dissecans (OCD) of the capitellum, one manifestation of “pitcher’s elbow.” The lesion is nondisplaced, and healing is possible if the inciting throwing activities are curtailed. Long arm cast treatment may be reasonable for the noncompliant patient but should not exceed 6 weeks duration. Surgical treatment is indicated for loose bodies or cartilage flaps. Elbow OCD lesions are now being seen in younger children as more participate in organized sports, especially baseball and gymnastics.
5.0
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