Management of Capitellar Osteochondritis Dissecans

» Osteochondritis dissecans of the capitellum is a localized compromise of bone that may lead to subchondral collapse with articular cartilage damage and loose body formation. » The etiology is multifactorial; proposed mechanisms include repetitive microtrauma, vascular insufficiency, and genetic predisposition. » Diagnosis is based on patient presentation, clinical examination, diagnostic imaging, and intraoperative findings. » Management is dependent on lesion characteristics, with stable lesions amenable to nonoperative treatment and unstable lesions managed with surgical intervention. » Adolescent athletes can expect a return to their preinjury level of activity or competition following indicated surgical intervention.