nonoperative management

Capitellar OCD

Epidemiology

 

Adolescents & young adults

 

Usually between 12 - 21 years 

 

Throwing athletes / gymnasts

 

Little Leaguer's Elbow

- combination of capitellar OCD and MCL injury

- a repetitive throwing injury / seen in pitchers

 

Aetiology

 

1.  Trauma & Overuse

 

Common throwing sports / gymnastics

Vertebral Osteomyelitis

Epidemiology

 

M:F =2:1

 

30-40 years

 

20% diabetic

 

50-80% identifiable source

 

Site

 

Lumbar (50%) > Thoracic > Cervical (<10%)

 

Pathogenesis

 

1.  Haematogenous

- arterial rather than venous

 

Risk factors

- UTI (40% of all cases)

- IVDU

- elderly