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Loose Body in Adolescence
Adolescents from age 12 on.
Usually resuls from osteochondritis dissecans of the capitellum.
Osteochondritis dissecans at the elbow is nearly always localised
at the capitellum.
In its simplest terminology, it indicates fragmentation and possible separation of the portion of the articular surface.
A history of repetitive use of the elbow on a constant basis in sport has commonly been associated with this condition.
It is seen in young pitchers, gymnasts, basketball players..
Osteochondritis as such is not causing much subjective complaints, and treatment is not needed.
As the disease progresses, the loosely attached cartilage and bony fragments become free and are discharged into the joint.
Internal derangement: Intermittent severe pain, together with sudden locking of the joint - usually in flexion / sometimes in extension.
The 'unlocking' happens slowly and gradually in a few days days.
This series of events (sudden locking followed by gradual unlocking) is repeated.
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