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논문 기본 정보

자료유형
학술저널
저자정보
Daniel Gaitán Vargas (Fundación Santa Fé de Bogotá) Santiago Woodcock (Fundación Santa Fé de Bogotá) Guido Fierro Porto (Fundación Santa Fé de Bogotá) Juan Carlos Gonzalez (Fundación Santa Fé de Bogotá)
저널정보
대한견주관절의학회 대한견주관절의학회지 대한견주관절학회지 제23권 제1호
발행연도
2020.3
수록면
27 - 30 (4page)

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초록· 키워드

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Osborne-Cotterill lesion is an osteochondral fracture located in the posterolateral margin of the humeral capitellum, which may be associated with a defect of the radial head after an elbow dislocation. This lesion causes instability by affecting the lateral ulnar collateral ligament over its capitellar insertion, which is associated with a residual capsular laxity, thereby leading to poor coverage of the radial head, and hence resulting in frequent dislocations. We present a 54-year-old patient, a physician who underwent trauma of the left elbow after falling from a bike and suffered a posterior dislocation fracture of the elbow. The patient subsequently presented episodes of instability, and additional work-up studies diagnosed the occurrence of Osborne-Cotterill lesion. An open reduction and internal fixation of the bony lesion was performed, with reinsertion of the lateral ligamentous complex. Three months after surgery, the patient was asymptomatic, having a flexion of 130° and extension of 0°, and resumed his daily activities without any limitation. Currently, the patient remains asymptomatic 2 years after the procedure. Elbow instability includes a large spectrum of pathological conditions that affect the biomechanics of the joint. The Osborne-Cotterill lesion is one among these conditions. It is a pathology that is often forgotten and easily overlooked. Undoubtedly, this lesion requires surgical intervention.

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UCI(KEPA) : I410-ECN-0101-2020-514-000451557