Michiels I, Grimm J, Hasch E
Orthopädische Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz.
Unfallchirurg. 1992 Dec;95(12):618-25.
Thirty-one elbow joints in 29 patients (28 males, only 1 female), operated on for osteochondritis dissecans, were available for follow-up after an average of 10 years. The mean age at diagnosis was 24.4 years, but 11 patients were younger than 20. In 23 out of 29 patients the right elbow was involved, including 2 cases with bilateral involvement. In 20 cases removing the free bodies was the only surgical procedure performed, but in 2 cases it was combined with resection of the radial head. At follow-up, only one-third of the patients had no complaints. Nevertheless, daily activity was not restricted for any of the cases. Degenerative arthritic changes were found in only a few cases. These results are illustrated by means of three typical cases, which are compared with six similar cases in the international literature.
29例患者（28例男性，仅1例女性）共31个肘关节因剥脱性骨软骨炎接受手术，平均随访10年。诊断时的平均年龄为24.4岁，但11例患者年龄小于20岁。29例患者中有23例右侧肘关节受累，包括2例双侧受累。20例患者仅进行了取出游离体的手术，但2例患者同时进行了桡骨头切除术。随访时，只有三分之一的患者没有不适主诉。然而，所有病例的日常活动均未受限。仅少数病例发现有退行性关节炎改变。通过三个典型病例说明了这些结果，并与国际文献中的六个类似病例进行了比较。
