Memorial Hermann's Rockets Sports Medicine Institute, Houston, TX,USA.
UTHealth Houston McGovern Medical School Orthopedic Surgery, Houston, TX,USA.
J Sport Rehabil. 2023 Aug 9;32(8):932-937. doi: 10.1123/jsr.2022-0446. Print 2023 Nov 1.
Osteochondritis dissecans (OCD) of the capitellum is a condition occurring at the elbow and often seen in both baseball players and gymnasts due to the repetitive loading of the radiocapitellar joint. Treatment options for OCD vary and are dependent on lesion presentation, elbow motion, and growth plate maturity. OCD lesions categorized as unstable can be treated with an osteochondral autograft transplantation surgery (OATS).
In an adolescent population, what are the return to sport rates and clinical outcomes following OATS in baseball players and gymnasts with unstable OCD lesions?
Three articles met the inclusion criteria for this appraisal, and all indicate an OATS procedure should be considered in the management of unstable OCD lesions. Return to play outcomes were favorable for both baseball players and gymnasts. Self-reported patient function and elbow extension all improved following an OATS.
An OATS procedure is a favorable option for the management of OCD lesions of the elbow in baseball players and gymnasts.
There is level B evidence to support return to sport and clinical outcomes in baseball players and gymnasts following an OATS procedure. This score is directly related to the quality of evidence that currently exists on the topic.
骺软骨骨软骨病（OCD）发生于肘部，由于桡尺骨小头关节反复受到负荷，在棒球运动员和体操运动员中较为常见。OCD 的治疗选择因病变表现、肘部运动和生长板成熟度而异。可将不稳定的 OCD 病变进行骨软骨自体移植手术（OATS）治疗。
在青少年人群中，对于患有不稳定 OCD 病变的棒球运动员和体操运动员，行 OATS 手术后的运动回归率和临床结果如何？
有 3 篇文章符合本评价的纳入标准，均表明 OATS 手术可作为不稳定 OCD 病变的治疗选择。对于棒球运动员和体操运动员，重返赛场的结果是有利的。OATS 后，患者自我报告的功能和肘部伸展均得到改善。
对于棒球运动员和体操运动员肘部 OCD 病变，OATS 手术是一种有利的治疗选择。
有 B 级证据支持棒球运动员和体操运动员行 OATS 手术后的运动回归和临床结果。该评分与该主题现有证据的质量直接相关。
