Osteochondropathy of the coronoid process of the ulna in a child: case report

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Abstract

Osteochondropathy of the proximal ulnar bone is a rare disease that affects not only the ulnar, but also the venous process. To our knowledge, the existing domestic and foreign medical literature does not provide a description of osteochondropathy of the coronal process, a topic of considerable interest from the point of view of diagnosis and treatment.

Here, we describe a clinical case of osteochondropathy of the coronal process and present a clinical picture of the defect of the elbow joint in the patient, with radiographs taken before and after the surgery. In the present clinical case, postoperatively, the patient reported pain; however, the elbow joint function was fully restored, indicating the success of the treatment and that active surgical treatment of this disease is adequate and timely.

About the authors

Maxim S. Nikitin

The Turner Scientific Research Institute for Children’s Orthopedics

Author for correspondence.
Email: yar-2011@list.ru

MD, Orthopedic Surgeon of the Department of Trauma Effects and Rheumatoid Arthritis

Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603

Yaroslav N. Proshchenko

The Turner Scientific Research Institute for Children’s Orthopedics

Email: yar-2011@list.ru

MD, PhD, Research Associate of the Department of Trauma Effects and Rheumatoid Arthritis

Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603

References

  1. Ортопедия: национальное руководство / Под ред. С.П. Пиронова, Г.П. Котельникова. – М.: ГЭОТАР-Медиа, 2013. [Pironov SP, Kotel’nikov GP, editors. Orthopedics: National guidelines. Moscow: GEOTAR-Media; 2013. (In Russ.)]
  2. Рейнберг С.А. Рентгенодиагностика заболеваний костей и суставов. – М.: Медицина, 1963. [Reynberg SA. X-ray diagnosis of diseases of bones and joints. Moscow: Meditsina; 1963. (In Russ.)]
  3. Capla D, Kundrat J. Necrosis apophyseos olecrani ulnae. Juvenile osteochondropathy of the ulna. Acta Chir Orthop Traumatol Cech. 1982;49(6):497-499.
  4. Королюк И.П. Рентгеноанатомический атлас. Cкелет (норма, варианты, ошибки интерпретации). – М.: Видар, 1996. [Korolyuk IP. X-ray anatomy atlas. Skeleton (norm, variants, interpretation errors). Moscow: Vidar; 1996. (In Russ.)]

Supplementary files

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2. Fig. 1. Radiograph of the left elbow joint. Fragmentation stage of the region of the coronoid process tubercle

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3. Fig. 2. Computed tomography of the left ulnar process and fragmentation stage of the region of the coronoid process tubercle

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4. Fig. 3. Computed tomography in 3D mode

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5. Fig. 4. Anterior–posterior radiograph of the left elbow joint after the surgery

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Copyright (c) 2018 Nikitin M.S., Proshchenko Y.N.

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