Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report
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 capite...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2020-03-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2019-00318.pdf |
| _version_ | 1797329148529606656 |
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| author | Daniel Gaitán Vargas Santiago Woodcock Guido Fierro Porto Juan Carlos Gonzalez |
| author_facet | Daniel Gaitán Vargas Santiago Woodcock Guido Fierro Porto Juan Carlos Gonzalez |
| author_sort | Daniel Gaitán Vargas |
| collection | DOAJ |
| description | 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 130º and extension of 0º, 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. |
| first_indexed | 2024-03-08T07:00:40Z |
| format | Article |
| id | doaj.art-5514fce18cde4367bd865cfbc67b416f |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T07:00:40Z |
| publishDate | 2020-03-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-5514fce18cde4367bd865cfbc67b416f2024-02-03T05:51:01ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212020-03-01231273010.5397/cise.2019.00318750Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case ReportDaniel Gaitán Vargas0Santiago Woodcock1Guido Fierro Porto2Juan Carlos Gonzalez3 Department of Orthopedics and Traumatology, Fundación Santa Fé de Bogotá, Bogotá, Colombia Department of Shoulder and Elbow, Fundación Santa Fé de Bogotá, Bogotá, Colombia Department of Shoulder and Elbow, Fundación Santa Fé de Bogotá, Bogotá, Colombia Department of Shoulder and Elbow, Fundación Santa Fé de Bogotá, Bogotá, ColombiaOsborne-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 130º and extension of 0º, 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.http://www.cisejournal.org/upload/pdf/cise-2019-00318.pdfosborne-cotterill lesionelbow dislocationfracture of the capitellumligamentary injury |
| spellingShingle | Daniel Gaitán Vargas Santiago Woodcock Guido Fierro Porto Juan Carlos Gonzalez Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report Clinics in Shoulder and Elbow osborne-cotterill lesion elbow dislocation fracture of the capitellum ligamentary injury |
| title | Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report |
| title_full | Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report |
| title_fullStr | Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report |
| title_full_unstemmed | Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report |
| title_short | Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report |
| title_sort | osborne cotterill lesion a forgotten injury review article and case report |
| topic | osborne-cotterill lesion elbow dislocation fracture of the capitellum ligamentary injury |
| url | http://www.cisejournal.org/upload/pdf/cise-2019-00318.pdf |
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