Treatment consists of casting and rest. If the involved bone starts to separate out, surgical pinning may be needed. Osteochondritis dissecans of the elbow occurs in the capitellum as well as the medial condyle and epicondyle. Unlike Panner s disease, it may form loose bodies and cause long-term disability. It occurs in an older age group than in Panner s disease, occurring usually in the early teens.
Treatment consists of strictly enforced rest for the elbow to prevent long-term problems.
Panner s disease occurs in the capitellum of the distal humerus at the elbow, and usually between the ages of 5 and 10, more commonly in boys. The patient presents with pain and inability to extend the elbow fully after a trivial injury. X-rays are diagnostic, and treatment consists of using a sling and restriction from strenuous activity involving the elbow. The bone reconstitutes after a year or two, and the patient usually resumes full function. Sever s disease occurs in the heels, at the insertion of the Achilles tendons, and may be bilateral.