Panner's Disease: Difference between revisions
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<div class="editorbox"> '''Original Editor '''- [https://www.physio-pedia.com/User:Shreya_Pavaskar Shreya Pavaskar] <br> | <div class="editorbox"> '''Original Editor '''- [https://www.physio-pedia.com/User:Shreya_Pavaskar Shreya Pavaskar] <br> | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
== Clinically Relevant Anatomy | == Introduction == | ||
Panner's disease is defined as an osteochondrosis of the humeral capitellum <ref>Schumacher R, Müller U, Schuster W. Rare localisation of osteochondrosis juvenilis (author's transl). Der Radiologe. 1981 Apr 1;21(4):165-74.</ref>. Patients aged 10 years and younger have lesions similar to those described by Dane Panner, without intra-articular loose bodies <ref>Ruch, DS , Poehling, GG . Arthroscopic treatment of Panner's disease. Clin Sports Med (1991); 10 (3): 629–636</ref>. It is believed that Panner's disease predominantly occurs in boys because of the delayed appearance and maturation of the secondary growth centres.<ref>Claessen FM, Louwerens JK, Doornberg JN, van Dijk CN, Eygendaal D, van den Bekerom MP. Panner’s disease: literature review and treatment recommendations. Journal of children's orthopaedics. 2015 Feb 1;9(1):9-17.</ref> | |||
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== Clinically Relevant Anatomy == | |||
add text here relating to '''''clinically relevant''''' anatomy of the condition<br> | add text here relating to '''''clinically relevant''''' anatomy of the condition<br> | ||
== | == Pathological Process == | ||
Abnormal valgus stress after the age of 5 years is the most important factor in the development of Panner's disease. The capitellum has a rich vascular supply prior to the age of 5 years. Afterwards, the nucleus of the capitellum is mainly supplied by posterior vessels functioning as end arteries. If those vessels are disrupted by repetitive stress (i.e. throwing), ischaemia can develop. This may result in the disordered endochondral ossification called Panner's disease<ref>Claessen FM, Louwerens JK, Doornberg JN, van Dijk CN, Eygendaal D, van den Bekerom MP. Panner’s disease: literature review and treatment recommendations. Journal of children's orthopaedics. 2015 Feb 1;9(1):9-17.</ref>. | |||
== Clinical Presentation == | == Clinical Presentation == | ||
* a history of several weeks of pain | |||
* stiffness in the elbow | |||
* often with a history of valgus stress | |||
* Aggravated with movement and relieved with rest | |||
* effusion and swelling | |||
* Limited range of motion is typically observed with approximately 20° of extension loss and, less commonly, loss of flexion. The duration of symptoms varied from a few months to 2 years. | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
Revision as of 17:42, 8 April 2022
Top Contributors - Chloe Waller, Shreya Pavaskar and Vidya Acharya
Introduction[edit | edit source]
Panner's disease is defined as an osteochondrosis of the humeral capitellum [1]. Patients aged 10 years and younger have lesions similar to those described by Dane Panner, without intra-articular loose bodies [2]. It is believed that Panner's disease predominantly occurs in boys because of the delayed appearance and maturation of the secondary growth centres.[3]
Clinically Relevant Anatomy[edit | edit source]
add text here relating to clinically relevant anatomy of the condition
Pathological Process[edit | edit source]
Abnormal valgus stress after the age of 5 years is the most important factor in the development of Panner's disease. The capitellum has a rich vascular supply prior to the age of 5 years. Afterwards, the nucleus of the capitellum is mainly supplied by posterior vessels functioning as end arteries. If those vessels are disrupted by repetitive stress (i.e. throwing), ischaemia can develop. This may result in the disordered endochondral ossification called Panner's disease[4].
Clinical Presentation[edit | edit source]
- a history of several weeks of pain
- stiffness in the elbow
- often with a history of valgus stress
- Aggravated with movement and relieved with rest
- effusion and swelling
- Limited range of motion is typically observed with approximately 20° of extension loss and, less commonly, loss of flexion. The duration of symptoms varied from a few months to 2 years.
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions
[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis
[edit | edit source]
add text here relating to the differential diagnosis of this condition
Resources
[edit | edit source]
add appropriate resources here
References[edit | edit source]
- ↑ Schumacher R, Müller U, Schuster W. Rare localisation of osteochondrosis juvenilis (author's transl). Der Radiologe. 1981 Apr 1;21(4):165-74.
- ↑ Ruch, DS , Poehling, GG . Arthroscopic treatment of Panner's disease. Clin Sports Med (1991); 10 (3): 629–636
- ↑ Claessen FM, Louwerens JK, Doornberg JN, van Dijk CN, Eygendaal D, van den Bekerom MP. Panner’s disease: literature review and treatment recommendations. Journal of children's orthopaedics. 2015 Feb 1;9(1):9-17.
- ↑ Claessen FM, Louwerens JK, Doornberg JN, van Dijk CN, Eygendaal D, van den Bekerom MP. Panner’s disease: literature review and treatment recommendations. Journal of children's orthopaedics. 2015 Feb 1;9(1):9-17.
