Panner's Disease
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]
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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]
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Outcome Measures[edit | edit source]
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Management / Interventions
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Differential Diagnosis
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Resources
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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.
