• Krappel Fa, Bauer E, and Harland U.
• Orthopädische Klinik, Medizinisches Zentrum Kreis Aachen, Mauerfeldchen 25, 52146 Würselen, Germany. fkrappel@yahoo.com
• Arch Orthop Trauma Surg. 2005 Oct 1; 125 (8): 545549545-9.

AbstractA 17-year old soccer-player sustained a fracture and dislocation of the ulnar epicondyle combined with a bone bruises at the radial head and the capitellum. An open reduction and internal fixation was performed using two K-wires. Initial recovery was uneventful. After the operation he was discharged home and reviewed on a regular basis. When bony union had occurred the two K-wires were removed. However, on follow up he continued to complain of pain on the radial aspect of the joint and did not regain his normal range of movement. A further MRI was performed. Now a grade II osteochondritis dissecans not visible on the previous MRI taken 12 weeks earlier was clearly visualised. Treatment was continued conservatively with physiotherapy but avoiding aggressive mobilisation. On final review 6 months later he was able to move painfree with residual limitation of movement (ROM 0-5-130 degrees). Another MRI taken now was assessed as normal.

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