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Panner's disease refers to osteochondrosis of the capitellum.
Affects the dominant elbow of boys between the ages of 5 and 10
Associated with the repetitive trauma of throwing
Must be differentiated from osteochondrosis dissicans (occurs in the older child >13yo)
Hx: Intermittent pain and stiffness of the elbow. Better w rest, worse w activity.
PE: tenderness over capitellum w/ slight effusion. Loss of 20 degrees full extension
The articular surface of the capitellum appears irregular with areas of radiolucency.
Tx: Symptomatic treatment with rest. In severe cases a long arm splint/cast may be applied for 2-3 weeks.
http://www.ultrasoundcases.info/files/Jpg/org_34277-Afbeelding1.jpg