Orthopedics Book


Panner Disease

Aka: Panner Disease, Capitellum Osteochrondrosis
  1. See Also
    1. Osteochondrosis
  2. Epidemiology
    1. Children under age 10 years old
    2. Boys account for 90% of cases
    3. More common in athletes
      1. Repeat valgus stress at elbow (baseball)
      2. Repeat axial stress at elbow (gymnastics)
  3. Pathophysiology
    1. Distal humeral Ossification Center (at capitellum) with abnormal ossification, necrosis and degeneration
    2. Differentiate from Osteochondritis Dissecans of the Capitulum which affects the articular cartilage
  4. Symptoms
    1. Vague lateral Elbow Pain, stiffness and decreased range of motion
  5. Signs
    1. No point tenderness over lateral elbow
  6. Differential Diagnosis
    1. Osteochondritis Dissecans of the Capitulum
      1. Affects articular cartilage, NOT the epiphysis
  7. Imaging
    1. XRay elbow
      1. Epiphysis and capitellum of Humerus with fragmentation and fissuring
    2. MRI Elbow
      1. Indicated in non-diagnostic XRay imaging
  8. Management
    1. Relative rest
    2. Immobilize for 4 weeks
    3. Acetaminophen or NSAIDs
    4. Repeat XRays every 4-6 months
    5. Consider pediatric orthopedic Consultation
  9. Course
    1. Self-limited with spontaneous resolution
  10. References
    1. Achar (2019) Am Fam Physician 99(10): 610-8 [PubMed]
    2. Atanda (2011) Am Fam Physician 83(3): 285-91 [PubMed]
    3. Singer (1984) Am J Sports Med 12(5):351-60 [PubMed]

Osteochondrosis (juvenile) of capitulum of humerus [Panner] (C2902530)

Concepts Disease or Syndrome (T047)
ICD10 M92.0
English Osteochondrosis (juvenile) of capitulum of humerus [Panner]
Derived from the NIH UMLS (Unified Medical Language System)

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