Panner’s disease: literature review and treatment recommendations
Tóm tắt
To determine the most up-to-date theory on the aetiology of Panner’s disease, to form a consensus on the assessment of radiographs and to evaluate clinical outcome in order to summarise the best available evidence for diagnosis and treatment. A review of studies to date on Panner’s disease. Studies were eligible if: (1) the study provided criteria for defining Panner’s disease in order to eliminate confounding data on other radiographic entities that were mistakenly grouped and presented as Panner’s disease; (2) original data of at least one patient was presented; (3) manuscripts were written in English, German or Dutch; and (4) a full-text article was available. Animal studies, reviews and expert opinions were not included. Because the majority of the studies were case reports, we did not use an overall scoring system to evaluate methodological quality. Twenty-three articles reporting on Panner’s disease were included. Most cases of Panner’s disease were unilateral in distribution and occurred in boys during the first decade of life. In general, conservative treatment is advised for Panner’s disease. Panner’s disease is a self-limiting disease and the majority of patients heal without clinical impairment. Based on the results of this review, Panner’s disease should be treated conservatively. Uniform names and descriptions of signs on radiographs would help to make the correct diagnosis. Since Panner’s disease is very rare, higher quality studies are not likely to be performed and, thus, this review provides the best level of evidence on the current knowledge about Panner’s disease.
Tài liệu tham khảo
Kobayashi K, Burton KJ, Rodner C, Smith B, Caputo AE (2004) Lateral compression injuries in the pediatric elbow: Panner’s disease and osteochondritis dissecans of the capitellum. J Am Acad Orthop Surg 12(4):246–254
Plath JE, Lenich A, Imhoff AB, Vogt S (2013) M. Panner and osteochondrosis dissecans: what and how to treat? Obere Extremität 8(1):16–21. doi:10.1007/s11678-013-0203-7
Panner HJ (1929) An affection of the capitulum humeri resembling Calvé–Perthes’ disease of the hip. Acta Radiol 10:234–242
Krebs C (1927) Maladie de Panner, une affection du condyle de l’humerus ressemblant à la maladie de Calvé–Perthes. Archives Franco-Belges de Chirurgie 7
Sty JR, Boedecker R (1978) Panner’s disease (osteonecrosis of the capitellum). Clin Nucl Med 3(3):117
Hennrikus WL (2006) Elbow disorders in the young athlete. Oper Tech Sports Med 14(3):165–172
Kwan J, Sandercock P (2004) In-hospital care pathways for stroke. Cochrane Database Syst Rev (4):CD002924. doi:10.1002/14651858.CD002924.pub2
March HC (1944) Osteochondritis of the capitellum (Panner’s disease). Am J Roentgenol 51:682–684
Hegemann G (1951) Spontaneous aseptic bone necrosis of the elbow. Fortschr Geb Rontgenstr 75(1):89–92
Semmelroch H (1952) Aseptic bone necrosis with double localization. Fortschr Geb Rontgenstr 77(3):370–371
Lange J (1954) Aseptic necrosis of the capitellum of the humerus; Panner’s disease. Acta Chir Scand 108(4):301–303
Laurent LE, Lindstrom BL (1956) Osteochondrosis of the capitulum humeri: Panner’s disease. Acta Orthop Scand 26(2):111–119
Omer GE Jr, Conger CW (1959) Osteochondrosis of the capitulum humeri (Panner’s disease). U S Armed Forces Med J 10:1235–1241
Heller CJ, Wiltse LL (1960) Avascular necrosis of the capitellum humeri (Panner’s disease). A report of a case. J Bone Joint Surg Am 42-A:513–516
Köhne K (1961) Contribution to the etiology of Panner’s disease. Z Orthop Ihre Grenzgeb 94:540–545
Klein EW (1962) Osteochondrosis of the capitellum (Panner’s disease). Report of a case. Am J Roentgenol Radium Ther Nucl Med 88:466–469
Davidsson L, Halme EA (1964) Osteochondrosis of the capitulum humeri (Panner’s disease). Ann Chir Gynaecol Fenn 53:156–159
Smith MG (1964) Osteochondritis of the humeral capitulum. J Bone Joint Surg Br 46:50–54
Bauer R (1968) Ein Beitrag zu den aseptischen Knochennekrosen im Bereich des Ellbogengelenkes. Arch Orthop Unfallchir 64(4):379–387. doi:10.1007/BF00583271
Breitkreuz G (1968) Panner’s disease, aseptic necrosis of the humeral head. Z Orthop Ihre Grenzgeb 105(2):257–260
Elzenga P (1969) Juvenile osteochondrosis deformans of the capitulum humeri (Panner’s disease). Arch Chir Neerl 21(1):67–75
Maisog J, Harron RA (1970) Radiographic diagnosis of Panner’s disease of the elbow. W V Med J 66(8):259
Bouckaert JI (1973) Aseptic necrosis of the humeral head of the radius (Panner’s disease). Ars Med Int Tijdsch Prak Ther 2(7):1187–1189
Mueller B, Haehnel H (1976) Osteochondropathies in children and adolescents taking part in gymnastics. Med Sport 16(10):325–332
Schumacher R, Müller U, Schuster W (1981) Rare localisation of osteochondrosis juvenilis (author’s transl). Radiologe 21(4):165–174
Suman RK, Miller JH (1982) Panner’s disease: Osteochondritis of the capitellum of the humerus. J R Coll Surg Edinb 27(1):62–63
Stoane JM, Poplausky MR, Haller JO, Berdon WE (1995) Panner’s disease: X-ray, MR imaging findings and review of the literature. Comput Med Imaging Graph 19(6):473–476
Ruch DS, Poehling GG (1991) Arthroscopic treatment of Panner’s disease. Clin Sports Med 10(3):629–636
Singer KM, Roy SP (1984) Osteochondrosis of the humeral capitellum. Am J Sports Med 12(5):351–360
Duthie RB, Houghton GR (1981) Constitutional aspects of the osteochondroses. Clin Orthop Relat Res 158:19–27
Douglas G, Rang M (1981) The role of trauma in the pathogenesis of the osteochondroses. Clin Orthop Relat Res 158:28–32
Haraldsson S (1959) On osteochondrosis deformas juvenilis capituli humeri including investigation of intra-osseous vasculature in distal humerus. Acta Orthop Scand Suppl 38:1–232
Walz M, Auerbach F (2006) Distal intraarticular humerus fractures in elderly patients. Treatment with combined percutaneous screw fixation and an external fixator. Unfallchirurg 109(11):940–947
Iakhno NN, Zozul LA, Maniakhina IV, Tarasova IE (1992) Computed tomography in the neurological syndromes of spinal osteochondrosis. Zh Nevropatol Psikhiatr Im S S Korsakova 92(3):3–6
Schenk M, Dalinka MK (1997) Imaging of the elbow. An update. Orthop Clin North Am 28(4):517–535