2001 年 50 巻 2 号 p. 467-470
This report describes a case of bilateral osteonecrosis of the humeral capitellum in an adult patient.
A 23-year-old male complaining of right elbow pain visited to our hospital in August 1999 several weeks after a slight elbow injury.
Roentgenograms of his right elbow demonstrated a radiolucent area in the right humeral capitellum and irregular subcortical bone. The same findings were present in his left elbow.
He was treated conservatively for about three months but the condition of his right elbow deteriorated. Upon admission, he underwent continuous epidural anesthesia, physical therapy, arthroscopy of the elbow joint and bone peg grafting.
At four months after the operation, the patient had good elbow mobility and was free from elbow pain.
Careful follow-up is required to prevent the reccurence of the pain.