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Cumulative Incidence of Osteochondritis Dissecans of the Capitellum in Pre-Adolescent Baseball Players


Tetsuya Matsuura, MD, PhD
JAPAN

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Cumulative Incidence of Osteochondritis Dissecans of the Capitellum in Pre-Adolescent Baseball Players

Tetsuya Matsuura, MD, PhD, JAPAN Toshiyuki Iwame, MD, JAPAN Naoto Suzue, MD, PhD, JAPAN Joji Iwase, MD, JAPAN Shunsuke Tamaki, MD, JAPAN Kenji Yokoyama, MD, JAPAN Koichi Sairyo, MD, PhD, JAPAN

Tokushima University, Tokushima, JAPAN

2019 Congress   Award Winner   2019 Congress   Not yet rated

 

Anatomic Location

Elbow / Wrist / Hand

Anatomic Structure

Cartilage

Sports Medicine

Epidemiology Evidence Based Medicine

Cartilage

Osteochondritis

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Summary: The risk of OCD of the capitellum developing within a 1-year period in pre-adolescent baseball players was 1.8%.

Purpose

To quantify the 1-year cumulative incidence of capitellar osteochondritis dissecans (OCD) in pre-adolescent baseball players and identify the risk factors associated with this condition.

Methods

In total, 1275 school-aged baseball players (aged 6–11 years) without an established diagnosis of capitellar OCD were enrolled in this longitudinal, observational study. One year later, all players underwent ultrasonographic examination of the throwing elbow on the playing field. Elbows with abnormal ultrasonographic findings at this time then underwent radiographic examination. Data for the groups with and without capitellar OCD were analyzed using multivariate logistic regression models.

Results

The 1-year cumulative incidence of capitellar OCD was 1.8% (95% confidence interval 1.1–2.7%). In multivariate analysis, players aged 10–11 years were 3.96 times more likely to have capitellar OCD (95% confidence interval 1.10–18.97) than those aged 6–9 years, but starting baseball at an earlier age, number of years played, training hours per week, player position, and history of elbow pain were not significantly associated with capitellar OCD. Only 34.8% of players with capitellar OCD reported elbow pain.

Conclusion

The risk of OCD of the capitellum developing within a 1-year period in pre-adolescent baseball players was 1.8%. Players aged 10–11 years had a significantly greater risk of developing capitellar OCD than those aged 6–9 years.