Panner’s disease radiology : Osteonecrosis of capitellum

  • Osteonecrosis of capitellum
  • Repetitive valgus stress
  • Little leaguer’s elbow
    – Medial epicondyle apophysitis
    – Panner disease : <12 y/o
    – Osteochondritis dissecans (OCD) >12 y/o
  • 5-10 y/o
  • Boy > Girl
  • Mild pain, stiffness, limitation of motion
  • Fissure, sclerosis, condensation, fragmentation of capitellum, hypertrophy of radial head
    • Sequelae (-) : regeneration, normalization
  • DDX
    • Osteochondritis dissecans : >12 y/o (after fusion of growth plate)

Panner disease (10 y/o girl)
sclerosis and bony fragmentation of left capitellum 
also seen in MRI
Panner disease (10 y/o girl)
sclerosis and bony fragmentation of left capitellum
also seen in MRI
Differential diagnosis : osteochondritis dissecans in elbow
Differential diagnosis : osteochondritis dissecans in elbow

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