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Capitellar osteochondritis dissecans — MRCPCH AKP MCQ

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HardPaediatric SportCapitellar osteochondritis dissecansMRCPCH AKP

A 15-year-old tennis player has lateral elbow pain after a sudden increase in serving. Radiographs show changes at the capitellar ossification centre. What is the most likely diagnosis?

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Correct answer: E — Capitellar osteochondritis dissecans

Adolescent overhead athletes can develop capitellar OCD from repetitive valgus-compression load. Lateral elbow pain with radiographic capitellar changes supports the diagnosis. Management depends on lesion stability and may require sport restriction and specialist review.

Reference: Brukner & Khan; BJSM youth sport