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Vargas DG, Woodcock S, Porto GF, et al. Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report. Clin Shoulder Elb. 2020;23(1):27-30doi: 10.5397/cise.2019.00318.
Vargas, D. G., Woodcock, S., Porto, G. F., & Gonzalez, J. C. (2020). Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report. Clinics in shoulder and elbow, 23(1), 27-30. https://doi.org/10.5397/cise.2019.00318
Vargas, Daniel Gaitán, et al. "Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report." Clinics in shoulder and elbow vol. 23,1 (2020): 27-30. doi: https://doi.org/10.5397/cise.2019.00318
Vargas DG, Woodcock S, Porto GF, Gonzalez JC. Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report. Clin Shoulder Elb. 2020 Feb 21;23(1):27-30. doi: 10.5397/cise.2019.00318. eCollection 2020 Mar. PMID: 33330230; PMCID: PMC7714319.
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Clin Shoulder Elb. 2020 Feb 21;23(1):27-30. doi: 10.5397/cise.2019.00318. eCollection 2020 Mar.

Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report.

Clinics in shoulder and elbow

Daniel Gaitán Vargas, Santiago Woodcock, Guido Fierro Porto, Juan Carlos Gonzalez

Affiliations

  1. Department of Orthopedics and Traumatology, Fundación Santa Fé de Bogotá, Bogotá, Colombia.
  2. Department of Shoulder and Elbow, Fundación Santa Fé de Bogotá, Bogotá, Colombia.

PMID: 33330230 PMCID: PMC7714319 DOI: 10.5397/cise.2019.00318

Abstract

Osborne-Cotterill lesion is an osteochondral fracture located in the posterolateral margin of the humeral capitellum, which may be associated with a defect of the radial head after an elbow dislocation. This lesion causes instability by affecting the lateral ulnar collateral ligament over its capitellar insertion, which is associated with a residual capsular laxity, thereby leading to poor coverage of the radial head, and hence resulting in frequent dislocations. We present a 54-year-old patient, a physician who underwent trauma of the left elbow after falling from a bike and suffered a posterior dislocation fracture of the elbow. The patient subsequently presented episodes of instability, and additional work-up studies diagnosed the occurrence of Osborne-Cotterill lesion. An open reduction and internal fixation of the bony lesion was performed, with reinsertion of the lateral ligamentous complex. Three months after surgery, the patient was asymptomatic, having a flexion of 130º and extension of 0º, and resumed his daily activities without any limitation. Currently, the patient remains asymptomatic 2 years after the procedure. Elbow instability includes a large spectrum of pathological conditions that affect the biomechanics of the joint. The Osborne-Cotterill lesion is one among these conditions. It is a pathology that is often forgotten and easily overlooked. Undoubtedly, this lesion requires surgical intervention.

Copyright © 2020 Korean Shoulder and Elbow Society.

Keywords: Elbow dislocation; Fracture of the capitellum; Ligamentary injury; Osborne-Cotterill lesion

Conflict of interest statement

Conflict of interest None.

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