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Nuri Aydin Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Orthopaedics and Traumatology Department, Istanbul, Turkey

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Mahmut Enes Kayaalp Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Orthopaedics and Traumatology Department, Istanbul, Turkey

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Mustafa Asansu Baltalimani Bone Diseases Training and Research Hospital, Orthopaedics and Traumatology Department, Istanbul, Turkey

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Bedri Karaismailoglu Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Orthopaedics and Traumatology Department, Istanbul, Turkey

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than preferring non-anatomical techniques by using osteochondral allografts from fresh-frozen femoral heads. Especially in the case of larger defects of up to 50% and young patients with viable humeral bone reserve, fixation of the allografts in

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Emilio Calvo Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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María Valencia Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Antonio Maria Foruria Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Juan Aguilar Gonzalez Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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crest bone graft was incorporated successfully using double suture-button fixation. The distal clavicle is another potential source of autograft with the same advantages as the iliac crest, and it provides an osteochondral surface with less morbidity in

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Patrick Goetti Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Patrick J. Denard Department of Orthopaedic & Rehabilitation, Oregon Health & Science University, Portland, Oregon, USA

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Philippe Collin Centre Hospitalier Privé Saint-Grégoire (Vivalto Santé), Saint- Grégoire, France

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Mohamed Ibrahim Department of Orthopaedics and Trauma Surgery, Faculty of Medicine, Fayoum University, Fayoum, Egypt

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Pierre Hoffmeyer Hirslanden Clinique des Grangettes, Geneva, Switzerland

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland
Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland

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of a distal tibial osteochondral allograft respects all these biomechanical principles and has been shown to be a valid alternative in the absence of reliable autograft. 39 During posterior shoulder dislocation, reverse Bankart lesions are only

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Joaquín Sanchez-Sotelo Mayo Clinic, Rochester, Minnesota, USA

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Mark Morrey Mayo Clinic, Rochester, Minnesota, USA

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medial collateral ligament). Not uncommonly there are traumatic injuries to the capitellum, either small osteochondral injuries or larger posterior impaction fractures. Posteromedial rotatory injuries: anteromedial coronoid fractures This injury

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Frédéric Vauclair Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Patrick Goetti Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Ngoc Tram V. Nguyen Mayo Clinic, Rochester, Minnesota, USA

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Joaquin Sanchez-Sotelo Mayo Clinic, Rochester, Minnesota, USA

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osteochondral nonunion of the distal humerus . J Orthop Trauma 2006 ; 20 : 56 – 59 . 26. Beredjiklian PK Hotchkiss RN Athanasian EA Ramsey ML Katz MA . Recalcitrant nonunion of the distal humerus: treatment

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Raul Barco Shoulder & Elbow Unit, Hospital Universitario La Paz, Paseo de la Castellana 261, Madrid 28046, Spain

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Samuel A. Antuña Shoulder & Elbow Unit, Hospital Universitario La Paz, Paseo de la Castellana 261, Madrid 28046, Spain

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osteochondral injuries or loose bodies, are generally treated by arthroscopy prior to formal reconstruction of the ligament ( Fig. 5 ). 27 Fig. 5 Loose bodies and osteophytes are removed arthroscopically in a patient with chronic medial collateral

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Anna E van der Windt Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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Lisette C Langenberg Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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Joost W Colaris Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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Denise Eygendaal Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands

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ligamentous injuries. Associated fractures of the coronoid, olecranon, or distal humerus should be treated by open reduction and internal fixation. Osteochondral defects of the capitellum might need debridement when loose bodies are present. Large capitellar

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