Multifocal Osteonecrosis of the Capitella and Femoral Condyles After Stem Cell Transplantation and

Corticosteroid Treatment for Acute Lymphocytic Leukemia

by Melissa Trujillo Horton, William C. Thomas, and David Cheong

JBJS Case ConnectVolume 4(1):e29March 26, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph of the left elbow, showing radiolucency around the articular surface of the capitellum, which is consistent with osteonecrosis.

Melissa Trujillo Horton et al. JBJS Case Connect 2014;4:e29

©2014 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph of the right elbow.

Melissa Trujillo Horton et al. JBJS Case Connect 2014;4:e29

©2014 by The Journal of Bone and Joint Surgery, Inc.

T1-weighted MRI scan of the left elbow, showing joint effusions and abnormal signal in the distal part of the humerus and the capitellum.

Melissa Trujillo Horton et al. JBJS Case Connect 2014;4:e29

©2014 by The Journal of Bone and Joint Surgery, Inc.

T1-weighted MRI scan of the right elbow.

Melissa Trujillo Horton et al. JBJS Case Connect 2014;4:e29

©2014 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic view of the delaminated articular surface of the capitellum.

Melissa Trujillo Horton et al. JBJS Case Connect 2014;4:e29

©2014 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic view of loose bodies in the elbow, presumed to be more delaminated articular surface fragments.

Melissa Trujillo Horton et al. JBJS Case Connect 2014;4:e29

©2014 by The Journal of Bone and Joint Surgery, Inc.