1. They represent shear-type injuries involving the capitellum, trochlea, or both.

2. This allows for exposure of the articular surface with good visualization of both the capitellum and the extension of the fracture line into the medial aspect of the trochlea, if present.

3. Methods: The cases of 106 patients with osteochondritis dissecans of the capitellum were studied retrospectively.

4. The results of removal alone were dependent on the size of the defect in the capitellum .

5. Conclusion Part of annular ligament or synovial fold interposed between the capitellum and the radial head could explain the mechanism of the pulled elbow.

6. Lateral approaches are useful in addressing pathology at the radial head, capitellum, coronoid process, and anterior and posterior capsules.

7. We have used this technique successfully for the treatment of type 1 and type 4 coronal shear fractures of the capitellum (Fig. 1).

8. Background: Indications for the treatment of osteochondritis dissecans of the humeral capitellum have remained unclear.