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Panner’s disease: literature review and treatment recommendations

PURPOSE: To determine the most up-to-date theory on the aetiology of Panner’s disease, to form a consensus on the assessment of radiographs and to evaluate clinical outcome in order to summarise the best available evidence for diagnosis and treatment. METHODS: A review of studies to date on Panner’s...

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Autores principales: Claessen, Femke M. A. P., Louwerens, Jan K. G., Doornberg, Job N., van Dijk, C. Niek, Eygendaal, Denise, van den Bekerom, Michel P. J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340849/
https://www.ncbi.nlm.nih.gov/pubmed/25663360
http://dx.doi.org/10.1007/s11832-015-0635-2
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author Claessen, Femke M. A. P.
Louwerens, Jan K. G.
Doornberg, Job N.
van Dijk, C. Niek
Eygendaal, Denise
van den Bekerom, Michel P. J.
author_facet Claessen, Femke M. A. P.
Louwerens, Jan K. G.
Doornberg, Job N.
van Dijk, C. Niek
Eygendaal, Denise
van den Bekerom, Michel P. J.
author_sort Claessen, Femke M. A. P.
collection PubMed
description PURPOSE: To determine the most up-to-date theory on the aetiology of Panner’s disease, to form a consensus on the assessment of radiographs and to evaluate clinical outcome in order to summarise the best available evidence for diagnosis and treatment. METHODS: A review of studies to date on Panner’s disease. Studies were eligible if: (1) the study provided criteria for defining Panner’s disease in order to eliminate confounding data on other radiographic entities that were mistakenly grouped and presented as Panner’s disease; (2) original data of at least one patient was presented; (3) manuscripts were written in English, German or Dutch; and (4) a full-text article was available. Animal studies, reviews and expert opinions were not included. Because the majority of the studies were case reports, we did not use an overall scoring system to evaluate methodological quality. RESULTS: Twenty-three articles reporting on Panner’s disease were included. Most cases of Panner’s disease were unilateral in distribution and occurred in boys during the first decade of life. In general, conservative treatment is advised for Panner’s disease. Panner’s disease is a self-limiting disease and the majority of patients heal without clinical impairment. CONCLUSIONS: Based on the results of this review, Panner’s disease should be treated conservatively. Uniform names and descriptions of signs on radiographs would help to make the correct diagnosis. Since Panner’s disease is very rare, higher quality studies are not likely to be performed and, thus, this review provides the best level of evidence on the current knowledge about Panner’s disease.
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spelling pubmed-43408492015-02-27 Panner’s disease: literature review and treatment recommendations Claessen, Femke M. A. P. Louwerens, Jan K. G. Doornberg, Job N. van Dijk, C. Niek Eygendaal, Denise van den Bekerom, Michel P. J. J Child Orthop Original Clinical Article PURPOSE: To determine the most up-to-date theory on the aetiology of Panner’s disease, to form a consensus on the assessment of radiographs and to evaluate clinical outcome in order to summarise the best available evidence for diagnosis and treatment. METHODS: A review of studies to date on Panner’s disease. Studies were eligible if: (1) the study provided criteria for defining Panner’s disease in order to eliminate confounding data on other radiographic entities that were mistakenly grouped and presented as Panner’s disease; (2) original data of at least one patient was presented; (3) manuscripts were written in English, German or Dutch; and (4) a full-text article was available. Animal studies, reviews and expert opinions were not included. Because the majority of the studies were case reports, we did not use an overall scoring system to evaluate methodological quality. RESULTS: Twenty-three articles reporting on Panner’s disease were included. Most cases of Panner’s disease were unilateral in distribution and occurred in boys during the first decade of life. In general, conservative treatment is advised for Panner’s disease. Panner’s disease is a self-limiting disease and the majority of patients heal without clinical impairment. CONCLUSIONS: Based on the results of this review, Panner’s disease should be treated conservatively. Uniform names and descriptions of signs on radiographs would help to make the correct diagnosis. Since Panner’s disease is very rare, higher quality studies are not likely to be performed and, thus, this review provides the best level of evidence on the current knowledge about Panner’s disease. Springer Berlin Heidelberg 2015-02-07 2015-02 /pmc/articles/PMC4340849/ /pubmed/25663360 http://dx.doi.org/10.1007/s11832-015-0635-2 Text en © The Author(s) 2015 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Clinical Article
Claessen, Femke M. A. P.
Louwerens, Jan K. G.
Doornberg, Job N.
van Dijk, C. Niek
Eygendaal, Denise
van den Bekerom, Michel P. J.
Panner’s disease: literature review and treatment recommendations
title Panner’s disease: literature review and treatment recommendations
title_full Panner’s disease: literature review and treatment recommendations
title_fullStr Panner’s disease: literature review and treatment recommendations
title_full_unstemmed Panner’s disease: literature review and treatment recommendations
title_short Panner’s disease: literature review and treatment recommendations
title_sort panner’s disease: literature review and treatment recommendations
topic Original Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340849/
https://www.ncbi.nlm.nih.gov/pubmed/25663360
http://dx.doi.org/10.1007/s11832-015-0635-2
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