Paediatric: Panner disease: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Paediatric: Panner disease

Sample item

A 8-year-old boy has lateral elbow pain with fragmentation of the capitellum on radiographs. How does this differ from osteochondritis dissecans of the capitellum?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Panner disease occurs in younger children and heals spontaneously with rest

Panner disease is osteochondrosis of the capitellum in boys under 10, with a good prognosis and resolution with rest. Osteochondritis dissecans of the capitellum affects older adolescent throwers or gymnasts, with loose bodies and sometimes surgery.

Option by option

  • A. Panner disease affects older adolescent gymnasts and needs surgery

    That describes OCD of the capitellum.

  • B. Panner disease occurs in younger children and heals spontaneously with rest (correct)

    Correct. Panner disease is self-limiting and seen in younger children.

  • C. They are identical conditions

    They differ in age, behaviour and prognosis.

  • D. Panner disease affects the radial head

    The disease involves the capitellum, not the radial head.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, Panner disease occurs in younger children and heals spontaneously with rest. Panner disease is osteochondrosis of the capitellum in boys under 10, with a good prognosis and resolution with rest.

Why is "Panner disease affects older adolescent gymnasts and needs surgery" not the answer?

That describes OCD of the capitellum.

Why is "They are identical conditions" not the answer?

They differ in age, behaviour and prognosis.

Why is "Panner disease affects the radial head" not the answer?

The disease involves the capitellum, not the radial head.

What concept does this question test?

It tests Paediatric: Panner disease in Orthopaedics. Osteochondritis dissecans of the capitellum affects older adolescent throwers or gymnasts, with loose bodies and sometimes surgery.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric: Panner disease?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.