Radiographic evaluation of osteochondritis dissecans of the humeral capitellum: A systematic review.

Pu, Alex; Jauregui, Julio J; Salmons, Harold I; Weir, Tristan B; Abzug, Joshua M; Gilotra, Mohit N · J Orthop · 2021

systematic_review · Level IV

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Abstract

The purpose of this study was to evaluate radiographic-based classification systems for osteochondritis dissecans (OCD) of the capitellum and determine their agreement with intraoperative findings. Using PRISMA guidelines, we analyzed 44 studies utilizing a total of 19 classification systems. Magnetic resonance imaging (MRI)-based systems showed better predictive value of intraoperative staging, and the Itsubo and Kohyama classifications showed best predictive value for lesion stability. No classification system effectively correlated with intraoperative findings. A combination of radiograph, MRI, and computed tomography will most accurately determine OCD lesion stability. IV, Systematic Review.

Anatomy