BACKGROUND: 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. METHODS: Using PRISMA guidelines, we analyzed 44 studies utilizing a total of 19 classification systems. RESULTS: 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. CONCLUSIONS: No classification system effectively correlated with intraoperative findings. A combination of radiograph, MRI, and computed tomography will most accurately determine OCD lesion stability. LEVEL OF EVIDENCE: IV, Systematic Review.
BACKGROUND: 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. METHODS: Using PRISMA guidelines, we analyzed 44 studies utilizing a total of 19 classification systems. RESULTS: 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. CONCLUSIONS: No classification system effectively correlated with intraoperative findings. A combination of radiograph, MRI, and computed tomography will most accurately determine OCD lesion stability. LEVEL OF EVIDENCE: IV, Systematic Review.
Authors: Anthony L Logli; Christopher D Bernard; Shawn W O'Driscoll; Joaquin Sanchez-Sotelo; Mark E Morrey; Aaron J Krych; Christopher L Camp Journal: Curr Rev Musculoskelet Med Date: 2019-03
Authors: Emily L Niu; Frances A Tepolt; Donald S Bae; Drake G Lebrun; Mininder S Kocher Journal: J Shoulder Elbow Surg Date: 2018-11 Impact factor: 3.019