Sphericity of Articular Portion of Humeral Head |
100% spherical |
80% spherical |
50% spherical |
mostly flattened/pitted |
Cellularity |
obvious hypocellular layer superficial to tidemark |
reactive cellular layer superficial to tidemark |
scant layer superficial to tidemark |
tidemark difficult to distinguish/inconsistent |
Subchondral Bone Morphology |
well trabeculated subchondral bone without bone marrow close to osteochondral junction |
scant bone marrow approaching osteochondral junction |
<50% of subchondral bone infiltrated by marrow space |
>50% of subchondral bone infiltrated by marrow space |
Alcian Blue Staining |
intense blue staining deep to tidemark |
two separate areas of intense blue staining: one deep to tidemark and one superficial |
one thin area of deep blue staining with tidemark unclear |
disorganized |
Pannus Present |
no |
- |
- |
yes |