Table 1.
Minami classification of capitellar OCD (X-ray) | Itsubo classification of capitellar OCD (MRI) | Clanton and DeLee classification of knee OCD (CT) | |||
---|---|---|---|---|---|
I | Localized flattening or radiolucency | 1 | Normally shaped capitellum with several spotted areas of high signal intensity lower than that of cartilage | 1 | Depressed osteochondral fracture |
2 | Stage 1 + several spotted areas of higher intensity than that of cartilage | 2 | Osteochondral fragment attached by an osseous bridge | ||
3 | Stage 2 + both discontinuity and noncircularity of the chondral surface signal of capitellum and no high signal interface between lesion and floor | ||||
II | Nondisplaced fragment | 4 | Lesion separated by a high intensity line in comparison with cartilage | 3 | Detached non-displaced fragment |
III | Displaced or detached fragment | 5 | Capitellar lesion displaced from floor or defect of the capitellar lesion | 4 | Displaced fragment |
CT, computed tomography; MRI, magnetic resonance imaging.
Stable lesions: Minami grade I, Itsubo stages 1–2 and Clanton and DeLee stages 1–2.
Unstable lesions: Minami grade II–III, Itsubo stages 3–5, and Clanton and DeLee stages 3–4.