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. 2018 Feb 13;11(2):129–136. doi: 10.1177/1758573218756866

Table 1.

Classifications of capitellar osteochondritis dissecans (OCD)

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.