Abstract
BackgroundThe 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. MethodsUsing PRISMA guidelines, we analyzed 44 studies utilizing a total of 19 classification systems. ResultsMagnetic 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. ConclusionsNo classification system effectively correlated with intraoperative findings. A combination of radiograph, MRI, and computed tomography will most accurately determine OCD lesion stability. Level of evidenceIV, Systematic Review.
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