{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T16:12:33Z","timestamp":1776701553763,"version":"3.51.2"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T00:00:00Z","timestamp":1512518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the diagnostic accuracies of ultrasonography (US) and magnetic resonance imaging (MRI) with intraoperative capitellar osteochondritis dissecans (COCD) fragment stability findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients whose International Cartilage Repair Society (ICRS) osteochondritis dissecans (OCD) classifications were I\/II (stable) or III (unstable) were included. Patients underwent preoperative US and MRI. On US, lesions were evaluated as unstable when irregular contours of the chondral surface were observed. On MRI, lesions were evaluated as unstable when articular bone irregularity, a T2 high signal intensity interface, or a high signal intensity line through the articular cartilage was observed. Using the surgical assessment as the gold standard, accuracies of fragment stability diagnoses were calculated for US and MRI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010four patients with OCD classifications of I\/II (stable) or III (unstable) were included. Twenty\u2010four patients (stable: 12, unstable: 12) underwent preoperative US; 22 (stable: 11, unstable: 11) underwent preoperative MRI. Preoperative US and MRI stability assessments correctly matched intraoperative fragment findings in 23 of 24 patients and 16 of 22 patients, respectively. US criteria in this study achieved superior accuracy compared with MRI criteria (96% vs. 73%; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>US was a useful tool for evaluating fragment instability in COCD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.22563","type":"journal-article","created":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T09:42:48Z","timestamp":1512553368000},"page":"247-252","source":"Crossref","is-referenced-by-count":28,"title":["Comparison of sonography and <scp>MRI<\/scp> in the evaluation of stability of capitellar osteochondritis dissecans"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8599-4339","authenticated-orcid":false,"given":"Masaaki","family":"Yoshizuka","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Sunagawa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rikuo","family":"Shinomiya","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuo","family":"Masuda","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manami","family":"Makitsubo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuo","family":"Adachi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,6]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"127","article-title":"Injury to the throwing arm. A study of traumatic changes in the elbow joints of boy baseball players","volume":"102","author":"Adams JE.","year":"1965","journal-title":"Calif Med."},{"issue":"8","key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2325967114545298","article-title":"Prevalence of osteochondritis dissecans of the capitellum in young baseball players: results based on ultrasonographic findings","volume":"2","author":"Matsuura T","year":"2014","journal-title":"Orthop J Sports Med."},{"issue":"4","key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1007\/s11999-012-2462-9","article-title":"Preoperative imaging criteria for unstable osteochondritis dissecans of the capitellum","volume":"471","author":"Satake H","year":"2013","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.2106\/JBJS.G.01135","article-title":"Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum. Surgical technique","volume":"90","author":"Takahara M","year":"2008","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1177\/0363546507312168","article-title":"Conservative treatment for osteochondrosis of the humeral capitellum","volume":"36","author":"Matsuura T","year":"2008","journal-title":"Am J Sports Med."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-005-0899-6"},{"issue":"3","key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1177\/0363546511429258","article-title":"A retrospective evaluation of magnetic resonance imaging effectiveness on capitellar osteochondritis dissecans among overhead athletes","volume":"40","author":"Iwasaki N","year":"2012","journal-title":"Am J Sports Med."},{"issue":"2","key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/s002560050054","article-title":"Reassessment of the MR criteria for stability of osteochondritis dissecans in the knee and ankle","volume":"25","author":"Smet AA","year":"1996","journal-title":"Skeletal Radiol."},{"issue":"1","key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/0749-8063(91)90087-E","article-title":"Characterizing osteochondral lesions by magnetic resonance imaging","volume":"7","author":"Dipaola JD","year":"1991","journal-title":"Arthroscopy."},{"issue":"6","key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1007\/s00776-014-0637-9","article-title":"Ultrasound imaging of the humeral capitellum: a cadaveric study","volume":"19","author":"Takenaga T","year":"2014","journal-title":"J Orthop Sci."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2007.07.016"},{"issue":"6","key":"e_1_2_6_13_1","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.2214\/AJR.05.1086","article-title":"Using sonography for the early detection of elbow injuries among young baseball players","volume":"187","author":"Harada M","year":"2006","journal-title":"AJR Am J Roentgenol."},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514536843"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270060701"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199906000-00014"},{"issue":"2","key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"411","DOI":"10.2214\/ajr.174.2.1740411","article-title":"Sonographic assessment of osteochondritis dissecans of the humeral capitellum","volume":"174","author":"Takahara M","year":"2000","journal-title":"AJR Am J Roentgenol."},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200300002-00008"},{"key":"e_1_2_6_19_1","first-page":"469","article-title":"Sonographic diagnosis and follow\u2010up of elbow osteochondritis dissecans [in japanese]","volume":"34","author":"Kashiwaguchi S","year":"2009","journal-title":"Jpn J Med Ultrasound Technol."},{"issue":"10","key":"e_1_2_6_20_1","doi-asserted-by":"crossref","first-page":"2384","DOI":"10.1177\/0363546513496049","article-title":"Healing predictors of stable juvenile osteochondritis dissecans knee lesions after 6 and 12 months of nonoperative treatment","volume":"41","author":"Krause M","year":"2013","journal-title":"Am J Sports Med."},{"issue":"6","key":"e_1_2_6_21_1","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1177\/1071100714528493","article-title":"Appearance of subchondral bone in computed tomography is related to cartilage damage in osteochondral lesions of the talar dome","volume":"35","author":"Nakasa T","year":"2014","journal-title":"Foot Ankle Int."},{"issue":"6","key":"e_1_2_6_22_1","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1016\/j.ejrad.2011.01.007","article-title":"MR imaging findings and MR criteria for instability in osteochondritis dissecans of the elbow in children","volume":"81","author":"Jans LB","year":"2012","journal-title":"Eur J Radiol."},{"key":"e_1_2_6_23_1","first-page":"27","article-title":"Sonographic assessment of elbow osteochondritis dissecans [in Japanese]","volume":"62","author":"Okada T","year":"2012","journal-title":"J Minim Invasive Orthop Surg."}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcu.22563","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.22563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T06:23:58Z","timestamp":1695536638000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.22563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,6]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1002\/jcu.22563"],"URL":"https:\/\/doi.org\/10.1002\/jcu.22563","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,6]]}}}