# Detection of Medial Epicondyle Avulsion in Elbow Ultrasound Images via Bone Structure Reconstruction

arXiv: https://arxiv.org/abs/2507.20104 · HTML: https://mlsanity.com/paper/2507.20104/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 10 of its 25 references that are in the map.
- First posted on arXiv 27 Jul 2025.

## Builds on (most cited first, 10 of 10)

- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [Towards Total Recall in Industrial Anomaly Detection](https://mlsanity.com/paper/2106.08265/) (2021)
- [ConvNeXt V2: Co-designing and Scaling ConvNets with Masked Autoencoders](https://mlsanity.com/paper/2301.00808/) (2023)
- [Unsupervised Anomaly Detection with Generative Adversarial Networks to Guide Marker Discovery](https://mlsanity.com/paper/1703.05921/) (2017)
- [CFLOW-AD: Real-Time Unsupervised Anomaly Detection with Localization via Conditional Normalizing Flows](https://mlsanity.com/paper/2107.12571/) (2021)
- [SimpleNet: A Simple Network for Image Anomaly Detection and Localization](https://mlsanity.com/paper/2303.15140/) (2023)
- [BMAD: Benchmarks for Medical Anomaly Detection](https://mlsanity.com/paper/2306.11876/) (2023)
- [Diffusion Models for Unsupervised Anomaly Detection in Fetal Brain Ultrasound](https://mlsanity.com/paper/2407.15119/) (2024)
- [Measurement of Medial Elbow Joint Space using Landmark Detection](https://mlsanity.com/paper/2412.13010/) (2024)

## Abstract (arXiv)

This study proposes a reconstruction-based framework for detecting medial epicondyle avulsion in elbow ultrasound images, trained exclusively on normal cases. Medial epicondyle avulsion, commonly observed in baseball players, involves bone detachment and deformity, often appearing as discontinuities in bone contour. Therefore, learning the structure and continuity of normal bone is essential for detecting such abnormalities. To achieve this, we propose a masked autoencoder-based, structure-aware reconstruction framework that learns the continuity of normal bone structures. Even in the presence of avulsion, the model attempts to reconstruct the normal structure, resulting in large reconstruction errors at the avulsion site. For evaluation, we constructed a novel dataset comprising normal and avulsion ultrasound images from 16 baseball players, with pixel-level annotations under orthopedic supervision. Our method outperformed existing approaches, achieving a pixel-wise AUC of 0.965 and an image-wise AUC of 0.967. The dataset is publicly available at: https://github.com/Akahori000/Ultrasound-Medial-Epicondyle-Avulsion-Dataset.