Clinical and ultrasonographic findings related to knee pain in osteoarthritis

Mendieta, Eugenio de Miguel; Ibáñez, T. Cobo; Jaeger, Jacqueline Usón; Hernán, Gema Bonilla; Mola, Emilio Martín

doi:10.1016/j.joca.2005.12.012

Cited by 99 publications

(58 citation statements)

References 24 publications

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“…In OA, sonography has shown its capability in detecting and evaluating a large number of abnormalities involving hyaline cartilage, synovial fluid and synovial membrane, menisci, joint capsule and bursae as well as in the bony cortex [1,11,21,[23][24][25][26][27][28][29][30][31][32][33][34][35][36]. Recent development of high-resolution transducers and more powerful machines has rendered US an emerging and even more widely used tool to image and investigate both early and late changes in OA [9,11,17,32,33].…”

Section: Why To Use Sonography In Oa?mentioning

confidence: 99%

Imaging the joint in osteoarthritis: a place for ultrasound?

Iagnocco

2010

Best Practice & Research Clinical Rheumatology

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Ultrasound (US) is a valuable tool for imaging musculoskeletal changes in osteoarthritis. It shows early and late findings related to inflammation and structural damage. Sonography is a safe tool, which has recently registered an increasing and widespread use, it being considered as a bedside procedure in the clinical assessment of rheumatic patients. Its applications in osteoarthritis are related to easy accessibility of equipment, low cost, short duration of single examinations and the possibility of performing a multiregional joint evaluation in the same scanning session. Permitting an extensive evaluation of most joint changes present in osteoarthritis, it gives the opportunity to monitor disease progression and perform a follow-up of the response to different local and systemic treatments. US-guided procedures are commonly performed with safety, reliability and optimal patient tolerance. Development in technology and technique with improvement of new research studies will further amplify the diagnostic role of ultrasound in osteoarthritis in the near future. (C) 2009 Elsevier Ltd. All rights reserved

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Section: Why To Use Sonography In Oa?mentioning

confidence: 99%

Imaging the joint in osteoarthritis: a place for ultrasound?

Iagnocco

2010

Best Practice & Research Clinical Rheumatology

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“…High BMI scores of healthy people have been shown to be a significant risk factor for the development of radiographic knee OA in later life32 ) . This is due to the mechanical loading, particularly on the lower extremities, of obesity33 ) . It has also been reported that the various adipokines expressed in adipose tissue, such as leptin, adiponectin, resistin, and visfatin, have shown a catabolic effect on articular cartilage34, 35 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Conflicting results have been reported regarding the relationship between the radiological grade of knee OA, pain, and function loss. Reasons have been suggested for this, such as radiographs being taken at different times, interpretation by different researchers, and the use of different methods for grading31, 33 ) . In the current study, a significant positive correlation was determined between the grade of knee OA and the pain and functional evaluation scores.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Quadriceps Thickness, Radiological Staging, and Clinical Parameters in Knee Osteoarthritis

et al. 2014

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[Purpose] The aim of this study was to investigate the relationship between clinical parameters, radiological staging and evaluated ultrasound results of quadriceps muscle thickness in knee osteoarthritis. [Subjects] The current study comprised 75 patients (51 female, 24 male) with a mean age of 57.9±5.2 years (range 40–65 years) and a diagnosis of osteoarthritis in both knees. [Methods] Knee radiographs were evaluated according to the Kellgren-Lawrence grading system. Clinical evaluation performed with the visual analog scale (VAS), Western Ontario and McMaster Osteoarthritis Index (WOMAC), the 50-meter walking test, and the 10-step stair test. The thickness of the muscle layer of the quadriceps femoris (M. vastus intermedius and M. rectus femoris) was measured with high-resolution real-time ultrasonography. [Results] The results of this study showed a significant negative correlation between quadriceps thickness and age, duration of disease, stage of knee OA, and VAS, WOMAC, 50-m walking test, and 10-step stair test scores. [Conclusion] The evaluation of quadriceps muscle thickness with ultrasound can be considered a practical and economical method in the diagnosis and follow-up of knee osteoarthritis.

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“…The ratio of painful osteoarthritic knee effusion ranges from 44% to 79% 2,3 . However, 16% of osteoarthritic knee effusion is painless 4 .…”

Section: To the Editormentioning

confidence: 99%