Demographic profile and spectrum of ultrasonographic findings in medial knee pain: An observational study

Joshi, Ameya Deepak; Gupta, Saral K.; Gaur, Anil; Mhambre, Amit Subhash; Shukla, Aradhana

doi:10.25259/ijms_44_2020

Cited by 3 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 Joshi et al, found baker cyst in 40.63% of the patients. 20 Where as Tarhan and Unlu found baker cyst in 40% and 35% of cases on USG and MRI respectively. 17…”

Section: Discussionmentioning

confidence: 96%

A study on evaluation of knee osteoarthritis with MRI and comparing it with CT scan, high resolution USG and conventional radiography

2021

View full text Add to dashboard Cite

Background: Knee osteo-arthritis is widely prevalent in the elderly population in our society and associated with significant morbidity and poor quality of life. Early diagnosis of the condition can enable timely and proper care for the patients. Magnetic Resonance Imaging, CT Scan, Ultrasonography and plain radiography are the different modalities of imaging that are commonly used for detection and diagnosis of knee osteo-arthritis. Aims and Objectives: To find out the early osteoarthritic changes of knee by Magnetic Resonance Imaging and compare those findings with conventional radiography, high frequency USG and CT scan findings. Materials and Methods: Patients suffering from knee osteoarthritis (OA) as per American College of Rheumatology guideline criteria (n=56) underwent imaging of the knee using plain radiography, ultrasonography, CT scan and MRI. The imaging findings studied in the patients were joint space narrowing (JSN), meniscal abnormality, Baker’s cyst, cruciate ligament abnormality, knee effusion, subchondral cyst, and loose bodies. A comparison between radiography, CT scan and USG was done for the imaging findings with MRI as the reference standard. Z-test of proportionality was used to find statistically significant difference for the three imaging modalities. A P<0.05 was deemed statistically significant. Results: The mean age of the patients was 61 years (38 males). The tibiofemoral compartment was most commonly affected. CT scan was more sensitive than radiography in detecting sub-chondral cyst (P=0.018) and loose bodies (P=0.004). USG and MRI were equally sensitive in detecting knee effusion (P=0.22) and synovial thickening (P=0.10). CT scan and MRI were equally sensitive in detecting subchondral cyst (P=1.00) and loose bodies (P=0.22). Conclusion: While CT imaging was more sensitive for detection of subchondral cysts and loose bodies than conventional radiography, it was as sensitive as MRI in detecting these findings in the study group. Additional study is warranted to assess diagnostic performance of CT scan and MRI in the diagnosis and progression of knee OA.

show abstract

“…19 Joshi et al, found baker cyst in 40.63% of the patients. 20 Where as Tarhan and Unlu found baker cyst in 40% and 35% of cases on USG and MRI respectively. 17…”

Section: Discussionmentioning

confidence: 96%

A study on evaluation of knee osteoarthritis with MRI and comparing it with CT scan, high resolution USG and conventional radiography

2021

View full text Add to dashboard Cite

show abstract

“…Medial knee pain can be caused by a number of different things, including damage to the medial collateral ligament, degenerative joint disease of the medial compartment, a rupture in the medial meniscus, inflammation of the pes anserine bursa, or medial plica syndrome. Because of the knee's complexity and the difficulty in clinically evaluating it, even the most experienced clinicians utilizing the most stringent clinical procedures do not always arrive at the correct diagnosis (3).…”

Section: Case Presentationmentioning

confidence: 99%

Us of the Knee: Scanning Techniques, Pitfalls With Correlation to Common Pathological Conditions.

Mohamed¹,

Fahmy

El-Diasty

2023

Ain Shams Medical Journal

View full text Add to dashboard Cite

Background: Among the most frequent causes of medical attention in the outpatient environment is knee pain or another knee condition. The capacity to guide percutaneous procedures and the fact that ultrasound may be performed anywhere, at any time, for a low price, and with excellent spatial resolution and image quality are all significant advantages of ultrasound. The patient may interact with the US machine in real time, allowing for quick clinical correlation and the opportunity and contrast the affected knee to the unaffected one. Structured assessment of the tendons, ligaments, joint space, osseous structures, peripheral nerves and vasculature, and the knee joint itself is possible by dividing the knee into anterior, medial, lateral, and posterior compartments. Aim of the Work: to assess US's capacity to characterise normal Knee anatomy, to explain US methodologies for thorough examination of the Knee, and to detect US manifestation of frequent pathologic diseases, as well as typical pitfalls/mimics of illness. Patients and Methods: Thirty people experiencing severe knee pain participated in this trial (less than three months duration). The orthopaedic outpatient clinic at Ain Shams University Hospitals and the ultrasonographic Imaging division of the Department of Radiology at Ain Shams University Hospitals collaborated on this work.Results: Regarding the demographic characteristics in the studied patients, it was found that Patients' ages varied widely, from eighteen to 70. with mean ±SD was 42.75± 13.1 years and median was 43.5 years. 18 (60%) patients were males and 12 (40%) of them were females with male to female ratio was 1.5:1. Regarding meniscal degeneration among the studied group, we found that the posterior horn is one of the most common areas for degenerative meniscus. Posterior horn medial meniscus degeneration was found in more than half (53.3%) cases while bone tenderness was found in 43 (95.6%) cases while the. Posterior horn lateral meniscus degeneration was found in eight (26.7%) cases. Conclusion:Ultrasound can help rule out potential causes of knee pain during the first stages of diagnosis. Joint effusion, tears to the posterior horn medial meniscus and the posterior horn lateral meniscus, bursitis of the anserinus, osteoarthritic alterations, cysts of the popliteal artery and duct, and tendinitis of the patellar tendon were the most common abnormalities detected by ultrasound. To verify our findings and assess US's diagnostic accuracy in knee pathology, more investigations are required with bigger sample sizes and longer followup.

show abstract

Knee Pain Examined under Musculoskeletal Ultrasonography: Experience from a Community-based Rheumatology Practice – A Cross-sectional Study

Siddiq¹,

Rahim²

2023

TORJ

View full text Add to dashboard Cite

Background: Diagnostic musculoskeletal ultrasonogram (MSUS) in musculoskeletal pain practice has increased. MSUS helps delineate extra-and intra-articular structures that are not visible on X-ray. Objective: Explore knee pain under ultrasonogram in a primary care rheumatology (PCR) facility. Methods: This cross-sectional study was performed over six months (January 1 and June 30, 2021) to explore knee pain in a community-based PCR setting. A physician registered in musculoskeletal (RMSK) ultrasonogram examined all patients and documented data in a prefabricated questionnaire. Statistical Package for the Social Sciences (SPSS, 28.0.1.1) was used to analyze data. Quantitative and categorical variables were presented with frequency and percentage. The Mann-Whitney-U test assessed the correlation between categorical variables; p<0.05 was considered statistically significant. Results: A total of 118 knees of 92 patients were included. Following are MSUS-depicted structural changes: medial joint line osteophytes (91.3%), medial femoral condyle (MFC), cartilage echogenicity (78.3%), synovial plica (76%), knee effusion (61.9%), synovial membrane thickening (54.3%), increased medial collateral ligament (MCL) thickness (42.4), reduced trochlear and MFC thickness (36.9%), Baker's cyst (35.8%), increased MFC thickness (31.5%), medial meniscal extrusion (MME) (27.2%), synovial hypertrophy (20.6%), increased trochlear cartilage thickness (20.6%), MM tear (18.5%), semitendinosus (SMT) bursitis (6.5%), loose body (6.5%), frond-like synovial mass (5.4%), MCL calcification (4.3%) and MM cyst (4.3%). There was a statistically significant correlation between the following variables: Knee effusion and synovial plica; reduced MFC thickness; MME and reduced MFC thickness and moderate osteophyte. Conclusion: High-frequency diagnostic ultrasound can depict knee pathology precisely. MSUS at the primary healthcare facility can minimize patient referral and burden over the tertiary setting and reduce overall expenditure.

show abstract

Demographic profile and spectrum of ultrasonographic findings in medial knee pain: An observational study

Cited by 3 publications

References 12 publications

A study on evaluation of knee osteoarthritis with MRI and comparing it with CT scan, high resolution USG and conventional radiography

A study on evaluation of knee osteoarthritis with MRI and comparing it with CT scan, high resolution USG and conventional radiography

Us of the Knee: Scanning Techniques, Pitfalls With Correlation to Common Pathological Conditions.

Knee Pain Examined under Musculoskeletal Ultrasonography: Experience from a Community-based Rheumatology Practice – A Cross-sectional Study

Contact Info

Product

Resources

About