Diagnostic performance of knee ultrasonography for detecting degenerative changes of articular cartilage

Saarakkala, Simo; Waris, Pekka; Waris, Ville; Tarkiainen, I.; Karvanen, E.; Aarnio, J.; Koski, Juhani M.

doi:10.1016/j.joca.2012.01.016

Cited by 108 publications

(116 citation statements)

References 21 publications

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“…Our earlier report, based on the same patient material, shows that the semi-quantitative US-based grading of degenerative changes in the femoral condylar cartilage has a high positive predictive value for actual arthroscopic degenerative changes (17). However, on the basis of the good correlation between the US-detected osteophyte grade and the Noyes grade ( Figure 3A), and the significant difference in Noyes grade depending on the presence of medial osteophytes (Figure 4A), it seems that the presence and size of osteophytes evaluated with US is a significant predictor for arthroscopic degenerative changes in the articular cartilage.…”

Section: Intra-readermentioning

confidence: 81%

Atlas-based knee osteophyte assessment with ultrasonography and radiography: relationship to arthroscopic degeneration of articular cartilage

Koski

Kamel

Waris

et al. 2015

Scandinavian Journal of Rheumatology

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Section: Intra-readermentioning

confidence: 81%

Atlas-based knee osteophyte assessment with ultrasonography and radiography: relationship to arthroscopic degeneration of articular cartilage

Koski

Kamel

Waris

et al. 2015

Scandinavian Journal of Rheumatology

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“…We cannot exclude the fact that our conclusions are linked to the study group selection modality-patients with bilateral symptomatic OA. Cartilage damages identified by US were previously correlated with degenerative cartilage changes found by arthroscopy, but the lack of US findings does not exclude degenerative changes [30]. The association of the hyaline cartilage damageor loss with pain was demonstrated in US and MRI studies [2,13,[31][32][33].…”

Section: Inter-observer Agreementmentioning

confidence: 99%

“…All these findings (osteophytes, meniscal protrusion, and synovial fluid) were scored with a five-point scale: 0=normal, 1= from 0 mm to 2 mm, 2= from 2 mm to 4 mm, 3= from 4 to 6 mm and 4= more 6 mm ( fig 1). In a transverse plane and with the knees in maximum flexion, the femoral hyaline cartilage was assessed and classified in 5 degrees: 0-normal, 1-loss of regular contour level interfaces or increased echogenicity cartilage, 2A-modification from degree 1 with decreasing the thickness of the cartilage <50% of his size, 2B-decreasing the thickness of the cartilage >50%, but under 100%, and 3-100% focal loss of cartilage thickness [30] (fig 2).…”

Section: Patientsmentioning

confidence: 99%

Pain in bilateral knee osteoarthritis – correlations between clinical examination, radiological, and ultrasonographical findings.

et al. 2016

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Aims: The aim of the study was to evaluate the correlations between clinical symptoms (pain), physical examination, ultrasound (US), and radiological findings in patients with bilateral knee osteoarthritis (OA). Material and methods: Knee pain was appreciated during medial and lateral palpation of each knee joint and using visual analogue scale (VAS) and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). US evaluation (osteophytes, meniscal protrusion, synovial fluid, femoral hyaline cartilage thickness) and radiological assessment (osteophytes, femoral-tibial space, Kellgren-Lawrence [K-L] score, enthesopathies) were performed by two examiners blinded to the clinical results and to each other. All these findings were scored with a five-point scale. Results: A total of 52 consecutive patients aged 63.44±9.49 were examined, 33 (80.5%) being females. In patients with bilateral knee OA the pain, evaluated by WOMAC score and VAS, was correlated with the presence of osteophytes and cartilage thickness but no association with medial meniscal protrusion and effusion was demonstrated. Pain produced by palpation of the knee was strongly associated with the presence of medial osteophytes. VAS and WOMAC scores increased with the severity of radiological and US findings. The presence of osteophytes and articular cartilage damage at US examination were strongly and positively correlated with radiological K-L score. US examiners agreement was good for osteophytes and moderate for meniscal protrusion, cartilage damage, and synovial fluid. The cartilage damage score was the only independent predictor for VAS scale; for WOMAC score the sex, cartilage damage, the presence of medial osteophytes and lateral meniscal protrusion were the independent predictors. Conclusion: Pain intensity was correlated with the severity of US findings, cartilage damage score being an independent predictor for both VAS and WOMAC scores. Medial osteophytes and lateral meniscal protrusion and are independent predictors for WOMAC score.

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“…In each patient, the US grading scale for degenerative cartilage changes in knee OA was applied for the pretentious knee (16).…”

Section: Us Assessmentmentioning

confidence: 99%

Correlations between ultrasonographic findings, clinical scores, and depression in patients with knee osteoarthritis

2017

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Diagnostic performance of knee ultrasonography for detecting degenerative changes of articular cartilage

Cited by 108 publications

References 21 publications

Atlas-based knee osteophyte assessment with ultrasonography and radiography: relationship to arthroscopic degeneration of articular cartilage

Atlas-based knee osteophyte assessment with ultrasonography and radiography: relationship to arthroscopic degeneration of articular cartilage

Pain in bilateral knee osteoarthritis – correlations between clinical examination, radiological, and ultrasonographical findings.

Correlations between ultrasonographic findings, clinical scores, and depression in patients with knee osteoarthritis

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