Impact of ultrasonography detected quadriceps calcific tendinopathy on pain and function in patients with primary knee osteoarthritis

Mortada, Mohamed; Kotb, Lobna; Amer, Y. A.

doi:10.4081/reumatismo.2021.1381

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…In addition, a variety of abnormalities of muscle composition, and other related aspects of muscle structure may accompany osteoarthritic joint damage and/or independently or collectively foster the development of the disease and its magnitude and severity [60][61][62]. This may implicate more than strength of the quadriceps, including a role for deficits in the flexibility of the quadriceps muscle, its stiffness profile, as well as how specific individual forces of the individual quadriceps muscles impact cartilage viability, vastus medialis fat infiltration and an associated reduced annual loss of medial tibial and patella cartilage volumes, various patterns of muscle fatigue and possible clinically relevant alterations in quadriceps tendon stiffness [63][64][65][66].…”

Section: Key Findingsmentioning

confidence: 99%

Quadriceps Muscle Mechanics and Knee Osteoarthritis - A 2022 Update

Marks¹

2022

JOSR

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Background: Knee joint osteoarthritis is a highly disabling disease with no distinct cause that persists unabated despite decades of research. Among the various possible causes and factors that influence the progression of the disease other than age and trauma may be various forms of muscle dysfunction, especially among the key knee extensor muscle group known as the quadriceps femoris. Aim: This narrative review strove to examine some pertinent past and recent 2022 research highlights in this respect and to offer possible research recommendations in this regard. Methods: To achieve the review aims, the PUBMED data base and others housing reports aligned with this topic was searched using the key words knee osteoarthritis and quadriceps/knee extensor muscles. Pertinent 2022 and related data were carefully examined and the study researchers’ approaches, conclusions, and recommendations were duly recorded. Results: Many diverse studies within the desired topical theme prevail, rendering it challenging to discern or extract any meaningful trend or conceptuality sound deterministic theory of causation or pathogenic osteoarthritis insights. Even in the realm where multiple publications are available on a single theme, conclusions and design approaches remain inconsistent and of possible moderate quality at best. Conclusion: Efforts to examine and intervene to avert one or more manifestations of quadriceps muscle dysfunction may prove to be highly important in the realm of favorably influencing or minimizing excess osteoarthritis knee joint dysfunction, regardless of whether knee extensor muscle dysfunction is a reactive, rather than a causative factor, but requires a more profound evidence base.

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Section: Key Findingsmentioning

confidence: 99%

Quadriceps Muscle Mechanics and Knee Osteoarthritis - A 2022 Update

Marks¹

2022

JOSR

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Sonographic Verification and Clinical Significance of the Features of Surrounding Structures in Knee Osteoarthritis

Skripnichenko,

Lyalina,

Pripisnova

et al. 2024

Arhivʺ vnutrennej mediciny

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Background: Osteoarthritis (OA) of the knee joint is one of the most dangerous diseases, the most significant manifestation of which is chronic pain syndrome. There is a low correlation between the radiographic stage of OA and pain progression. First of all, this is a variety of pain syndromes, among which is the pathology of periarticular structures (AS). To date, the contribution of this type to the clinical picture of OA has been sufficiently studied, primarily due to the fact that the list and frequency of these lesions have not yet been described.Aim: to describe the basis of the main periarticular structures in patients with different radiographic stages of knee OA according to ultrasound data.Materials and methods: The observational study has currently included 88 patients who had an outpatient appointment with a rheumatologist for knee osteoarthritis between 2021 and 2023. The study assessed 110 knee joints using clinical and ultrasound techniques.Results: The most common periarticular ultrasound changes, regardless of radiographic stage, were pes anserine tendinopathy (57.3 %), Baker’s cyst (45.5 %), fibrosis of the severe Hoffa body (40 %) and ligamentopathy of the medial collateral ligament (36). ,4). %). A significant correlation was found between the number of changes according to ultrasound and the radiological stage (ρ=0.45 [95 % CI: 0.28, 0.59], p <0.001) as well as between the VAS and the definition of identified ultrasound changes (ρ= 0.29 [95 % CI: 0.11, p=0.002); In addition, it was shown that late stages of OA are associated with a greater content of changes (p <0.001).Conclusion: Changes in periarticular structures are present in most patients with knee osteoarthritis; their number correlates with the VAS value and radiographic stage of OA. Details of these changes, their clinical significance and pathogenetic contribution to the progression of knee OA require further study.

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Impact of ultrasonography detected quadriceps calcific tendinopathy on pain and function in patients with primary knee osteoarthritis

Cited by 2 publications

References 14 publications

Quadriceps Muscle Mechanics and Knee Osteoarthritis - A 2022 Update

Quadriceps Muscle Mechanics and Knee Osteoarthritis - A 2022 Update

Sonographic Verification and Clinical Significance of the Features of Surrounding Structures in Knee Osteoarthritis

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