Korrelieren die klinischen, radiologischen und intraoperativen Befunde der Gonarthrose? Eine prospektive Studie an 103 Patienten

Rupprecht, Thomas; Oczipka, F.; Lüring, C.; Pennekamp, P. H.; Grifka, J.

doi:10.1055/s-2007-965550

Cited by 14 publications

(9 citation statements)

References 11 publications

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“…In contradiction to this finding regarding the WOMAC domains, our results showed no significant differences or correlations between the three domains and the grades, assessed in groups, in the total study population [ 18 , 35 ]. In contrast to our findings, those of other studies have suggested that the WOMAC score and the K&L radiological grades are not correlated [ 16 , 18 ]; unlike in our study, most of the study populations in these studies were considered to have a K&L grade of 3.…”

Section: Discussioncontrasting

confidence: 99%

“…According to Szebenyi et al [ 11 ], the likelihood of individuals with KOA presenting with pain or reduced function, as assessed by the WOMAC, is greater if these changes occur in the tibiofemoral (medial and/or lateral) and patellofemoral compartments at the same time rather than in one of these locations only, which was not assessed by Creamer et al [ 15 ]. In addition, pain was more strongly associated with specific changes caused by KOA [ 11 , 16 , 32 – 34 ]. Therefore, it seems that the type of change in the K&L scale is more effective in predicting pain and functional decline than the grade itself.…”

Section: Discussionmentioning

confidence: 99%

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Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis

et al. 2020

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Background This study aimed to investigate the relationship between radiological severity, as assessed by the individual grades and grouped grades (grades “0 and 1” and “2 to 4”) of the Kellgren-Lawrence scale (K&Ls), and depression symptoms, cognitive loss, risk of falls, and quality of life in relation to knee osteoarthritis, as assessed by other instruments. Methods Data recorded between 2013 and 2014 in Amparo (São Paulo, Brazil) were retrieved for analysis. A total of 181 elderly patients who had knee osteoarthritis and underwent a radiologic exam were evaluated for depressive symptoms, cognitive loss, quality of life, and risk of falls by the Geriatric Depression Scale (GDS), Mini-Mental State Examination (MMSE), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), timed up and go test (TUG), and Berg balance scale (BBS). For statistical analyses, Fisher’s exact test, Mann-Whitney test, Kruskal-Wallis test, and Spearman’s coefficient analysis were used. Results There was no significant relationship between the scores of the instruments investigated and the individual K&Ls grades. However, when the K&Ls scores were assessed by groups, grades “2 to 4” were associated with the worst WOMAC score and the highest frequency and risk of falls according to the BBS but not according to TUG. For the GDS and MMSE, no significant relationships with the K&Ls grades were found. In addition, the K&Ls grade was correlated with the WOMAC score, regardless of the domain. Conclusion The radiological scores of the Kellgren-Lawrence (K&L) scale were associated with poorer WOMAC and BBS scores only when the K&Ls scores were evaluated in groups, and the WOMAC score was associated with an increase in the radiological grade.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis

et al. 2020

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“…A survey of the literature has shown disagreements between clinical variables and radiological investigations [1, 15, 23–25]. In recent studies, it has been shown that the Kellgren-Lawrence score was not related to WOMAC score but that it was important to follow up the progress of the disease [26, 27]. The Framingham Osteoarthritis Study found that 10% of people aged 63 years and over had symptomatic knee OA in the presence of radiographic changes [1].…”

Section: Discussionmentioning

confidence: 99%

Relationships between Pain, Function and Radiographic Findings in Osteoarthritis of the Knee: A Cross-Sectional Study

2012

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Objectives. The aim of this study was to investigate the relationships between pain, disability, and radiographic findings in patients with knee osteoarthritis (OA). Patients and Methods. A total of 114 patients with knee OA who attended the physical medicine and rehabilitation outpatient clinic were included in this study. The diagnosis was based on the American College of Rheumatology (ACR) criteria for knee OA. Age, duration of disease, and body mass index (BMI) of the patients were recorded. Radiographic features on the two-sided knee radiography were assessed with the Kellgren-Lawrence scale. The severity of knee pain, stiffness, and disability were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results. The mean age of the patients was 56.98 (±8.28) years and the mean disease duration was 4.14 (±4.15) years. Kellgren-Lawrence grading scale and age or disease duration were positively and significantly associated, whereas none of the WOMAC subscores were found to be related with Kellgren-Lawrence grading scale (P > 0.05). On the other hand, WOMAC disability scores were significantly associated with WOMAC pain and WOMAC stiffness (P < 0.01). Conclusions. Knee pain, stiffness, and duration of disease may affect the level of disability in the patients with knee OA. Therefore treatment of knee OA could be planned according to the clinical features and functional status instead of radiological findings.

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“…Few other authors also found similar results in their studies. 11,12 Our results have shown that the disability is positively associated with pain and stiffness in knee joint rather than X-ray findings. Similar results were illustrated in the studies conducted by McAlindon et al 13 and Jordan et al 14 that knee pain brings about more disability then the severity of osteoarthritis on knee radiographs.…”

Section: Discussionmentioning

confidence: 61%

Association between Pain, Functional Impairment and Radiographic Findings in Patients with Osteoarthritis of Knee

Naseem,

Rafiq Abbasi,

Anjum

et al. 2021

PJMHS

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Objective: To explore the relationship between pain, functional impairment (disability) and the radiographic findings in patients with osteoarthritis of the knee. Study Design: Cross sectional study Place and Duration of Study: Department of Rhematology, Pakistan Air Force Hospital Islamabad from 1st September 2020 to 28th February 2021 Methodology: One hundred and thirty eight patients of knee joint osteoarthritis were included. Weight bearing antero-posterior and lateral views X-ray for both knees were performed on each patient and Kellgren-Lawrence (KL) system was used to grade the severity of OA. We used Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for assessment of pain, stiffness and functional impairment. Results: The mean age was 53.76±7.14 years and females were 92 (67 %) and males were 46 (33 %). Average duration of disease was 3.7 years and mean body mass index was 26.78±2.25 Kg/m2. There was no statistically significant association of pain, stiffness and functional impairment with Kellgren-Lawrence radiographic grades. Conclusion: Functional impairment is more associated with level of pain, stiffness in joint and body mass index of patient than the severity of radiographic changes on knee X-ray. Therefore, we would recommend considering functional status of patient alongside radiological findings while planning treatment for patient with knee osteoarthritis. Key words: Osteoarthritis, Pain, function, Radiography

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Korrelieren die klinischen, radiologischen und intraoperativen Befunde der Gonarthrose? Eine prospektive Studie an 103 Patienten

Cited by 14 publications

References 11 publications

Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis

Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis

Relationships between Pain, Function and Radiographic Findings in Osteoarthritis of the Knee: A Cross-Sectional Study

Association between Pain, Functional Impairment and Radiographic Findings in Patients with Osteoarthritis of Knee

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