Spiking of the tubercles of the intercondylar eminence of the tibial plateau in osteoarthritis

Reiff, D.B.; Heron, Christine; Stoker, D J

doi:10.1259/0007-1285-64-766-915

Cited by 14 publications

(11 citation statements)

References 4 publications

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“…There was even a tendency of more central osteophytes (NS) in the contralateral knee than in the signal knee and these osteophytes are probably not a reliable sign of early OA. For osteophytes at the tibial spine this is in agreement with a study by Donelly et al 32 but not with Reiff et al 33…”

Section: Discussionsupporting

confidence: 91%

Correlation between radiographically diagnosed osteophytes and magnetic resonance detected cartilage defects in the tibiofemoral joint

Boegård

Rudling

Petersson

et al. 1998

Annals of the Rheumatic Diseases

113

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Objective-To assess the correlation between the presence of radiographically diagnosed osteophytes in the tibiofemoral joint (TFJ) and (1) magnetic resonance (MR) detected cartilage defects and meniscal lesions in the same joint and (2) knee pain. Methods-Fifty nine people, 29 men and 30 women, with chronic knee pain (aged 41-58 years, mean 50 years) were examined with posteroanterior weightbearing radiograms in semiflexion of both TFJ. The presence and grade of marginal and central osteophytes were assessed. On the same day, an MR examination was performed of the signal knee with proton density and T2 weighted turbo spin-echo sequences on a 1.0 T imager. Cartilage defects and meniscal abnormalities in the TFJ were noted. The subjects were questioned for current knee pain for each knee. Results-Marginal osteophytes had a sensitivity of 77%, specificity of 83%, and positive predictive value of 87% for MR detected cartilage defects in the TFJ and a sensitivity of 71%, specificity of 68%, and positive predictive value of 71% for meniscal abnormalities. A correlation (p<0.05) between osteophytes at the medial tibial condyle and knee pain was found. Conclusions-With the presence of marginal osteophytes in the TFJ there is a high prevalence of MR detected cartilage defects in the same joint whether joint space narrowing (<3 mm) is present or not.

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Section: Discussionsupporting

confidence: 91%

Correlation between radiographically diagnosed osteophytes and magnetic resonance detected cartilage defects in the tibiofemoral joint

Boegård

Rudling

Petersson

et al. 1998

Annals of the Rheumatic Diseases

113

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“…In a study of 55 patients with marked signs of osteoarthritis, Reiff et al [7] showed that, compared with controls, the patients with marked osteoarthritis had significantly higher intercondylar spine height. They concluded that intercondylar spine height can be considered a sign of osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

“…One of the radiographic features employed for the detection of osteoarthritis is tibial “spiking.” Indeed, tibial spiking (i.e., spurring of tibial spines) is reported as a reliable marker in the detection of early osteoarthritis [5–7]. However, the reliability of this finding as a feature of an early stage of osteoarthritis is not clear since tibial spiking is also evident in cases of well-established osteoarthritis [7]. Compared with radiography, direct physical inspection of bone allows more accurate analysis of the presence, site and characteristics of surface irregularities, and excrescences [8, 9].…”

Section: Introductionmentioning

confidence: 99%

Proximal tibial osteophytes and their relationship with the height of the tibial spines of the intercondylar eminence: paleopathological study

et al. 2009

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ObjectiveTibial spiking (i.e., spurring of tibial spines), eburnation, and osteophytes are considered features of osteoarthritis. This investigation employed direct inspection of the medial and lateral tibial plateaus in paleopathological specimens to analyze the frequency and morphological features of osteoarthritis and to define any relationship between the size of osteophytes and that of the intercondylar tibial spines.Materials and MethodsA total of 35 tibial bone specimens were evaluated for the degree of osteoarthritis and presence of eburnation. Each plateau was also divided into four quadrants and the presence and size of bone outgrowths were recorded in each quadrant. The “medial/lateral tibial intercondylar spine index” for each specimen was calculated as follows: (medial/lateral intercondylar tibial spine height)/(anteroposterior width of the superior tibial surface). The relationships between medial and lateral tibial height indexes with the degree of osteoarthritis were then tested.ResultsOsteophytes were observed more frequently in the anterior quadrants of both tibial plateaus than in the posterior quadrants (29 vs 16 for the medial tibial plateau [p = 0.01] and 28 vs 20 for the lateral tibial plateau [p = 0.04]). Eburnation was seen more frequently in the posterior regions of both tibial plateaus than in the anterior regions (17 vs 5, p < 0.01). In specimens with no signs of osteoarthritis the lateral intercondylar tibial index was significantly lower than that in specimens with some degree of osteoarthritis (p = 0.02). The medial intercondylar tibial index of the specimens with no signs of osteoarthritis was not significantly different from that of the specimens with some degree of osteoarthritis (p = 0.45). There was a positive correlation between the lateral spine height index and the overall grading of osteoarthritis, (r = 0.6, p < 0.01). In the anteromedial and posteromedial quadrants of the lateral tibial plateau, the association between the lateral intercondylar tibial spine index and the grade of osteophytes was 0.5 (p < 0.01) and 0.7 (p < 0.01) respectively.ConclusionSpiking of the lateral tibial intercondylar spine is associated with osteophyte formation and osteoarthritis. Eburnation occurs mainly in the posterior parts of the tibial plateaus while osteophytes arise mainly in the anterior parts. These findings suggest that stresses occurring in the flexed knee may contribute to many of the morphological abnormalities of osteoarthritis.

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“…Our results indicate that the region most commonly identified as having osteophytes was the tibial spines (also referred to as the tibial tubercles). It has been suggested that spiking of the tibial spines is associated with the presence of osteophytes and that this spiking is a feature of knee OA 19,20 . Increased meniscal signal was the predominant abnormality in this asymptomatic population.…”

Section: Discussionmentioning

confidence: 99%

Abnormalities identified in the knees of asymptomatic volunteers using peripheral magnetic resonance imaging

Beattie

Boulos

Pui

et al. 2005

Osteoarthritis and Cartilage

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Spiking of the tubercles of the intercondylar eminence of the tibial plateau in osteoarthritis

Cited by 14 publications

References 4 publications

Correlation between radiographically diagnosed osteophytes and magnetic resonance detected cartilage defects in the tibiofemoral joint

Correlation between radiographically diagnosed osteophytes and magnetic resonance detected cartilage defects in the tibiofemoral joint

Proximal tibial osteophytes and their relationship with the height of the tibial spines of the intercondylar eminence: paleopathological study

Abnormalities identified in the knees of asymptomatic volunteers using peripheral magnetic resonance imaging

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