“…Beside the inflammation of the synovium, the synovium has equally be linked with the production of high levels of interleukin-1 (IL-I), tumour necrosis factor-α (TNF-α), and cytokines. Cytokines and the other substances released from the cartilage, synovium and the bone invariably affect the chondrocyte function and when catabolism exceeds cartilage synthesis, osteoarthritis develops (Denko et al 1996, Pelletier et al 1996, Westacott & Sharif 1996, Fink et al 2001, Volck et al 2001, Yuan et al, 2004, Shibakawa et al 2005.These complex series of events result in the early changes seen in OA as outlined below:…”