The validity of in vivo ultrasonographic grading of osteoarthritic femoral condylar cartilage: a comparison with in vitro ultrasonographic and histologic gradings

Lee, C.-L.; Huang, Mao-Hsiung; Chai, Chee‐Yin; Chen, C.-H.; Su, Jiing Yuan; Tien, Yin-Chun

doi:10.1016/j.joca.2007.07.013

Cited by 96 publications

(94 citation statements)

References 26 publications

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“…Further studies are needed to deepen this aspect. However, very recent years have witnessed an increasing interest in research in this field, confirming a more widespread use of this tool for imaging different aspects of OA [15][16][17][18][19].…”

Section: Practice Pointsmentioning

confidence: 99%

“…Most of these publications refer to the evaluation of synovitis and power Doppler signal, analysing different components of the Outcome Measures in Rheumatology Clinical Trials (OMERACT) filter in rheumatoid arthritis and, in a minority of cases, in OA [12]. However, very recent years have witnessed an increasing interest of research in this field confirming a more widespread use of this tool for imaging different aspects of rheumatic pathology, including OA [15][16][17][18][19].…”

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confidence: 99%

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Imaging the joint in osteoarthritis: a place for ultrasound?

Iagnocco

2010

Best Practice & Research Clinical Rheumatology

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Ultrasound (US) is a valuable tool for imaging musculoskeletal changes in osteoarthritis. It shows early and late findings related to inflammation and structural damage. Sonography is a safe tool, which has recently registered an increasing and widespread use, it being considered as a bedside procedure in the clinical assessment of rheumatic patients. Its applications in osteoarthritis are related to easy accessibility of equipment, low cost, short duration of single examinations and the possibility of performing a multiregional joint evaluation in the same scanning session. Permitting an extensive evaluation of most joint changes present in osteoarthritis, it gives the opportunity to monitor disease progression and perform a follow-up of the response to different local and systemic treatments. US-guided procedures are commonly performed with safety, reliability and optimal patient tolerance. Development in technology and technique with improvement of new research studies will further amplify the diagnostic role of ultrasound in osteoarthritis in the near future. (C) 2009 Elsevier Ltd. All rights reserved

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Section: Practice Pointsmentioning

confidence: 99%

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confidence: 99%

Imaging the joint in osteoarthritis: a place for ultrasound?

Iagnocco

2010

Best Practice & Research Clinical Rheumatology

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“…[6] Thickness measurement and echogenicity evaluation of distal femoral cartilage by gray scale ultrasound (US) has been reported previously. [11,12] Cartilage thinning is a known entity in the case of knee osteoarthritis. However, there is some debate regarding the assessment of cartilage thickness with B-mod US in knee osteoarthritis due to the report of swelling in fibrillated cartilage with superficial lesions especially in early grades of cartilage degeneration before the significant cartilage loss.…”

mentioning

confidence: 99%

“…However, there is some debate regarding the assessment of cartilage thickness with B-mod US in knee osteoarthritis due to the report of swelling in fibrillated cartilage with superficial lesions especially in early grades of cartilage degeneration before the significant cartilage loss. [11][12][13] Sonoelastography is a relatively new US technique to evaluate the tissue structure by the assessment of tissue elasticity. [14] During sonoelastography, tissue compression results in a strain (shift) which is lower in hard tissues than in soft tissues.…”

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confidence: 99%

Sonoelastographic evaluation of the distal femoral cartilage in patients with anterior cruciate ligament reconstruction

Akkaya

Gungor

et al. 2016

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu çalışmada ön çapraz bağ (ÖÇB) tamiri yapılan hastalarda distal femoral kıkırdağın sonoelastografik özellikleri değerlendirildi. Hastalar ve yöntemler: Tek taraflı ÖÇB tamiri yapılan 28 hastanın (27 erkek, 1 kadın, ort. yaş 31.7±7.1 yıl; dağılım 22-48 yıl) demografik özellikleri ve ameliyat verileri değerlendirildi. Yirmi iki hastada (%78.6) patellar tendon grefti ve altı hastada (%21.4) hamstring tendon grefti ile tamir uygulandı. Fonksiyonel değerlendirme için Lysholm diz skoru ve alt ekstremite gücü için sandalyeye oturma kalkma testi kullanıldı. Ameliyat edilen dizler ve sağlıklı dizlerde medial, interkondiler ve lateral distal femoral kıkırdak kalınlıkları B-mod ultrasonografi, gerilim oranları ise gerçek zamanlı sonoelastografi ile ölçüldü. Bulgular: Ameliyat sonrası ortalama takip süresi 20.4±9.8 ay idi. Ortalama Lysholm diz ve hasta memnuniyeti skorları sırasıyla 88.0±8.5 ve 8.2±1.8 idi. Kıkırdak kalınlıkları ameliyatlı ve sağlıklı dizler arasında benzerdi (tamamı p>0.05). Ameliyatlı dizlerde medial distal femoral kıkırdağın sonoelastografik gerilim oranı anlamlı olarak yüksek idi (daha yumuşak kıkırdak) (p= 0.026). Ameliyatlı dizlerde medial kıkırdak gerilim oranı farklılığı ile alt ekstremite kas gücü arasında negatif korelasyon vardı (p= 0.009, r= -0.487). Sonuç: B-mod ultrasonografi ile değerlendirildiğinde ameliyatlı ve sağlıklı dizler arasında kıkırdak kalınlığı açısından farklılık olmasa da ameliyatlı taraflarda medial distal femoral kıkırdakta sonoelastografik gerilim oranı değişikliklerinin saptanması ÖÇB tamirini takiben erken yapısal değişikliklere işaret ediyor olabilir. Kıkırdak yapısındaki değişiklikler ile sonoelastografi özellikleri arasındaki bu ilişkinin klinik etkilerinin açığa çıkarılması için ileri çalışmalara ihtiyaç vardır.Anahtar sözcükler: Ön çapraz bağ; distal femoral kıkırdak; elastografi; gerilim oranı; ultrason. ABSTRACT Objectives:This study aims to evaluate sonoelastographic properties of the distal femoral cartilage in patients with anterior cruciate ligament (ACL) reconstruction. Patients and methods: Demographic characteristics and operative data of 28 patients (27 males, 1 female; mean age 31.7±7.1 years; range 22 to 48 years) with unilateral ACL reconstruction were evaluated. Reconstruction was performed with patellar tendon graft in 22 patients (78.6%) and hamstring tendon graft in six patients (21.4%). Lysholm knee score was used for functional evaluation and chair stand test was used for lower extremity strength. Medial, intercondylar, and lateral distal femoral cartilage thicknesses of operated knees and healthy knees were measured with B-mode ultrasound, while strain ratios were measured with real time sonoelastography. Results: Postoperative mean follow-up duration was 20.4±9.8 months. Mean Lysholm knee and patient satisfaction scores were 88.0±8.5 and 8.2±1.8, respectively. Cartilage thicknesses were similar between operated and healthy knees (all p>0.05). Sonoelastographic strain ratio of medial distal femoral cartilage in operated knees was significa...

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“…When considering the major efforts in developing new medical and surgical treatments for OA, the evaluation of articular cartilage becomes very important (8,9). Therefore, ultrasound (US) is a valid and reliable method for evaluating femoral trochlear cartilage and is used in an appropriate manner (10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic Characteristics of Femoral Trochlear Cartilage in Patients with Knee Osteoarthritis

Kaban¹,

Tekeoğlu²,

Harman³

2016

Erciyes Med J

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Objective: We aimed to measure the femoral trochlear cartilage thickness using musculoskeletal ultrasound (US) and examine the effects of cartilage characteristics on the quality of life and functional status in postmenopausal women diagnosed with knee osteoarthritis (OA). Materials and Methods:We examined 42 female patients and included a control group comprising 21 healthy women with similar age. Cartilage thickness, clarity, and subchondral bone calcification were evaluated using US with 5-13-MHz linear probe; pain and functional status were evaluated using the Western Ontario and McMaster Universities (WOMAC) OA index; and the quality of life was evaluated using Short Form-36 (SF-36).Results: A positive correlation was observed between measurements of 25-OH vitamin D levels and left intercondylar region, left lateral condyle, and right intercondylar area (r=0.416, p=0.006; r=0.421, p=0.001; and r=0.398, p=0.031, respectively). The quality of cartilage clarity was better in the patient group than in the control group for both knees (p<0.05). Cartilage clarity scores of the patients were positively correlated to the WOMAC total score and negatively correlated to the SF-36 total scores (left knee, r=0.159, p=0.314; right knee, r=0.261, p=0.096 and left knee, r=−0.263, p=0.093; right knee, r=−0.312, p=0.044, respectively). Conclusion:Compared with cartilage thickness, cartilage clarity appears to be a very successful parameter in reflecting the patient's quality of life and functional status.

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The validity of in vivo ultrasonographic grading of osteoarthritic femoral condylar cartilage: a comparison with in vitro ultrasonographic and histologic gradings

Abstract: The significant correlation between in vivo US and histologic gradings might permit semi-quantitative in vivo US assessment of osteoarthritic femoral condylar cartilage.

Cited by 96 publications

References 26 publications

Imaging the joint in osteoarthritis: a place for ultrasound?

Imaging the joint in osteoarthritis: a place for ultrasound?

Sonoelastographic evaluation of the distal femoral cartilage in patients with anterior cruciate ligament reconstruction

Ultrasonographic Characteristics of Femoral Trochlear Cartilage in Patients with Knee Osteoarthritis

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