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Evaluation of Joint Cartilage in Knee Joint Osteoarthritis and Relation with Other Osteoarthritic Changes
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Research Article
VOLUME: 71 ISSUE: 2
P: 111-117
August 2018

Evaluation of Joint Cartilage in Knee Joint Osteoarthritis and Relation with Other Osteoarthritic Changes

J Ankara Univ Fac Med 2018;71(2):111-117
DOI: 10.4274/atfm.32042
Elif Peker
Zehra Akkaya
Gülden Şahin
1. Ankara Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye
No information available.
No information available
Received Date: 21.02.2018
Accepted Date: 12.06.2018
Publish Date: 10.10.2018
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ABSTRACT

Objectives:

To assess the relationship between cartilage lesions and the other components of the knee by using a scoring system called “Whole Organ Magnetic Resonance Imaging score” with magnetic resonance (MR) in the patients with osteoarthritis (OA).

Materials and Methods:

Fifty-three patients with symptomatic OA of the knee were recruited from the rheumatology clinic. MR studies of the knees were acquired with a 1.5 Tesla whole-body scanner using a commercial circumferential knee coil. Taking anatomical landmarks, the knee joints were evaluated in 15 different subregions and findings were scored for each region in fully extended position. Images were scored with respect to 9 independent articular features: cartilage signal and morphology, subarticular bone marrow abnormality, subarticular cysts, subarticular bone attrition, marginal osteophytes, medial and lateral meniscal integrity, anterior and posterior cruciate ligament integrity, medial and lateral collateral ligament integrity, synovitis and effusion and loose bodies. The final scores were tabulated as independent values for each feature in each of the three compartments of the knee, cumulative surface (cartilage, marrow abnormality, subarticular cysts, bone attrition, osteophytes) feature scores for each compartment, cumulative scores for each feature throughout the knee, and a total combined score for the entire knee.

Results:

Eighty-five percent of knees showed cartilage abnormalities. This was most frequent in the patellofemoral joint, but involvement of the lateral femorotibial joint was the least common. Among many of the individual features, particularly cartilage, bone cysts, bone attrition, osteophyte, effusion and meniscus were relatively strongly associated.

Conclusion:

Osseous, sinovial, meniscal and ligamentous pathologies may associate cartilage defects.

Keywords: Osteoarthritis, Knee, Cartilage

References

1
Burns DK, Kumar V. Kas-İskelet Patolojisi, Temel Patoloji. İçinde: Kumar V, Cotran D, Robbins P, editörler. Ankara: Nobel Tıp Kitabevi.; 2003.p. 755-789.
2
Peterfy CG, Guermazi A, Zaim S, et al. Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis. Osteoarthritis Cartilage 2004;12:177-190.
3
Karachalios T, Zibis A, Papanagiotou P, et al. MR imaging findings in early osteoarthritis of the knee. Eur J Radiol 2004;50:225-230.
4
Eckstein F, Cicuttini F, Raynauld JP, et al. Magnetic resonance imaging (MRI) of articular cartilage in knee osteoarthritis (OA): morphological assessment. Osteoarthritis Cartilage 2006;14(Suppl A):46-75.
5
Disler DG. Fat-suppressed three-dimensional spoiled gradient-recalled MR imaging: assessment of articular and physeal hyaline cartilage. AJR Am J Roentgenol 1997;169:1117-1123.
6
Recht MP, Piraino DW, Paletta GA, et al. Accuracy of fat-suppressed three-dimensional spoiled gradient-echo FLASH MR imaging in the detection of patellofemoral articular cartilage abnormalities. Radiology 1996;198:209-212.
7
Kim YM, Joo YB. Patellofemoral osteoarthritis. Knee Surg Relat Res 2012;24:193-200.
8
Zhu Z, Laslett LL, Han W, et al. Associations between MRI-detected early osteophytes and knee structure in older adults: a population-based cohort study. Osteoarthritis Cartilage 2017;25:2055-2062.
9
Felson DT, Chaisson C, Hill C, et al. The association of bone marrow lesions with pain in knee osteoarthritis. Ann Intern Med 2001;134:541-549.
10
Reinus WR, Fischer KC, Ritter JH. Painful transient tibial edema. Radiology 1994;192:195-199.
11
Zanetti M, Bruder E, Romero J, et al. Bone Marrow Edema Pattern in Osteoarthritic Knees: Correlation between MR Imaging and Histologic Findings. Radiology 2000;215:835-840.
12
Neuhold A, Hofmann S, Engel A, et al. Bone marrow edema of the hip: MR findings after core decompression. J Comput Assist Tomogr 1992;16:951-955.
13
Plenk H JR, Hofmann S, Eschberger J, et al. Histomorphology and bone morphometry of the bone marrow edema syndrome of the hip. Clin Orthop Relat Res 1997:73-84.
14
Link TM, Steinbach LS, Ghosh S, et al. Osteoarthritis: MR Imaging Findings in Different Stages od Disease and Correlation with Clinical Findings. Radiology 2003;226:373-381.
15
Kijowski R, Stanton P, Fine J, et al. Subchondral Bone Marrow Edema in Patients with Degeneration of the Articular Cartilage of the Knee Joint. Radiology 2006;238:943-949.
16
Hunter DJ, Zhang YQ, Niu JB, et al. The Association of Meniscal Pathologic Changes With Cartilage Loss in Symptomatic Knee Osteoarthritis. Arthritis Rheum 2006;54:795-801.
17
Felson DT, Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum 1998;41:1343-1355.
18
Hart HF, Crossley KM, Felson D, et al. Realtion of meniscus pathology to prevelance and worsening of patellofemoral jointosteoarthritis: the multicenter osteoarthiritis study. Osteoarthiritis Cartilage 2018;26:912-919.
19
Fernandez-Madrid F, Karvonen RL, Teitge RA, et al. MR features of osteoarthritis of the knee. Magn Reson Imaging 1994;12:703-709.
20
Chan WP, Lang P, Stevens MP, et al. Osteoarthritis of the knee: comparison of radiography, CT and MR imaging to assess extent and severity. AJR Am J Roentgenol 1991;157:799-806.
21
Amin S, Guermazi A, LaValley MP, et al. Complete anterior cruciate ligamnet tear and the risk for cartilage loss and progression of symptoms in men and women with knee osteoarthritis. Osteoarthritis Cartilage 2008;16:897-902.
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