Correlations between ultrasonographic findings, clinical scores, and depression in patients with knee osteoarthritis

Monaem, Samia M Abd El; Hashaad, Nashwa Ismail; Ibrahim, Noha Hosni

doi:10.5152/eurjrheum.2017.160097

Cited by 17 publications

(28 citation statements)

References 32 publications

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“…The results of the current study are consistent with those of Abd El Monaem et al [39], who reported that the mean thicknesses of the lateral and medial femoral cartilage were 2.0 ± 0.3 mm and 1.9 ± 0.3 mm, respectively. Additionally, Naredo et al [47] concluded that MSK US is a reproducible imaging tool for measuring femoral articular cartilage thickness in normal and moderately damaged knee joint cartilage.…”

Section: Discussionsupporting

confidence: 93%

“…In addition, our results supported Abd El Monaem et al [39] and Cubukcu et al [40], who reported that WOMAC scores were not related to the K-L grading scale. Conversely, previously published data have shown some contradictory results; examples include Serban et al [41], who stated that the K-L score showed a good correlation with the pain subclass of the WOMAC.…”

Section: Discussionsupporting

confidence: 90%

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Correlation of knee ultrasonography and Western Ontario and McMaster University (WOMAC) osteoarthritis index in primary knee osteoarthritis

Seifeldein

Haseib

Hassan

et al. 2019

Egypt J Radiol Nucl Med

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Background: Knee osteoarthritis (KOA) is the most common cause of a painful joint, and it is associated with significant health economic consequences. About literature, KOA is usually diagnosed according to changes seen on conventional radiography, but the radiographic features of OA do not correlate with its symptoms. Nowadays, ultrasonography is becoming a non-invasive imaging tool for OA in the clinical setting. Thus, the purpose of this study was to evaluate the correlation between musculoskeletal ultrasound (MSK US) and the Western Ontario and McMaster University (WOMAC) osteoarthritis index findings in patients with primary knee osteoarthritis (KOA). Methods: Between August 2015 and October 2017, 50 patients with a mean age of 46.72 ± 9.12 years who fulfilled the American College of Rheumatology (ACR) criteria for KOA were included. All the patients underwent a clinical assessment with the calculation of the WOMAC index, and they underwent knee US examination and conventional radiography (CR). Spearman's rho was used to assess the association between MSK US findings and the WOMAC index. Results: The mean pain score was 10.08 ± 2.89, stiffness was 3.34 ± 1.72, physical function was 26.26 ± 9.6, and the total WOMAC score was 39.68 ± 12.83. Forty-seven knees showed radiographic femorotibial degenerative signs. The mean thicknesses of the ultrasound-measured articular cartilage of the medial condyle (MC), intercondylar notch area (IA), and lateral condyle (LC) were 0.23 ± 0.60 cm, 0.33 ± 0.69 cm, and 0.30 ± 0.81 cm, respectively. The US findings also included suprapatellar joint effusion (50%), medial meniscal extrusion (40%), and osteophytes (70%). A positive correlation was found between the mean articular cartilage thickness of the IA, mean pain score, and stiffness subclasses of the WOMAC score (r = 0.342, p = 0.015; r = 0.414, p = 0.003), respectively. Conclusions: The severity of KOA, based on articular cartilage thickness, showed good correlation with the pain and stiffness subclasses of the WOMAC score.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Correlation of knee ultrasonography and Western Ontario and McMaster University (WOMAC) osteoarthritis index in primary knee osteoarthritis

Seifeldein

Haseib

Hassan

et al. 2019

Egypt J Radiol Nucl Med

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“…According to El Monaem et al (10), the K&L radiologic classi cations are correlated with the emergence of depression in individuals with KOA, as assessed by the Beck depression inventory (BDI). However, that study used another questionnaire, suggesting that there may be differences between these assessment instruments (GDS and BDI); moreover, according to the ndings of Bentz and Hall (29), the GDS has a greater ability to correctly diagnose depression than does the BDI.…”

Section: Discussionmentioning

confidence: 99%

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

Ribeiro

Coimbra

Costallat

et al. 2020

Preprint

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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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“…While knee femoral cartilage can be imaged, tibial and most hand joints cannot, especially in those whose flexion is limited by age or pathology. There are no published population cohort data on femoral cartilage thickness, but recent case-control studies [ 111 ] and methodological work [ 112 ] how that undertaking such measurements in cohort studies is feasible.…”

Section: Imaging-based Assessments Of Musculoskeletal Ageingmentioning

confidence: 99%

Developing a toolkit for the assessment and monitoring of musculoskeletal ageing

et al. 2018

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The complexities and heterogeneity of the ageing process have slowed the development of consensus on appropriate biomarkers of healthy ageing. The Medical Research Council–Arthritis Research UK Centre for Integrated research into Musculoskeletal Ageing (CIMA) is a collaboration between researchers and clinicians at the Universities of Liverpool, Sheffield and Newcastle. One of CIMA’s objectives is to ‘Identify and share optimal techniques and approaches to monitor age-related changes in all musculoskeletal tissues, and to provide an integrated assessment of musculoskeletal function’—in other words to develop a toolkit for assessing musculoskeletal ageing. This toolkit is envisaged as an instrument that can be used to characterise and quantify musculoskeletal function during ‘normal’ ageing, lend itself to use in large-scale, internationally important cohorts, and provide a set of biomarker outcome measures for epidemiological and intervention studies designed to enhance healthy musculoskeletal ageing. Such potential biomarkers include: biochemical measurements in biofluids or tissue samples, in vivo measurements of body composition, imaging of structural and physical properties, and functional tests. This review assesses candidate biomarkers of musculoskeletal ageing under these four headings, details their biological bases, strengths and limitations, and makes practical recommendations for their use. In addition, we identify gaps in the evidence base and priorities for further research on biomarkers of musculoskeletal ageing.

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Correlations between ultrasonographic findings, clinical scores, and depression in patients with knee osteoarthritis

Cited by 17 publications

References 32 publications

Correlation of knee ultrasonography and Western Ontario and McMaster University (WOMAC) osteoarthritis index in primary knee osteoarthritis

Correlation of knee ultrasonography and Western Ontario and McMaster University (WOMAC) osteoarthritis index in primary knee osteoarthritis

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

Developing a toolkit for the assessment and monitoring of musculoskeletal ageing

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