Ultrasonographic findings in knee osteoarthritis: A comparative study with clinical and radiographic assessment

Naredo, Esperanza; Cabero, Félix; Palop, Mercedes Jiménez; Collado, Paz; Cruz, Ana; Crespo, Manuel

doi:10.1016/j.joca.2005.02.008

Cited by 145 publications

(124 citation statements)

References 28 publications

(19 reference statements)

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“…US is highly accurate for the evaluation of parameniscal cysts (with a reported accuracy of 88%), which are commonly associated with underlying meniscal tears or degeneration (17). Meniscal extrusion in the setting of osteoarthrosis can also be identified (18).…”

Section: Medialmentioning

confidence: 99%

US of the Knee: Scanning Techniques, Pitfalls, and Pathologic Conditions

Alves¹,

Girish²,

Brigido³

et al. 2016

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1Pain and other disorders of the knee are a common presenting complaint in the ambulatory setting. Although the cornerstones of imaging evaluation of the knee are radiographs and magnetic resonance (MR) imaging, ultrasonography (US) is less expensive than MR imaging, easily available, and of comparable accuracy in the evaluation of certain pathologic conditions of the knee. The benefits of US include portability, low cost, high spatial resolution, dynamic imaging, and ability to guide percutaneous interventions when indicated. US also allows direct patient contact, facilitating immediate clinical correlation and the ability to compare with the contralateral knee. US evaluation of the knee can be targeted to a specific region on the basis of the complaint or be a comprehensive review. For comprehensive evaluation, the knee is divided into anterior, medial, lateral, and posterior compartments for structured evaluation of the tendons, ligaments, joint space, osseous structures, as well as peripheral nerves and vasculature. US is particularly well suited for evaluating injuries of the quadriceps and patellar tendons, injuries of the medial and lateral collateral ligaments, joint effusions, and fluid collections around the knee. There is additional utility in evaluation of the distal hamstrings tendons, the iliotibial tract, the superficial patellar cortex, the common peroneal nerve, the popliteal vessels, and juxta-articular cystic collections including Baker cyst. In-depth appreciation of relevant sonographic anatomy, common pathologic conditions, knowledge of important pitfalls, and mastery of US technique will allow one to effectively use this powerful bedside tool for the evaluation of a wide variety of knee disorders.

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Section: Medialmentioning

confidence: 99%

US of the Knee: Scanning Techniques, Pitfalls, and Pathologic Conditions

Alves¹,

Girish²,

Brigido³

et al. 2016

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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].…”

mentioning

confidence: 99%

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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“…Many studies have proved ultrasound to be very useful in diagnosing and monitoring joint effusion and synovitis (17), especially in early osteoarthrosis (18), providing results comparable to MRI (19) and arthroscopy (20,21). A radiographic finding is a standard addition to a clinical review.…”

Section: Discussionmentioning

confidence: 99%

Arthrosonography and the Biomarker Cartilage Oligomeric Matrix Protein in the Detection of Knee Osteoarthrosis Effusion

Živanović¹,

Rackov²,

Vucetic³

et al. 2009

Journal of Medical Biochemistry

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Kratak sadr`aj: Osteoartroza (OA) kolena je dege nera tivna bolest sa inflamatornim epizodama koje artrosonografija objektivno prikazuje. Oligomerni protein matriksa hrska vi ce -COMP je korisan marker za ranu destrukciju hrskavice. Cilj rada je uporedna analiza klini~kog, artrosonografskog pregleda i koncentracije COMP u serumu bolesnika radi detekcije zglobne inflamacije. Analizom je obuhva}eno 88 bolesnika sa OA kolena. Klini~kim pregledom je utvr|en izliv, artrosonografskim veli~ina sinovitisa i efuzije, analizom seruma koncentracija COMP (ng/ml). Minimalan izliv je imalo 34,1% bolesnika, umeren 22,7%, zna~ajan 4,5%. Sen zitivnost klini~ke dijagnoze izliva je 73%, a specifi~nost 73% (p=0,000). Efuziju je imalo 75% bolesnika, u suprapatelarnom recesusu (SR) efuziju je imalo 28,4% bolesnika, medijalnom (MR) 27,3%, lateralnom (LR) 62,5%. U SR efuzija je bila 10,13±4,35 mm, MR 8,53±2,27 mm, LR 11,38±4,44 mm. Sinovitis je na|en kod 67% bolesnika, u SR veli~ine 4,84±3,57 mm, MR 3,15±1,86 mm, LR 6,09±2,80 mm. Srednja vrednost veli~ine efuzije kod bole sni ka sa zna~ajnim izlivom u SR je bila 13,85 (10,36-17,43) mm (p=0,000), MR 4,9 (0-10,22) mm (p=0,008), LR 12,0 (11,34-14,50) mm (p=0,000), sa mo u LR sa umerenim izlivom 6,94 (1,16-8,13) mm i mi nimalnim izlivom 4,9 (0 -7,25) mm. Postoji zna~ajna pove za nost veliine sinovitisa i efuzije u SR, MR i LR (p=0,000). Srednja vrednost koncentracije COMP kod bolesnika bez efuzije je bila 54 (44,5-58) ng/mL, sa efuzijom 57 (48,25) ng/mL (p=0,030). Artrosonografija i odre|ivanje koncentracija COMP predstavljaju senzitivne metode u dijagnostikovanju zglobne efuzije.

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Ultrasonographic findings in knee osteoarthritis: A comparative study with clinical and radiographic assessment

Abstract: Knee effusion and MMP with MCLD are associated with pain in knee OA. In addition, MMP may contribute to the radiographic medial FT space narrowing. We propose US for assessing periarticular and intraarticular abnormalities involved in the pathophysiology of knee OA.

Cited by 145 publications

References 28 publications

US of the Knee: Scanning Techniques, Pitfalls, and Pathologic Conditions

US of the Knee: Scanning Techniques, Pitfalls, and Pathologic Conditions

Imaging the joint in osteoarthritis: a place for ultrasound?

Arthrosonography and the Biomarker Cartilage Oligomeric Matrix Protein in the Detection of Knee Osteoarthrosis Effusion

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