Synovial pathology detected on ultrasound correlates with the severity of radiographic knee osteoarthritis more than with symptoms

  • Hall M
  • Doherty S
  • Courtney P
 et al. 
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Abstract

Objective: To [1] compare the frequency and severity of ultrasound (US) features in people with normal knees (controls), knee pain (KP), asymptomatic radiographic OA (ROA), and symptomatic OA (SROA), [2] examine relationships between US features, pain and radiographic severity, [3] explore the relationship between change in pain and US features over a 3-month period. Method: Community participants were recruited into a multiple group case-control study. All underwent assessment for pain, knee radiographs and US examination for effusion, synovial hypertrophy, popliteal cysts and power Doppler (PD) signal within the synovium. A 3-month follow-up was undertaken in over half of control and SROA participants. Results: 243 participants were recruited (90 controls; 59 KP; 32 ROA; 62 SROA). Effusion and synovial hypertrophy were more common in ROA and SROA participants. Severity of effusion and synovial hypertrophy were greater in SROA compared to ROA (. P

Author-supplied keywords

  • Inflammation
  • Knee osteoarthritis
  • Pain
  • Synovitis
  • Ultrasound

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Authors

  • M. Hall

  • S. Doherty

  • P. Courtney

  • K. Latief

  • W. Zhang

  • M. Doherty

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