Original Articles
Analysis of Radiographic Findings in Patients of Osteoarthritis of Knee: An Institutional Based Study | |
Daruru Venkata Srinath, Kurakula Nitin, P. V. Mithila, Phaneendra Kolla | |
Background: Knee osteoarthritis (OA), also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage. Hence; the present study was conducted for evaluating MRI findings among osteoarthritis of knee patients. Materials & methods:100 patients were subjected to comprehensive radiographic and MR imaging evaluations. Informed consent was obtained from all the subjects/guardians before the study. The detailed clinical history regarding the onset of symptoms. The spectrum of findings was recorded as per the performa. Kellgren-Lawrence scoring was done which was based on osteophyte formation, joint space narrowing, sclerosis, and joint deformity characteristics according to the five-level scale defined as follows: grade 0, normal; grade 1, doubtful osteoarthritis; grade 2, minimal osteoarthritis; grade 3, moderate osteoarthritis; or grade 4, severe osteoarthritis. MR imaging of the knee was performed and subchondral bone marrow edema and osteophytes along with other MRI parameters were evaluated. Results:Mean age of the patients was 56.2 years with majority proportion of patients being males. 55 percent of the patients were of grade 0 as per KL grading. Minimal and moderate osteoarthritis was seen in 22 percent and 5 percent of the patients on radiographs.Cartilage abnormalities were seen 82 percent of the patients on MRI.Subchondral BME was grade 0 and grade 1 in 45 percent of the patients each on MRI. Similarly, osteophytes were absent on MRI in 60 percent of the patients. Conclusion: Through MRI, the pathologic changes of pre-radiographic OA can be detected at an earlier stage of the disease. Physiologic changes within joint tissues can be assessed before morphologic changes become apparent. |
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