Relation of meniscus pathology to prevalence and worsening of patellofemoral joint osteoarthritis: the Multicenter Osteoarthritis Study

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Details zur Publikation

Autor(en): Hart HF, Crossley KM, Felson D, Jarraya M, Guermazi A, Roemer F, Lewis CE, Torner J, Nevitt M, Stefanik JJ
Zeitschrift: Osteoarthritis and Cartilage
Jahr der Veröffentlichung: 2018
Band: 26
Heftnummer: 7
Seitenbereich: 912-919
ISSN: 1063-4584


Abstract

OBJECTIVE: To determine the relationship of meniscal damage to magnetic resonance imaging (MRI) features of compartment-specific patellofemoral joint (PFJ) osteoarthritis (OA) at baseline and 2 years later.
METHOD: Individuals from a prospective cohort of individuals aged 50-79 with or at risk of knee OA were included. At the 60-month and 84-month study visit, Whole-Organ MRI Score (WORMS) was used to assess meniscal tears and extrusions as well as cartilage damage and bone marrow lesions (BMLs) in the medial and lateral patella and trochlea. Worsening of structural features was defined as any increase in WORMS score from 60 to 84 months. Logistic regression was used to determine the cross-sectional and longitudinal relation of meniscus damage to features of compartment-specific PFJ OA.
RESULTS: Relative to knees without lateral meniscal pathology at baseline, those with grades 3-4 lateral meniscal tear and extrusion had greater risk of worsening of cartilage damage in the lateral PFJ 2 years later (Risk ratio: 1.7 [95% CI: 1.1-2.7) and (1.7 [1.2-2.5]), respectively. Relative to those without medial meniscal pathology at baseline, those with grades 1-2 (0.6 [0.4-0.9]) and 3-4 (0.7 [0.5-1.0]) medial meniscal tears had lower risk of worsening of BMLs in the medial PFJ 2 years later.
CONCLUSION: Meniscal tear and extrusion are associated with increased risk of medial and lateral PFJ OA and more severe meniscal pathology is associated with worsening of PFJ OA 2 years later. Lateral meniscal pathology appears to be more detrimental to the lateral PFJ.


FAU-Autoren / FAU-Herausgeber

Roemer, Frank Prof. Dr.
Radiologisches Institut


Autor(en) der externen Einrichtung(en)
Boston University
La Trobe University
Mercy Health System
University of Alabama at Birmingham (UAB)
University of California San Francisco (UCSF)
University of Iowa


Zitierweisen

APA:
Hart, H.F., Crossley, K.M., Felson, D., Jarraya, M., Guermazi, A., Roemer, F.,... Stefanik, J.J. (2018). Relation of meniscus pathology to prevalence and worsening of patellofemoral joint osteoarthritis: the Multicenter Osteoarthritis Study. Osteoarthritis and Cartilage, 26(7), 912-919. https://dx.doi.org/10.1016/j.joca.2017.11.017

MLA:
Hart, H. F., et al. "Relation of meniscus pathology to prevalence and worsening of patellofemoral joint osteoarthritis: the Multicenter Osteoarthritis Study." Osteoarthritis and Cartilage 26.7 (2018): 912-919.

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Zuletzt aktualisiert 2019-07-03 um 02:10