Plain Radiography and Magnetic Resonance Imaging Diagnostics in Osteoarthritis: Validated Staging and Scoring

Guermazi, Ali; Hunter, David J.; Roemer, Frank W.
February 2009
Journal of Bone & Joint Surgery, American Volume;Feb2009 Supplement 1, Vol. 91-A Issue S1, p54
Academic Journal
Osteoarthritis is the most common joint disorder worldwide, and it has an enormous socioeconomic impact both in the United States and throughout the world. Conventional radiography is the simplest and least expensive imaging method for assessing osteoarthritis of the knee. Radiography is able to directly visualize osseous features of osteoarthritis, including marginal osteophytes, subchondral sclerosis, and subchondral cysts, and it is used in clinical practice to confirm the diagnosis of osteoarthritis and to monitor progression of the disease. However, the assessment of joint-space width provides only an indirect estimate of cartilage thickness and meniscal integrity. Magnetic resonance imaging, with its unique ability to examine the joint as a whole organ, holds great promise with regard to the rapid advancement of knowledge about the disease and the evaluation of novel treatment approaches. Magnetic resonance imaging has been applied widely in quantitative morphometric cartilage assessment, and compositional measures have been introduced that evaluate chondral integrity. In addition, magnetic resonance imaging-based validated semiquantitative whole-organ scoring methods have been applied for cross-sectional and longitudinal joint evaluation. This review describes currently applied radiographic and magnetic resonance imaging staging and scoring methods for the assessment of osteoarthritis of the knee and focuses on the strengths and weaknesses of the two modalities with regard to their use in clinical trials and epidemiologic studies.


Related Articles

  • Recommendations for the Diagnosis of Traumatic Meniscal Injuries in Athletes. Muellner, T.; Nikolic, A.; Vécsei, V. // Sports Medicine;May1999, Vol. 27 Issue 5, p337 

    It has always been difficult to develop a method of correctly evaluating knee injuries and, in turn, to devise the appropriate rehabilitation programme. Flawless diagnosis of meniscal injury is necessary, considering the diverse consequences of this injury for patients, and even more so in...

  • How Can I Avoid a Third Knee Surgery? Pinkowsky, Catrina; Erickson, Robert C.; Hull, Larry // Running & FitNews;Jan/Feb2013, Vol. 31 Issue 1, p28 

    The article presents answers to a question of how to avoid a third knee surgery to correct a shifted kneecap.

  • Å IVANJE MENISKA KOLJENSKOG ZGLOBA. Starčević, Damir; Hašpl, Miroslav; Tr&scaronek, Denis // Croatian Sports Medicine Journal / Hrvatski sportskomediciniski ;2010, Vol. 25 Issue 1, p35 

    No abstract available.

  • A unique foot-worn device for patients with degenerative meniscal tear. Elbaz, Avi; Beer, Yiftah; Rath, Ehud; Morag, Guy; Segal, Ganit; Debbi, Eytan; Wasser, Daniel; Mor, Amit; Debi, Ronen // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2013, Vol. 21 Issue 2, p380 

    Purpose: The purpose of the current study was to assess the effects of a new foot-worn device on the gait, physical function and pain in patients suffering from knee osteoarthritis (OA) who had a low-impact injury to the medial meniscus causing a degenerative meniscal tear. Methods: A...

  • Outcome of All-Inside Second-Generation Meniscal Repair. Bogunovic, Ljiljana; Kruse, Lisa M.; Haas, Amanda K.; Huston, Laura J.; Wright, Rick W. // Journal of Bone & Joint Surgery, American Volume;8/6/2014, Vol. 96 Issue 15, p1303 

    Background: Meniscal repair and preservation are the goal, when possible, of the treatment of meniscal injury. Current research on second-generation all-inside repair systems has been limited to a maximum of three years of follow-up. The purpose of this study was to evaluate the mid-term...

  • McMurray Test: A Prediction of Arthroscopic Meniscectomy Outcomes in Patients with Knee Osteoarthritis. Ji, Cheng; Lin, Xiangjin; Zhu, Liulong; Li, Min // Cell Biochemistry & Biophysics;May2015, Vol. 72 Issue 1, p269 

    The McMurray test is used to evaluate patients with meniscal tears of the knee. Analysis of the sensitivity and specificity of McMurray test and the correlation between McMurray sign and postoperative outcomes are helpful to screen the candidates for arthroscopic meniscectomy. The present study...

  • Review: Physical diagnostic tests have low diagnostic accuracy for meniscal lesions of the knee. Shoor, Stanford // ACP Journal Club;May/Jun2002, Vol. 136 Issue 3, p113 

    Comments on a study which examined the accuracy of physical diagnostic tests for assessing meniscal lesions of the knee. Assessment of the diagnostic accuracy of physical diagnostic tests in patients with meniscal lesions of the knee; Test characteristics for diagnosing meniscal lesions of the...

  • Outcomes after ACL reconstruction with focus on older patients: results from The Swedish National Anterior Cruciate Ligament Register. Desai, Neel; Björnsson, Haukur; Samuelsson, Kristian; Karlsson, Jón; Forssblad, Magnus // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2014, Vol. 22 Issue 2, p379 

    Purpose: To investigate and analyse outcomes of patients over the age of 40 who had undergone anterior cruciate ligament (ACL) reconstruction and to compare them to their younger counterparts. We analysed patient-reported outcomes measured using the knee injury and osteoarthritis outcome score...

  • Arthroscopic partial meniscectomy in middle-aged patients with mild or no knee osteoarthritis: a protocol for a double-blind, randomized sham-controlled multi-centre trial. Hare, Kristoffer B.; Lohmander, L. Stefan; Christensen, Robin; Roos, Ewa M. // BMC Musculoskeletal Disorders;2013, Vol. 14 Issue 1, p1 

    Background: Arthroscopic partial meniscectomy has been shown to be of no benefit to patients with concomitant knee osteoarthritis, but the optimal treatment of a degenerative meniscus tear in patients with mild or no knee osteoarthritis is unknown. This article describes the rationale and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics