Baker's cysts in knees with chronic osteoarthritic pain: a clinical, ultrasonographic, radiographic and scintigraphic evaluation

被引:36
作者
Chatzopoulos, Dimitrios [2 ]
Moralidis, Efstratios [1 ]
Markou, Pavlos [3 ]
Makris, Vassilios [4 ]
Arsos, Georgios [5 ]
机构
[1] Aristotle Univ Thessaloniki, AHEPA Hosp, Dept Nucl Med, GR-54006 Thessaloniki, Greece
[2] Papageorgiou Hosp, Dept Nucl Med, Thessaloniki, Greece
[3] Hlth Care Unit Management, Dept Med Phys, Edessa, Greece
[4] Aristotle Univ Thessaloniki, Papageorgiou Hosp, Dept Orthopaed, GR-54006 Thessaloniki, Greece
[5] Aristotle Univ Thessaloniki, Hippokrat Hosp, Dept Nucl Med, GR-54006 Thessaloniki, Greece
关键词
Baker's cyst; Bone scintigraphy; Knee; Osteoarthritis; Ultrasonography;
D O I
10.1007/s00296-008-0639-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study aimed to determine the ultrasonographic prevalence of Baker's cysts in knees with chronic osteoarthritic pain and investigate for cysts correlates and relationships with scintigraphically established synovitis. Consecutive patients with chronic osteoarthritic knee pain underwent clinical examination, X-rays, ultrasonography and early-phase bone scintigraphy. Eighty-nine Baker's cysts were detected in 328 knees with chronic osteoarthritic pain (27%), whereas one cyst was identified among the 54 non-osteoarthritic knees (2%, P < 0.001). Baker's cysts were detected in 72/195 (37%) patients with knee osteoarthritis. Abnormal and intense tracer accumulation in early-phase bone scintigraphy were significantly more frequent in osteoarthritic knees with Baker's cysts (97 and 56%, respectively), than in those without (89 and 40%, respectively, P < 0.05 for both). Clinical and radiographic variables could not predict the presence of those cysts. Baker's cysts are a common ultrasonographic finding in knees with chronic osteoarthritic pain and are associated with synovial inflammation and its grade.
引用
收藏
页码:141 / 146
页数:6
相关论文
共 27 条
[1]   DEVELOPMENT OF CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS - CLASSIFICATION OF OSTEOARTHRITIS OF THE KNEE [J].
ALTMAN, R ;
ASCH, E ;
BLOCH, D ;
BOLE, G ;
BORENSTEIN, D ;
BRANDT, K ;
CHRISTY, W ;
COOKE, TD ;
GREENWALD, R ;
HOCHBERG, M ;
HOWELL, D ;
KAPLAN, D ;
KOOPMAN, W ;
LONGLEY, S ;
MANKIN, H ;
MCSHANE, DJ ;
MEDSGER, T ;
MEENAN, R ;
MIKKELSEN, W ;
MOSKOWITZ, R ;
MURPHY, W ;
ROTHSCHILD, B ;
SEGAL, M ;
SOKOLOFF, L ;
WOLFE, F .
ARTHRITIS AND RHEUMATISM, 1986, 29 (08) :1039-1049
[2]  
CHATZOPOULOS D, 2008, NUCL MED CO IN PRESS
[3]   Scintigraphy in rheumatic diseases [J].
Colamussi, P ;
Prandini, N ;
Cittanti, C ;
Feggi, L ;
Giganti, M .
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2004, 18 (06) :909-926
[4]  
FAM AG, 1982, J RHEUMATOL, V9, P428
[5]   Osteoarthritis of the knee [J].
Felson, DT .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 354 (08) :841-848
[6]   Radionuclide therapy of inflammatory joint diseases [J].
Fischer, M ;
Mödder, G .
NUCLEAR MEDICINE COMMUNICATIONS, 2002, 23 (09) :829-831
[7]   The popliteal cyst [J].
Fritschy, Daniel ;
Fasel, Jean ;
Imbert, Jean-Claude ;
Bianchi, Stefano ;
Verdonk, Rene ;
Wirth, Carl Joachim .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2006, 14 (07) :623-628
[8]  
GOLDENBERG DL, 1982, J RHEUMATOL, V9, P204
[9]   Popliteal cysts in adults: A review [J].
Handy, JR .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 2001, 31 (02) :108-118
[10]   Molecular aspects of pathogenesis in osteoarthritis:: the role of inflammation [J].
Hedbom, E ;
Häuselmann, HJ .
CELLULAR AND MOLECULAR LIFE SCIENCES, 2002, 59 (01) :45-53