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

被引:20
|
作者
Hart, H. F. [1 ]
Crossley, K. M. [1 ]
Felson, D. [2 ]
Jarraya, M. [3 ]
Guermazi, A. [2 ]
Roemer, F. [2 ,4 ]
Lewis, C. E. [5 ]
Torner, J. [6 ]
Nevitt, M. [7 ]
Stefanik, J. J. [2 ,8 ]
机构
[1] La Trobe Univ, Sch Allied Hlth, La Trobe Sport & Exercise Med Res Ctr, Bundoora, Vic, Australia
[2] Boston Univ, Sch Med, Boston, MA 02118 USA
[3] Mercy Catholic Med Ctr, Darby, PA USA
[4] Univ Erlangen Nurnberg, Erlangen, Germany
[5] Univ Alabama Birmingham, Birmingham, AL USA
[6] Univ Iowa, Iowa City, IA USA
[7] Univ Calif San Francisco, San Francisco, CA 94143 USA
[8] Northeastern Univ, Dept Phys Therapy Movement & Rehabil Sci, Boston, MA 02115 USA
基金
英国医学研究理事会;
关键词
Knee osteoarthritis; MRI; Cartilage damage; Bone marrow lesion; Meniscal tear; Meniscal extrusion; BONE-MARROW LESIONS; SYMPTOMATIC KNEE OSTEOARTHRITIS; STRUCTURAL FEATURES; ELDERLY PERSONS; CARTILAGE LOSS; RISK-FACTORS; MRI; PROGRESSION; ASSOCIATION; DAMAGE;
D O I
10.1016/j.joca.2017.11.017
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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. (c) 2018 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:912 / 919
页数:8
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