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Titre : | Association Between the Severity of Femoral Condylar Cartilage Erosion Related to Knee Osteoarthritis by Ultrasonographic Evaluation and the Clinical Symptoms and Functions (2015) |
Auteurs : | Yi-Jen Chen ; Chia-Hsin Chen ; Chao-Ling Wang |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/5, 2015) |
Article en page(s) : | p. 837-844 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cartilage ; Échographie ; Gonarthrose ; Rééducation et réadaptation |
Mots-clés: | Osteoarthritis ; knee ; Ultrasonography |
Résumé : |
Objective To determine the association between the severity of femoral condylar cartilage erosion resulting from knee osteoarthritis (OA) by an ultrasonographic grading system and the clinical symptoms and functions. Design Cross-sectional study. Setting A tertiary center. Participants Participants (N=101) with and without subjective complaints of knee discomfort were consecutively enrolled. Patients who had ever received knee arthroplasty, who had inflammatory arthritis, and whose knee flexion range of motion was Interventions Not applicable. Main Outcome Measures A semiquantitative ultrasonographic grading system was used to evaluate the severity of femoral condylar cartilage erosion. The clinical symptoms and functions were evaluated with the visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Lequesne index. The association of the VAS/WOMAC/Lequesne index with the ultrasonographic grading was assessed. Results Positive linear associations were found between the ultrasonographic grading and the following: the VAS and the total scores and pain subscales of both the Lequesne index and WOMAC. Multivariate logistic regression analysis revealed grade-dependent association between VAS and ultrasonographic grading after adjusting for age, sex, and body mass index. The WOMAC and Lequesne index scores were associated with the ultrasonographic grading in more severe degrees, particularly in the pain subscales. Conclusions This semiquantitative ultrasonographic grading system may well reflect the clinical symptoms and functions related to knee OA as evaluated by the VAS, WOMAC, and Lequesne index. This method provides a more comprehensive description and measurement of knee OA. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315000088 |