Radiographic Evaluation of Knee Joint in Patients with Knee pain and its correlation with Osteoarthritis and Gender

Maryam Shahzad, Taiba Zulfiqar, Abid Ali

Abstract


Background: Osteoarthritis (OA) is the most rampant reason of knee discomfort and pain. Knee osteoarthritis accounts for 83 percent of the overall Osteoarthritis burden. Knee osteoarthritis (KOA) is projected to grow more frequent as age progresses, and it is more common in women and overweight individuals. The Kellgren and Lawrence scoring criteria is usually employed to estimate the severity of disease. To evaluate the Radiographic findings associated with knee joint pain and to assess the prevalence of osteoarthritis in individuals with knee joint discomfort, as well as its correlation with gender.

Methods: From August to December 2021, cross-sectional research was undertaken at the Department of Radiology, Amin Medical Complex, Sialkot. This research comprised participants of both gender having knee discomfort, ranging in age from forty to eighty yrs. SPSS version 24 was employed to record the data and analyze the information.

Results: Total 100 Patients (M=45, F=55) were enrolled in this study. Out of 100 participants with knee pain 45(45%) patients had abnormal knee radiographic findings. Osteoarthritis of the knee accounted for 35% of all abnormal radiographic findings in this study, with synovial effusion accounting for 8% of the total, and erosion only contributing for 2%. Knee osteoarthritis was found to be more prevalent in females than in males (24% vs. 11%), demonstrating that gender is a significant predictor for knee osteoarthritic disease. Findings corroborate the implementation of the Kellgren-Lawrence marking scheme to characterize Knee osteoarthritis in population research.

Conclusion: The findings suggest that radiographic aspects of knee Osteoarthritis are substantially linked to knee discomfort, and that it is more frequent in people over the age of 55. Knee osteoarthritis is substantially linked with gender, with females suffering from it at a higher rate. The findings authenticate the implementation of the Kellgren-Lawrence grading scheme to characterize Knee osteoarthritis in population research.


Full Text:

PDF

References


Vos T, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, (2012); 380(9859): 2163-96.

Sharma L. Osteoarthritis year in review 2015: clinical. Elsevier, (2016); 24(1): 36-48.

Arden N, et al. Epidemiology of Osteoarthritis: Atlas of Osteroarthritis. 2014; 2:90. Springer Healthcare Tarporley.

Vos T, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The lancet, (2012); 380(9859): 2163-2196.

Iqbal MN, et al. Frequency of factors associated with knee osteoarthritis. JPMA-Journal of the Pakistan Medical Association, (2011); 61(8): 786.

LawrenceRC, F, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. American College of Rheumatology, (2008); 58(1): 26-35.

Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. The Lancet, (2019); 393(10182): 1745-1759.

Cross M et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. British Medical Journal, (2014); 73(7): 1323-1330.

Zhang W et al. EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. British Medical Journal, (2010); 69(3): 483-489.

Reddy KS. Global Burden of Disease Study 2015 provides GPS for global health 2030. The Lancet, (2016); 388(10053): 1448-1449.

Schell J et al. Strawberries improve pain and inflammation in obese adults with radiographic evidence of knee osteoarthritis. Multidisciplinary Digital Publishing Institute, (2017); 9(9): 949.

Turkiewicz A et al. Prevalence of knee pain and knee OA in southern Sweden and the proportion that seeks medical care. Oxford Academic Journal, (2015); 54(5): 827-835.

Wenham, C, A. Grainger, and P. Conaghan. The role of imaging modalities in the diagnosis, differential diagnosis and clinical assessment of peripheral joint osteoarthritis. Elsevier, (2014); 22(10): 1692-1702.

Bedson J, Croft PR. The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature. BioMed Central, (2008); 9(1): 1-11.

Cicuttini FM, et al., Association of pain with radiological changes in different compartments and views of the knee joint. Elsevier, (1996); 4(2): 143-147.

Kellgren JH, Lawrence J. Radiological assessment of Rheumatoid Arthritis. National Library of Medicine, (1957); 16(4): 494.

Zeng Qy, et al. Associated risk factors of knee osteoarthritis: a population survey in Taiyuan, China. Chinese medical journal, (2006); 119(18): 1522-1527.

Haq SA, et al. Prevalence of rheumatic diseases and associated outcomes in rural and urban communities in Bangladesh: a COPCORD study. The Journal of rheumatology, (2005); 32(2): 348-353.

Khalid MU, Akhtar M. Frequency of osteoarthritis among patients of knee joint pain. JSZMC, (2015); 6(4): 885-887.

Messier SP, et al. Weight loss reduces knee‐joint loads in overweight and obese older adults with knee osteoarthritis. American College of Rheumatology, (2005); 52(7): 2026-2032.

Miranda H, et al. A prospective study on knee pain and its risk factors. Elsevier, (2002); 10(8): 623-630.

Felson, D.T. An update on the pathogenesis and epidemiology of osteoarthritis. Radiologic Clinics of North America, (2004); 42(1): 1-9.

Jones G et al. Sex and site differences in cartilage development: a possible explanation for variations in knee osteoarthritis in later life. Official Journal of the American College of Rheumatology, (2000);

(11): 2543-2549.

Al-Arfaj AS. Radiographic osteoarthritis and obesity. Saudi Medical Journal, (2002); 23(8): 938-942.

Lethbridge‐Çejku M, et al. Association of radiographic features of osteoarthritis of the knee with knee pain: data from the Baltimore Longitudinal Study of Aging. Official Journal of the American College of

Rheumatology, (1995); 8(3): 182-188.




DOI: http://dx.doi.org/10.62940/als.v9i3.1404

Refbacks

  • There are currently no refbacks.