Clinical evaluation during the acute exacerbation of knee osteoarthritis: the impact of diagnostic ultrasonography.

Rheumatology International
Selma EşenHalil Unalan

Abstract

We aimed to investigate (1) the probable correlation between clinical and ultrasonographic findings in chronic painful primary knee OA patients referred with acute flare-ups and (2) the impact of diagnostic ultrasonography (US) to determine the real source of pain in these patients. We included 100 patients consecutively who were admitted to our outpatient unit with a pain complaint on a single knee with the diagnosis of primary knee OA according to the ACR criteria. The control group consisted of the patients with pain-free knees at least during the last month, who were already included in the study group. The sonographic evaluation of the knee was performed by a physician who was blinded to the clinical evaluation and/or the physical and radiological evaluations. In the present study, sonographic findings were significantly more observed on the painful knees (p < 0.001). The most commonly encountered findings on the symptomatic knees were the suprapatellar effusion (55 %), the baker cyst (25 %), and the pes anserine bursitis. The distribution of the findings on the asymptomatic knees was as follows: 22 %, the suprapatellar effusion and 5 %, the Baker cyst. Effusion was detected in 55 % of the painful knees of our patients wit...Continue Reading

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Citations

Nov 20, 2015·Seminars in Arthritis and Rheumatism·Nasimah MaricarTerence W O׳Neill
Jun 18, 2015·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Raoul SagginiRosa Grazia Bellomo
Sep 22, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Mary Monica Bernardo-BuenoFrancisco De Los Reyes
Dec 3, 2016·The Journal of Rheumatology·Nasimah MaricarTerence W O'Neill
Jul 13, 2019·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Jenny Y ZhouAnnette von Drygalski
Feb 25, 2014·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Angel Checa, Humaira Hussain
Mar 7, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ryan MeyerMark Ellen

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