Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis

Purpose. In knee osteoarthritis, the degree of pain varies despite similar imaging findings. If there were quantitative findings related to the pain of knee osteoarthritis, it could be used for diagnosis or screening. The medial meniscal extrusion was investigated as a candidate quantitative finding...

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Main Authors: Hiroaki Kijima, Shin Yamada, Koji Nozaka, Hidetomo Saito, Yoichi Shimada
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/210972
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author Hiroaki Kijima
Shin Yamada
Koji Nozaka
Hidetomo Saito
Yoichi Shimada
author_facet Hiroaki Kijima
Shin Yamada
Koji Nozaka
Hidetomo Saito
Yoichi Shimada
author_sort Hiroaki Kijima
collection DOAJ
description Purpose. In knee osteoarthritis, the degree of pain varies despite similar imaging findings. If there were quantitative findings related to the pain of knee osteoarthritis, it could be used for diagnosis or screening. The medial meniscal extrusion was investigated as a candidate quantitative finding related to the pain of knee osteoarthritis. Methods. Seventy-six knees of 38 patients (mean age, 73 years) who received intra-articular injections of hyaluronic acid into unilateral knees at the time of diagnosis of knee arthritis were investigated. Cartilage thickness of the femoral medial condyle and medial meniscal extrusion of bilateral knees were measured by ultrasonography. Thirty-eight knees that had hyaluronic acid injections were compared with 38 other side knees from the same patients as the control group. Results. The average cartilage thicknesses of the knees with pain that received intra-articular injections and the knees without pain that received no injections were 1.02 and 1.05 mm, respectively (P=0.6394). On the other hand, the average medial meniscal extrusions of the knees with and without pain were 7.58 and 5.88 mm, respectively (P=0.0005); pain was associated with greater medial meniscal extrusions. Conclusion. Medial meniscal extrusion is a quantitative finding related to the pain of knee osteoarthritis.
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spelling doaj-art-a71e264b9b0149d8940942233e9984e52025-08-20T02:20:11ZengWileyAdvances in Orthopedics2090-34642090-34722015-01-01201510.1155/2015/210972210972Relationship between Pain and Medial Meniscal Extrusion in Knee OsteoarthritisHiroaki Kijima0Shin Yamada1Koji Nozaka2Hidetomo Saito3Yoichi Shimada4Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanPurpose. In knee osteoarthritis, the degree of pain varies despite similar imaging findings. If there were quantitative findings related to the pain of knee osteoarthritis, it could be used for diagnosis or screening. The medial meniscal extrusion was investigated as a candidate quantitative finding related to the pain of knee osteoarthritis. Methods. Seventy-six knees of 38 patients (mean age, 73 years) who received intra-articular injections of hyaluronic acid into unilateral knees at the time of diagnosis of knee arthritis were investigated. Cartilage thickness of the femoral medial condyle and medial meniscal extrusion of bilateral knees were measured by ultrasonography. Thirty-eight knees that had hyaluronic acid injections were compared with 38 other side knees from the same patients as the control group. Results. The average cartilage thicknesses of the knees with pain that received intra-articular injections and the knees without pain that received no injections were 1.02 and 1.05 mm, respectively (P=0.6394). On the other hand, the average medial meniscal extrusions of the knees with and without pain were 7.58 and 5.88 mm, respectively (P=0.0005); pain was associated with greater medial meniscal extrusions. Conclusion. Medial meniscal extrusion is a quantitative finding related to the pain of knee osteoarthritis.http://dx.doi.org/10.1155/2015/210972
spellingShingle Hiroaki Kijima
Shin Yamada
Koji Nozaka
Hidetomo Saito
Yoichi Shimada
Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis
Advances in Orthopedics
title Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis
title_full Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis
title_fullStr Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis
title_full_unstemmed Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis
title_short Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis
title_sort relationship between pain and medial meniscal extrusion in knee osteoarthritis
url http://dx.doi.org/10.1155/2015/210972
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