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01.01.2012 | Magnetic Resonance

Relationship of 3D meniscal morphology and position with knee pain in subjects with knee osteoarthritis: a pilot study

verfasst von: Andrea Wenger, Martin Englund, Wolfgang Wirth, Martin Hudelmaier, Kent Kwoh, Felix Eckstein, for the OAI Investigators

Erschienen in: European Radiology | Ausgabe 1/2012

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Abstract

Objectives

To explore whether quantitative, three-dimensional measurements of meniscal position and size are associated with knee pain using a within-person, between-knee study design.

Methods

We studied 53 subjects (19 men, 34 women) from the Osteoarthritis Initiative, with identical radiographic OA grades in both knees, but frequent pain in one and no pain in the other knee. The tibial plateau and menisci were analyzed using coronally reconstructed double echo steady-state sequence with water excitation (DESSwe) MRI.

Results

The medial meniscus covered a smaller proportion of the tibial plateau (−5%) and displayed greater extrusion of the body (+15%) in painful than in painless knees (paired t-test; p < 0.05). The external margin of the lateral meniscus showed greater extrusion of the body in painful knees (+22%; p = 0.03), but no significant difference in the position of its internal margin or tibial coverage. Medial or lateral extrusion ≥3 mm was more frequent in painful (n = 23) than in painless knees (n = 12; McNemar’s test; p = 0.02). No significant association was observed between meniscal size and knee pain.

Conclusions

These data suggest a relationship between extrusion of the meniscal body, as measured with quantitative MRI, and knee pain in subjects with knee OA. Further studies need to confirm these findings and their clinical relevance.

Key Points

Meniscal segmentation provides quantitative measures of meniscal size/position
Between-knee, within-person approaches can explore potential sources of knee pain
Meniscal extrusion may be a potential source of knee pain

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Titel: Relationship of 3D meniscal morphology and position with knee pain in subjects with knee osteoarthritis: a pilot study
verfasst von: Andrea Wenger
Martin Englund
Wolfgang Wirth
Martin Hudelmaier
Kent Kwoh
Felix Eckstein
for the OAI Investigators
Publikationsdatum: 01.01.2012
Verlag: Springer-Verlag
Erschienen in: European Radiology / Ausgabe 1/2012
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-011-2234-z

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Relationship of 3D meniscal morphology and position with knee pain in subjects with knee osteoarthritis: a pilot study