Academic Journal

The association between patellofemoral grind and synovitis in knee osteoarthritis: data from the osteoarthritis initiative

التفاصيل البيبلوغرافية
العنوان: The association between patellofemoral grind and synovitis in knee osteoarthritis: data from the osteoarthritis initiative
المؤلفون: Hui Deng, Yongzhong Wu, Zaiwei Fan, Wubing Tang, Jun Tao
المصدر: Frontiers in Medicine, Vol 10 (2023)
بيانات النشر: Frontiers Media S.A., 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: patellofemoral grind, osteoarthritis, clinical physical examination, synovitis, gender difference, Medicine (General), R5-920
الوصف: ObjectivePatellofemoral grind refers to the tender behind the knee cap while contracting the quadriceps muscle during the patellar grind test. The present investigation aims to elucidate the association between patellofemoral grind and synovitis in the knee osteoarthritis (KOA).MethodA total of 1,119 knees with complete patellofemoral grind and synovitis assessment records from the Osteoarthritis Initiative (OAI) were investigated in this study. The Magnetic Resonance Imaging at baseline, 12 months, and 24 months of follow-up were employed to evaluate synovitis. Frequent patellofemoral grind was operationally defined as occurring more than twice at three different time points. In addition, a sensitivity stratification was conducted to examine gender differences.ResultsThe study participants had an average age of 61 years, with 62.4% being female. The findings revealed that baseline patellofemoral grind was significantly associated with changes in synovitis at follow-up (odds ratio [OR]: 1.44, confidence interval [CI]: 1.04–1.98) and was also linked to synovitis worsening over 24 months (OR: 1.67, CI: 1.13–2.46) in all subjects. For the subjects with frequent patellofemoral grind, this correlation was more significant (OR: 1.50, CI: 1.03–2.16; OR: 1.71, CI: 1.09–2.67). In the context of sensitivity stratification, it was observed that the baseline and frequent patellofemoral grind in females exhibited a significant correlation with synovitis. However, no significant correlation was found in males.ConclusionPatellofemoral grind may serve as a potential risk factor of synovitis in knee osteoarthritis, particularly among female patients, and thus, necessitates close monitoring and management by clinical physicians.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-858X
Relation: https://www.frontiersin.org/articles/10.3389/fmed.2023.1231398/full; https://doaj.org/toc/2296-858X
DOI: 10.3389/fmed.2023.1231398
URL الوصول: https://doaj.org/article/7d943166b94f4d698a75bbf14a97b71c
رقم الانضمام: edsdoj.7d943166b94f4d698a75bbf14a97b71c
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2296858X
DOI:10.3389/fmed.2023.1231398