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Diffuse tibiofemoral cartilage change prior to the development of accelerated knee osteoarthritis: Data from the osteoarthritis initiative
Authors
Harkey, Matthew S.Davis, Julie E.
Lu, Bing
Price, Lori Lyn
Eaton, Charles B.
Lo, Grace H.
Barbe, Mary F.
Ward, Robert J.
Zhang, Ming
Liu, Shao-Hsien
Lapane, Kate L
MacKay, James W.
McAlindon, Timothy E.
Driban, Jeffrey B.
UMass Chan Affiliations
Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2019-04-01Keywords
articular cartilagefemur
tibia
Anatomy
Musculoskeletal Diseases
Musculoskeletal System
Orthopedics
UMCCTS funding
Metadata
Show full item recordAbstract
We compared the spatial distribution of tibiofemoral cartilage change between individuals who will develop accelerated knee osteoarthritis (KOA) versus typical onset of KOA prior to the development of radiographic KOA. We conducted a longitudinal case-control analysis of 129 individuals from the Osteoarthritis Initiative. We assessed the percent change in tibiofemoral cartilage on magnetic resonance images at 36 informative locations from 2 to 1 year prior to the development of accelerated (n = 44) versus typical KOA (n = 40). We defined cartilage change in the accelerated and typical KOA groups at 36 informative locations based on thresholds of cartilage percent change in a no KOA group (n = 45). We described the spatial patterns of cartilage change in the accelerated KOA and typical KOA groups and performed a logistic regression to determine if diffuse cartilage change (predictor; at least half of the tibiofemoral regions demonstrating change in multiple informative locations) was associated with KOA group (outcome). There was a non-significant trend that individuals with diffuse tibiofemoral cartilage change were 2.2 times more likely to develop accelerated knee OA when compared with individuals who develop typical knee OA (OR [95% CI] = 2.2 [0.90-5.14]. Adults with accelerated or typical KOA demonstrate heterogeneity in spatial distribution of cartilage thinning and thickening. These results provide preliminary evidence of a different spatial pattern of cartilage change between individuals who will develop accelerated versus typical KOA. These data suggest there may be different mechanisms driving the early structural disease progression between accelerated versus typical KOA.Source
Clin Anat. 2019 Apr;32(3):369-378. doi: 10.1002/ca.23321. Epub 2018 Dec 26. Link to article on publisher's site
DOI
10.1002/ca.23321Permanent Link to this Item
http://hdl.handle.net/20.500.14038/46773PubMed ID
30521068Related Resources
ae974a485f413a2113503eed53cd6c53
10.1002/ca.23321