Top

Journal of Orthopaedic Surgery and Research

Published in:

Open Access 01-12-2017 | Research article

Relationship between knee osteoarthritis and meniscal shape in observation of Japanese patients by using magnetic resonance imaging

Authors: Tsuneo Kawahara, Takahisa Sasho, Joe Katsuragi, Takashi Ohnishi, Hideaki Haneishi

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

Abstract

Background

The aims of this study were to reveal the characteristics of the meniscal shape at each knee osteoarthritis (OA) severity level and to predict trends or patterns of the meniscal shape change as associated with knee OA progression.

Methods

Fifty-one patients diagnosed with knee OA based on X-ray and magnetic resonance (MR) images were evaluated. They were divided into three groups based on the Kellgren–Lawrence (KL) grade: normal group (KL grade of 0 or 1), mild group (KL grade of 2 or 3), and severe group (KL grade of 4). We measured the patients’ meniscal size and meniscal extrusion using MR images. In addition, semiquantitative measurement was performed using MR images to determine the arthritic status of the corresponding compartment using a whole-organ magnetic resonance imaging score (WORMS).

Results

The longitudinal diameter and posterior wedge angle of the medial meniscus were significantly larger, and the posterior wedge width of the medial meniscus was significantly smaller in the severe group than in the normal group. The WORMS scores for cartilage and osteophytes in the medial region were significantly different among the groups. The WORMS score of each region was strongly correlated with the longitudinal diameter. The WORMS scores of the lateral region were lower than those of the medial region.

Conclusion

Our observation of the shape change of the medial meniscus in the posterior region was roughly consistent with that in many previous studies of meniscal degeneration. On the other hand, we saw that the most relevant relation between the progression of the knee OA and the deformation of the meniscus was in the longitudinal direction.

Yoshimura N, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, et al. Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab. 2009;27:620–8.CrossRefPubMed

Wang L, Vieira RLR, Rybak LD, Babb JS, Chang G, Krasnokutsky S, et al. Relationship between knee alignment and T1ρvalues of articular cartilage and menisci in patient with knee osteoarthritis. Eur J Radiol. 2013;82:1946–52.CrossRefPubMedPubMedCentral

Bloecker K, Guermazi A, Wirth W, Kwoh CK, Resch H, Hunter DJ, et al. Correlation of semiquantitative vs quantitative MRI meniscus measures in osteoarthritic knees: results from the Osteoarthritis Initiative. Skeletal Radiol. 2014;43:227–32.CrossRefPubMed

Bloecker K, Guermazi A, Wirth W, Benichou O, Kwoh CK, Hunter DJ, et al. Tibial coverage, meniscus position, size and damage in knees discordant for joint space narrowing—data from the Osteoarthritis Initiative. Osteoarthritis Cartilage. 2013;21:419–27.CrossRefPubMed

Wenger A, Wirth W, Hudelmaier M, Noebauer-Huhmann I, Trattnig S, Bloecker K, et al. Meniscus body position, size, and shape in persons with and persons without radiographic knee osteoarthritis: quantitative analyses of knee magnetic resonance images from the osteoarthritis initiative. Arthritis & Rheumatism. 2013;65:1804–11.CrossRef

Wirth W, Frobell RB, Souza RB, Li X, Wyman BT, Le Graverand MP, et al. A three-dimensional quantitative method to measure meniscus shape, position, and signal intensity using MR images: a pilot study and preliminary results in knee osteoarthritis. Magn Reson Med. 2010;63:1162–71.CrossRefPubMed

Kellgren JH, Lawrence JS. Radiological assessment of osteoarthrosis. Ann Rheum Dis. 1957;16:494–502.CrossRefPubMedPubMedCentral

Swanson MS, Prescott JW, Best TM, Powell K, Jackson RD, Haq F, et al. Semi-automated segmentation to assess the lateral meniscus in normal and osteoarthritic knees. Osteoarthritis and Cartilage. 2010;18:344–53.CrossRefPubMed

Rosenfeld A, Kak AC. Digital picture processing second edition. 1982; Vol.1: 61–66.

10.

Peterfy CG, Guermazi A, Zaim S, Tirman PF, Miaux Y, White D, et al. Whole-organ magnetic resonance imaging score (WORMS) of the knee in osteoarthritis. Osteoarthritis Cartilage. 2004;12:177–90.CrossRefPubMed

11.

Petersen W, Forkel P, Feucht MJ, Zantop T, Imhoff AB, Brucker PU. Posterior root tear of the medial and lateral meniscus. Arch Orthop Trauma Surg. 2015;134:237–55.CrossRef

12.

Choi JY, Chang EY, Cunha GM, Tafur M, Statum S, Chung CB. Posterior medial meniscus root ligament lesion: MRI classification and associated findings. Am J Roentgenol. 2014;203:1286–92.CrossRef

13.

LaPrade RF, Ho CP, James E, Crespo B, Laprade CM, Matheny LM. Diagnostic accuracy of 3.0 T magnetic resonance imaging for the detection of meniscus posterior root pathology. Knee Surg Sports Traumatol Arthrosc. 2015;23:152–7.CrossRefPubMed

14.

Fukuta S, Masaki K, Korai F. Prevalence of abnormal findings in magnetic resonance images of asymptomatic knees. J Orthop Sci. 2002;7:287–91.CrossRefPubMed

15.

Nagata N, Koshino T, Saito T, Sakai N, Takagi T, Takeuchi R. Typing of MRI in medial meniscus degeneration in relation to radiological grade in medial compartmental osteoarthritis of the knee. Japanese journal of rheumatism and joint surgery. 1998;17(2):139–44.

16.

Lee DW, Ha JK, Kim JG. Medial meniscus posterior root tear: a comprehensive review. Knee Surgery & Related Research. 2014;26:125–34.CrossRef

17.

Kwak DS, Bae JY, Kim SY, Jeon I, Lu TJ. Evaluation of pre-stress in the menisci of human knee joint using microindentation. J Eng Med. 2014;228(1):11–8.CrossRef

18.

Markris EA, Hadidi P, Athanasiou KA. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials. 2011;32:7411–31.CrossRef

19.

Kitamura A, Fujii K, Marumo K, Tanaka T, Nagafuchi T, Yoshimatu C. Meniscus tears in osteoarthritis of the knee; comparison between MRI and arthroscopic findings. Orthopedic Surgery. 1998;49(13):1659–62.

20.

Hirotsu M, et al. Analyses of degeneration of lateral meniscus in medial compartmental osteoarthritis of the knee (OA) with MRI. Orthopedic Surgery and Traumatology. 2001;50:412–6.CrossRef

21.

Ohishi T, Suzuki D, Yamamoto K, Banno T, Shimizu Y, Matsuyama Y. Medial extrusion of the posterior segment of medial meniscus is a sensitive sign for posterior horn tears. The Knee. 2014;21:112–8.CrossRefPubMed

Title: Relationship between knee osteoarthritis and meniscal shape in observation of Japanese patients by using magnetic resonance imaging
Authors: Tsuneo Kawahara
Takahisa Sasho
Joe Katsuragi
Takashi Ohnishi
Hideaki Haneishi
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-017-0595-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Relationship between knee osteoarthritis and meniscal shape in observation of Japanese patients by using magnetic resonance imaging

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2017

Cortisol inhibits mTOR signaling in avascular necrosis of the femoral head

Do we publish what we preach? Analysis of the European Society for Surgery of the Shoulder and Elbow Congress publication rates

Individual headless compression screws fixed with three-dimensional image processing technology improves fusion rates of isolated talonavicular arthrodesis

A meta-analysis of randomized control trials of surgical methods with osteosarcoma outcomes

Effect of modified compound calcium phosphate cement on the differentiation and osteogenesis of bone mesenchymal stem cells

Pathogenesis and potential relative risk factors of diabetic neuropathic osteoarthropathy