Volume : 7, Issue : 12, December - 2018

The Study Of Clinical And Radiological Features Of Osteoarthritis Knee.

Dr. Rohit Chaturvedi, Dr. Ajay Dhanopia, Dr. Ashok Vidyarthi

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="text-indent:0in"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;">Introduction:</span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"> Osteoarthritis is a chronic disorder of synovial joint resulting from impaired balance between cartilage degeneration and regeneration.</span><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> The major clinical symptom in osteoarthritis of the knee is Pain and is also the main reason for seeking medical care. </span><span style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">Pain<span style="mso-spacerun:yes">&nbsp; </span>is slowly progressive in nature. Approximately, 45% of women over the age of 65 years have symptoms while 70% of<span style="mso-spacerun:yes">&nbsp; </span>those over 65 years show radiological evidence.</span><b style="mso-bidi-font-weight:normal"><span style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></b></p> <p class="MsoNormal" style="text-indent:0in"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;">Objective:</span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"> </span><span style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">The present study was conducted to determine the clinical and radiological<span style="mso-spacerun:yes">&nbsp;&nbsp; </span><span style="mso-spacerun:yes">&nbsp;&nbsp;&nbsp;</span>.<span style="mso-spacerun:yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>features of OA knee.<o:p></o:p></span></p> <p class="MsoNormal" style="text-indent:0in"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Methods:</span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> </span><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;">This Study was conducted in Department of Orthopaedics, NSCB MCH, <span style="mso-spacerun:yes">&nbsp;</span>Jabalpur (M.P.)<span style="mso-spacerun:yes">&nbsp; </span>from<span style="mso-spacerun:yes">&nbsp; </span>March 2015 to<span style="mso-spacerun:yes">&nbsp; </span>September 2016. After informed consent, standing X-ray ( AP and lateral)<span style="mso-spacerun:yes">&nbsp; </span>was taken. Joint space narrowing and osteophyte count were used to elaborate radiological findings.<span style="mso-spacerun:yes">&nbsp; </span>For the assessment of clinical features VAS score and functional WOMAC score were used. <o:p></o:p></span></p> <p class="MsoNormal" style="text-indent:0in"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;">Result :</span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"> in our study </span><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">the mean age of presentation for osteoarthritis was 56.17 &plusmn; 9.776 years.<span style="mso-spacerun:yes">&nbsp; </span>38.60% knees had synovial thickening and 55.1% knees had joint effusion. Only 3.8% knees could climb stairs without any problem and <span style="mso-bidi-font-weight:bold">19.4% knees had normal squatting</span>. Our study found significant correlation between functional Pain &amp; joint space narrowing. (P = 0.0001 &lt; 0.05 so, it is statistically significant).<o:p></o:p></span></p>