Magnetic resonance imaging predictors (cartilage, osteophytes and meniscus) of prevalent and 3-year incident medial and lateral tibiofemoral knee joint tenderness and patellofemoral grind

dc.contributor.authorSayre, Eric C.
dc.contributor.authorGuermazi, Ali
dc.contributor.authorNicolaou, Savvas
dc.contributor.authorEsdaile, John M.
dc.contributor.authorKopec, Jacek A.
dc.contributor.authorSinger, Joel
dc.contributor.authorWong, Hubert
dc.contributor.authorThorne, Anona
dc.contributor.authorCibere, Jolanda
dc.date.accessioned2022-12-04T01:02:16Z
dc.date.available2022-12-04T01:02:16Z
dc.date.issued2022-12-02
dc.date.updated2022-12-04T01:02:16Z
dc.description.abstractAbstract Objective To identify magnetic resonance imaging (MRI) predictors (cartilage [C], osteophytes [O] and meniscus [M] scores) of prevalent and 3-year incident medial tibiofemoral (MTF) and lateral tibiofemoral (LTF) knee joint tenderness and patellofemoral (PF) grind.  Methods Population-based knee pain cohort aged 40–79 was assessed at baseline (N = 255), 3- and 7-year follow-up (N = 108 × 2 = 216). COM scores were measured at 6/8/6 subregions respectively. Age-sex-BMI adjusted logistic models predicted prevalence versus relevant COM predictors (medial, lateral or patellar / trochlear groove scores). Fully adjusted models also included all relevant COM predictors. Binary generalized estimating equations models predicting 3-year incidence were also adjusted for individual follow-up time between cycles. Results Significant predictors of prevalent MTF tenderness: medial femoral cartilage (fully adjusted odds ratio [aOR] 1.84; 95% confidence interval [CI] 1.11, 3.05), female (aOR = 3.05; 1.67, 5.58), BMI (aOR = 1.53 per 5 units BMI; 1.10, 2.11). Predictors of prevalent LTF tenderness: female (aOR = 2.18; 1.22, 3.90). There were no predictors of prevalent PF grind in the fully adjusted model. However, medial patellar osteophytes was predictive in the age-sex-BMI adjusted model. There were no predictors of 3-year incident MTF tenderness. Predictors of 3-year incident LTF tenderness: female (aOR = 3.83; 1.25, 11.77). Predictors of 3-year incident PF grind: lateral patellar osteophytes (aOR = 4.82; 1.69, 13.77). In the age-sex-BMI adjusted model, patellar cartilage was also a predictor. Conclusion We explored potential MRI predictors of prevalent and 3-year incident MTF/LTF knee joint tenderness and PF grind. These findings could guide preemptive strategies aimed at reducing these symptoms in the present and future (3-year incidence).
dc.identifier.citationBMC Musculoskeletal Disorders. 2022 Dec 02;23(1):1048
dc.identifier.doihttps://doi.org/10.1186/s12891-022-06033-x
dc.identifier.urihttp://hdl.handle.net/1880/115568
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleMagnetic resonance imaging predictors (cartilage, osteophytes and meniscus) of prevalent and 3-year incident medial and lateral tibiofemoral knee joint tenderness and patellofemoral grind
dc.typeJournal Article
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