ArticleAnnals of the rheumatic diseases2000
Development of a logically devised line drawing atlas for grading of knee osteoarthritis.
Article in Annals of the rheumatic diseases, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed.
- Tantalum is a good bone graft substitute in tibial tubercle advancement.Clinical orthopaedics and related research · 2010Trial
- Effects of dietary intervention and quadriceps strengthening exercises on pain and function in overweight people with knee pain: randomised controlled trial.BMJ (Clinical research ed.) · 2009Trial
- Reliability of radiographic knee and hip osteoarthritis classification between radiologists and orthopaedic surgeons.Journal of orthopaedic surgery and research · 2026Article
- Respective association of joint space narrowing and osteophyte formation with knee symptoms and function in China.Journal of orthopaedic surgery and research · 2025Article
- The importance of central sensitization for clinical trials of disease modifying osteoarthritis drugs (DMOADs).Osteoarthritis imaging · 2025Article
- Developing libraries of semantically-augmented graphics as visual standards for biomedical information systems.Journal of biomedical informatics · 2025Article
- Classification approaches used to grade radiographic patellofemoral osteoarthritis: A scoping review.Osteoarthritis imaging · 2025Article
- Risk Assessment of the Progression of Early Knee Osteoarthritis by Collagen Neoepitope C2C: A Longitudinal Study of an Estonian Middle-Aged Cohort.Diagnostics (Basel, Switzerland) · 2021Article
- The effect and mechanism ofJournal of orthopaedic translation · 2021Article
- Cartilage collagen neoepitope C2C in urine as an integrative diagnostic marker for early knee osteoarthritis.Osteoarthritis and cartilage open · 2020Article
- East Midlands knee pain multiple randomised controlled trial cohort study: cohort establishment and feasibility study protocol.BMJ open · 2020Article
- Thresholds of ultrasound synovial abnormalities for knee osteoarthritis - a cross sectional study in the general population.Osteoarthritis and cartilage · 2019Article
- Prevalence of knee pain, radiographic osteoarthritis and arthroplasty in retired professional footballers compared with men in the general population: a cross-sectional study.British journal of sports medicine · 2018Article
- Association between ultrasound-detected synovitis and knee pain: a population-based case-control study with both cross-sectional and follow-up data.Arthritis research & therapy · 2017Article
- The association ofTherapeutics and clinical risk management · 2017Article
- Angiogenesis in alkaptonuria.Journal of inherited metabolic disease · 2016Article
- Is coxa valga a predictor for the severity of knee osteoarthritis? A cross-sectional study.Surgical and radiologic anatomy : SRA · 2015Article
- Evaluation of correlation of articular cartilage staining for DDR2 and proteoglycans with histological tissue damage and the results of radiographic assessment in patients with early stages of knee osteoarthritis.International journal of clinical and experimental pathology · 2015Article
- Structural associations of symptomatic knee osteoarthritis.Arthritis & rheumatology (Hoboken, N.J.) · 2014Article
- Synovial pathology detected on ultrasound correlates with the severity of radiographic knee osteoarthritis more than with symptoms.Osteoarthritis and cartilage · 2014Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesTo (a) develop an atlas of line drawings for the assessment and grading of narrowing and osteophyte (that is, changes of osteoarthritis) on knee radiographs, and (b) compare the performance of this atlas with that of the standard Osteoarthritis Research Society (OARS) photographic atlas of radiographs.
methodsNormal joint space widths (grade 0) for the medial and lateral tibiofemoral and medial and lateral patellofemoral compartments were obtained from a previous community study. Grades 1-3 narrowing in each compartment was calculated separately for men and women, grade 3 being bone on bone, grades 1 and 2 being two thirds and one third the value of grade 0. Maximum osteophyte size (grade 3) for each of eight sites was determined from 715 bilateral knee x ray films obtained in a knee osteoarthritis (OA) hospital clinic; grades 1-2 were calculated as two thirds and one third reductions in the area of grade 3. Drawings for narrowing and osteophyte were presented separately. 50 sets of bilateral knee x ray radiographs (standing, extended anteroposterior; flexed skyline) showing a spectrum of OA grades were scored by three observers, twice using the OARS atlas and twice using the drawn atlas.
resultsIntraobserver and interobserver reproducibility was similar and generally good with both atlases, though varied according to site. All three observers preferred the line drawing atlas for ease and convenience of use. Higher scores for patellofemoral narrowing and lower scores for osteophyte, especially medial femoral osteophyte, were seen using the line drawing atlas, showing that the two atlases are not equivalent instruments.
conclusionA logically derived line drawing atlas for grading of narrowing and osteophyte at the knee has been produced. The atlas showed comparable reproducibility with the OARS atlas, but was discordant in several aspects of grading. Such a system has several theoretical and practical advantages and should be considered for use in knee OA studies.
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