ArticleAging clinical and experimental research2018
Concordance between clinical and radiographic evaluations of knee osteoarthritis.
Article in Aging clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Association of knee and hip osteoarthritis with the risk of falls and fractures: a systematic review and meta-analysis.Arthritis research & therapy · 2023Pooled it
- Time course of perceived knee stiffness following prolonged sitting in healthy adults.JSAMS plus · 2025Article
- Novel approaches to the stratified management of knee osteoarthritis.Nature reviews. Rheumatology · 2025Review
- PRP and hypertonic glucose injections improve outcomes in patients with early- to middle-stage knee osteoarthritis: a multicenter retrospective study.BMC musculoskeletal disorders · 2025Article
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- Is radiographic osteoarthritis associated with pain and disability of the ankle?Osteoarthritis and cartilage open · 2023Article
- Magnetic resonance imaging predictors (cartilage, osteophytes and meniscus) of prevalent and 3-year incident medial and lateral tibiofemoral knee joint tenderness and patellofemoral grind.BMC musculoskeletal disorders · 2022Article
- The Evaluation of Postural Stability and Fall Risk in Patients with Primary Hip Osteoarthritis.Indian journal of orthopaedics · 2022Article
- Sonographic evaluation of lateral meniscal extrusion: implementation and validation.Archives of orthopaedic and trauma surgery · 2021Article
- The Added Value of Radiographs in Diagnosing Knee Osteoarthritis Is Similar for General Practitioners and Secondary Care Physicians; Data from the CHECK Early Osteoarthritis Cohort.Journal of clinical medicine · 2020Article
- The relationship of radiographic findings with pain, function, and quality of life in patients with knee osteoarthritis.Journal of clinical orthopaedics and trauma · 2020Article
- Jumping Joints: The Complex Relationship Between Osteoarthritis and Jumping Mechanography.Calcified tissue international · 2020Article
- Imaging features in incident radiographic patellofemoral osteoarthritis: the Beijing Shunyi osteoarthritis (BJS) study.BMC musculoskeletal disorders · 2019Observational
- A diagnosis of knee osteoarthritis does not predict physical activity 2 years later in older adults: findings from the Hertfordshire Cohort Study.Rheumatology international · 2019Article
- Impact of osteoarthritis on activities of daily living: does joint site matter?Aging clinical and experimental research · 2019Article
- The Hertfordshire Cohort Study: an overview.F1000Research · 2019Review
- A new decision tree for diagnosis of osteoarthritis in primary care: international consensus of experts.Aging clinical and experimental research · 2019Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundSignificant correlation has been previously demonstrated between radiographic and clinical diagnoses of knee osteoarthritis (OA); however, the specific findings on clinical examination that relate best to a radiographic diagnosis have not been fully elicited.
aimsWe aimed to explore the relationship between clinical symptoms and physical findings with radiographic diagnoses of tibiofemoral and patellofemoral OA.
methodsThis study was based on 409 individuals from the Hertfordshire Cohort Study, born between 1931 and 1939. Antero-posterior and lateral radiographs were taken of both knees. The presence of tibiofemoral and patellofemoral OA was defined according to the Kellgren and Lawrence score. Clinical symptoms, assessed using WOMAC, and physical findings were ascertained by examination. Relationships were assessed using multilevel univariate logistic regression.
resultsIn the 775 knees studied, the prevalence of physical findings was crepitus (25%), tibiofemoral tenderness (15%), bony swelling (12%), and pain on flexion (10%). Thirty-one percent (n = 238) knees demonstrated tibiofemoral OA, 28% (n = 220) showed patellofemoral OA, and 16% demonstrated OA in both locations. A global clinical symptom score was associated with increased risk of tibiofemoral OA (OR 12.5, 95% CI 5.4-29.0) and patellofemoral OA (OR 5.1, 95% CI 2.3-13.1). On clinical examination, the presence of crepitus, tibiofemoral tenderness, bony swelling, and pain on flexion was associated with increased risk of tibiofemoral OA; however, only tenderness was found to be associated with patellofemoral OA.
conclusionGlobal clinical symptom score was associated with radiographic tibiofemoral and patellofemoral OA. However, individual clinical signs were more strongly associated with tibiofemoral than patellofemoral OA.
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