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Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis

A fixed flexion view (FFV) is useful for evaluating joint space when assessing the severity of osteoarthritis (OA) of the knee. We analyzed changes in joint space revealed by standing extended view (SEV) and FFV over a mean 4 years, to compare both views on their capacity to measure joint space widt...

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Autores principales: Kan, Hiroyuki, Arai, Yuji, Kobayashi, Masashi, Nakagawa, Shuji, Inoue, Hiroaki, Hino, Manabu, Komaki, Shintaro, Ikoma, Kazuya, Ueshima, Keiichiro, Fujiwara, Hiroyoshi, Yokota, Isao, Kubo, Toshikazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728966/
https://www.ncbi.nlm.nih.gov/pubmed/29245351
http://dx.doi.org/10.1097/MD.0000000000009126
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author Kan, Hiroyuki
Arai, Yuji
Kobayashi, Masashi
Nakagawa, Shuji
Inoue, Hiroaki
Hino, Manabu
Komaki, Shintaro
Ikoma, Kazuya
Ueshima, Keiichiro
Fujiwara, Hiroyoshi
Yokota, Isao
Kubo, Toshikazu
author_facet Kan, Hiroyuki
Arai, Yuji
Kobayashi, Masashi
Nakagawa, Shuji
Inoue, Hiroaki
Hino, Manabu
Komaki, Shintaro
Ikoma, Kazuya
Ueshima, Keiichiro
Fujiwara, Hiroyoshi
Yokota, Isao
Kubo, Toshikazu
author_sort Kan, Hiroyuki
collection PubMed
description A fixed flexion view (FFV) is useful for evaluating joint space when assessing the severity of osteoarthritis (OA) of the knee. We analyzed changes in joint space revealed by standing extended view (SEV) and FFV over a mean 4 years, to compare both views on their capacity to measure joint space width accurately at particular time points during follow-up. SEV and FFV images were acquired in patients with knee OA. The 81 patients (157 knees) followed up for ≥24 months were selected as study subjects. Medial joint space widths (MJSW), Kellgren–Lawrence (KL) grades, and reductions in MJSW on SEV (ΔSEV) and FFV (ΔFFV) were compared in knees evaluated by SEV and FFV. At both time-points, mean MJSW was significantly lower by FFV than by SEV. Mean MJSW was significantly lower at follow-up than at first examination by both SEV and FFV. At both time-points, the KL grade was higher by FFV than by SEV group. The ΔFFV was significantly greater than the ΔSEV. ΔSEV did not differ significantly among KL grades, but ΔFFV was significantly greater in patients with KL grade II than in patients with other KL grades. FFV is not only useful for evaluating joint space in knees with OA, but also for accurately evaluating the progression of OA. The risk of rapid progression of knee OA may be higher in patients with KL grade II, as determined by FFV. FFV may be superior to SEV in determining appropriate treatment strategies for knee OA.
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spelling pubmed-57289662017-12-20 Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis Kan, Hiroyuki Arai, Yuji Kobayashi, Masashi Nakagawa, Shuji Inoue, Hiroaki Hino, Manabu Komaki, Shintaro Ikoma, Kazuya Ueshima, Keiichiro Fujiwara, Hiroyoshi Yokota, Isao Kubo, Toshikazu Medicine (Baltimore) 3700 A fixed flexion view (FFV) is useful for evaluating joint space when assessing the severity of osteoarthritis (OA) of the knee. We analyzed changes in joint space revealed by standing extended view (SEV) and FFV over a mean 4 years, to compare both views on their capacity to measure joint space width accurately at particular time points during follow-up. SEV and FFV images were acquired in patients with knee OA. The 81 patients (157 knees) followed up for ≥24 months were selected as study subjects. Medial joint space widths (MJSW), Kellgren–Lawrence (KL) grades, and reductions in MJSW on SEV (ΔSEV) and FFV (ΔFFV) were compared in knees evaluated by SEV and FFV. At both time-points, mean MJSW was significantly lower by FFV than by SEV. Mean MJSW was significantly lower at follow-up than at first examination by both SEV and FFV. At both time-points, the KL grade was higher by FFV than by SEV group. The ΔFFV was significantly greater than the ΔSEV. ΔSEV did not differ significantly among KL grades, but ΔFFV was significantly greater in patients with KL grade II than in patients with other KL grades. FFV is not only useful for evaluating joint space in knees with OA, but also for accurately evaluating the progression of OA. The risk of rapid progression of knee OA may be higher in patients with KL grade II, as determined by FFV. FFV may be superior to SEV in determining appropriate treatment strategies for knee OA. Wolters Kluwer Health 2017-12-08 /pmc/articles/PMC5728966/ /pubmed/29245351 http://dx.doi.org/10.1097/MD.0000000000009126 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 3700
Kan, Hiroyuki
Arai, Yuji
Kobayashi, Masashi
Nakagawa, Shuji
Inoue, Hiroaki
Hino, Manabu
Komaki, Shintaro
Ikoma, Kazuya
Ueshima, Keiichiro
Fujiwara, Hiroyoshi
Yokota, Isao
Kubo, Toshikazu
Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis
title Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis
title_full Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis
title_fullStr Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis
title_full_unstemmed Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis
title_short Fixed-flexion view X-ray of the knee superior in detection and follow-up of knee osteoarthritis
title_sort fixed-flexion view x-ray of the knee superior in detection and follow-up of knee osteoarthritis
topic 3700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728966/
https://www.ncbi.nlm.nih.gov/pubmed/29245351
http://dx.doi.org/10.1097/MD.0000000000009126
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