PMID- 27487832 OWN - NLM STAT- MEDLINE DCOM- 20171108 LR - 20220317 IS - 1478-6362 (Electronic) IS - 1478-6354 (Print) IS - 1478-6354 (Linking) VI - 18 DP - 2016 Aug 4 TI - Evaluation of a quantitative measurement of suprapatellar effusion by ultrasonography and its association with symptoms of radiographic knee osteoarthritis: a cross-sectional observational study. PG - 181 LID - 10.1186/s13075-016-1078-y [doi] LID - 181 AB - BACKGROUND: Quantitative measurement of knee joint effusion by ultrasonography has not been well established; however, a categorical measurement (e.g., a >/=4-mm-deep suprapatellar pouch) is recommended. Therefore, the current study aimed to elucidate the association between symptoms of knee osteoarthritis (OA) and the quantitative measurement of suprapatellar effusion by ultrasonography. METHODS: One hundred twenty-seven volunteers participated (31 men and 96 women; mean age: 68.3 +/- 9.8 years; body mass index: 23.2 +/- 3.0 kg/m(2)). The Kellgren-Lawrence grades (KLGs) of both knees were assessed; all subjects had definitive osteoarthritic change (KLG >/=2) in both knee joints. Joint effusion was evaluated using an ultrasound probe, which was placed longitudinally on the suprapatellar pouch, and we determined the area (mm(2)) of the echo-free space. Then we summed the effusion area of both knees. All subjects answered the knee injury and osteoarthritis outcome scale (KOOS) questionnaire. Multiple linear regression analysis was conducted to elucidate the association between the summed value of the knee effusion area and the KOOS subscales, which were adjusted by age, sex, body mass index, and KLG. RESULTS: Of 254 knees, 180 were KLG 2, 57 were KLG 3, and 17 were KLG 4. The multiple regression models showed that the quantitative knee effusion area significantly correlated with the following KOOS subscales: pain (B = -0.057; beta = -0.253; P = 0.002), symptom (B = -0.053; beta = -0.251; P = 0.002), sport and recreation (B = -0.069; beta = -0.205; P = 0.007), and quality of life (B = -0.083; beta = -0.276; P = 0.001). CONCLUSION: In this cross-sectional study, the quantitative measurement of suprapatellar effusion by ultrasonography was associated with symptoms of radiographic knee OA. FAU - Chiba, Daisuke AU - Chiba D AD - Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. dachiba@hirosaki-u.ac.jp. AD - Department of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. dachiba@hirosaki-u.ac.jp. FAU - Tsuda, Eiichi AU - Tsuda E AD - Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. FAU - Maeda, Shugo AU - Maeda S AD - Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. FAU - Sasaki, Eiji AU - Sasaki E AD - Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. FAU - Takahashi, Ippei AU - Takahashi I AD - Department of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. FAU - Nakaji, Shigeyuki AU - Nakaji S AD - Department of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. FAU - Ishibashi, Yasuyuki AU - Ishibashi Y AD - Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20160804 PL - England TA - Arthritis Res Ther JT - Arthritis research & therapy JID - 101154438 SB - IM MH - Aged MH - Body Fluids/diagnostic imaging MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Osteoarthritis, Knee/*diagnostic imaging/*pathology MH - Ultrasonography/*methods PMC - PMC4973041 OTO - NOTNLM OT - Knee osteoarthritis OT - Knee symptoms OT - Suprapatellar effusion OT - Ultrasonography EDAT- 2016/08/05 06:00 MHDA- 2017/11/09 06:00 PMCR- 2016/08/04 CRDT- 2016/08/05 06:00 PHST- 2016/03/07 00:00 [received] PHST- 2016/07/15 00:00 [accepted] PHST- 2016/08/05 06:00 [entrez] PHST- 2016/08/05 06:00 [pubmed] PHST- 2017/11/09 06:00 [medline] PHST- 2016/08/04 00:00 [pmc-release] AID - 10.1186/s13075-016-1078-y [pii] AID - 1078 [pii] AID - 10.1186/s13075-016-1078-y [doi] PST - epublish SO - Arthritis Res Ther. 2016 Aug 4;18:181. doi: 10.1186/s13075-016-1078-y.