Knee pain reduces joint space width in conventional standing anteroposterior radiographs of osteoarthritic knees

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Anteroposterior radiographs of the osteoarthritic knee.

Destruction of the articular cartilage is the first change seen on gross examination of the knee in osteoarthritis. Weight-bearing radiographs are conventionally taken with the knee in full extension. Biomechanical studies have shown, however, that the major contact stresses in the femorotibial articulation occur when the knee is flexed about 28 degrees. Arthroscopy has confirmed that cartilage...

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Osteoarthritis of the hip: agreement between joint space width measurements on standing and supine conventional radiographs.

OBJECTIVE To assess the effect of standing position on joint space width (JSW) measurements of the hips with and without osteoarthritis (OA) on pelvic radiographs. METHODS Adult patients aged 18 or more had pelvic anteroposterior conventional radiographs standing and supine performed by a single radiologist in the same radiology unit according to standardised guidelines. JSW measurements in m...

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Accuracy and precision of joint space width measurements in standard and macroradiographs of osteoarthritic knees.

OBJECTIVES To improve the reproducibility and accuracy of joint space width (JSW) measurement as an assessment of cartilage loss in patients with osteoarthritis (OA) of the knee by determining how precision and accuracy of JSW measurement were altered by a computerised method of measurement, correction for radiographic magnification, radiography of the knee in the standing semiflexed view, and ...

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Joint Proprioception in Normal and Osteoarthritic Knees

The worldwide increase in the elderly population is the most important change as per the public health statistics for 21st century [1]. It is being estimated that the number of people over the age of 65 will be doubled in the next 20 years [2]. Consequently, osteoarthritis (OA) and similar diseases that are more frequently encountered in advancing years become much more important from both medi...

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The one-leg standing radiograph

OBJECTIVES The purpose of this study was to compare the joint space width between one-leg and both-legs standing radiographs in order to diagnose a primary osteoarthritis of the knee. METHODS Digital radiographs of 100 medial osteoarthritic knees in 50 patients were performed. The patients had undergone one-leg standing anteroposterior (AP) views by standing on the affected leg while a both-l...

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ژورنال

عنوان ژورنال: Arthritis & Rheumatism

سال: 2002

ISSN: 0004-3591,1529-0131

DOI: 10.1002/art.10256