Osteoarthritis is a group of different diseases with similar manifestations, which are based on the defeat of all of the joint parts (primarily of cartilage and subchondral bone, synovium, ligaments capsule) and periarticular muscles. The purpose of the study is to characterize cartilage structure and periarticular changes of tissue by means of ultrasound and magnetic resonance imaging without X-ray verification of osteoarthritis. Thirty eight patients with X-ray negative stage of osteoarthritis were ex-amined by ultrasound and magnetic resonance imaging. Pathological changes were detected in majority of the patients. The edema of soft tissue, exudate, changes in ligaments, deformation of joint surface were revealed in 71-74%, 11-37%, 76-68% and 58-68% of patients respectively. In general, pathological changes tended to be revealed on magnetic resonance imaging more frequently comparatively to ultrasound examination. Both ultrasound examination and magnetic resonance imaging are comprehensive methods for early detection of knee osteoarthritis. The prognostic value of the changes is to be evaluated.
osteoathritis, magnetic resonance imaging, ultrasound examination, knee joints
Остеоартроз (ОА) – группа заболеваний различной этиологии со сходными проявлениями, в основе которых лежит поражение всех частей сустава (в первую очередь – хряща, а также субхондральной кости, синовиальной оболочки, связок, капсулы) и околосуставных мышц [6].
1. Alekseeva L.I. Sovremennye predstavleniya o diagnostike i lechenii osteoartroza. Russkiy meditsinskiy zhurnal. 2012. N9(8). S. 48-52.
2. Benevolenskaya L.I., Brzhezovskiy M.M. Epidemiologiya revmatiche-skikh bolezney. Moskva: Meditsina, 2012. 237 s.
3. Bunchuk N.V. Differentsial´nyy diagnoz osteoartroza kolennogo sustava. Consilium medicum. 2013. N 2. S. 84-90.
4. Vasil´ev A.Yu. Ul´trazvukovoe issledovanie v otsenke sostoyaniya kolennogo sustava pri deformiruyushchem osteoartroze. Lechashchiy vrach. 2012. N8. S. 55-58.
5. Nasonov E.L., Nasonova V.A. Revmatologiya: natsional´noe rukovo-dstvo. Moskva: GEOTAR-Media. 2008. 720 s.
6. Nasonova V.A. Spravochnik po revmatologii. Moskva: Media, 2012. 238 s.
7. Smirnov A.V. Rentgenologicheskaya diagnostika pervichnogo ideopaticheskogo osteoartroza. Russkiy meditsinskiy zhurnal. 2011. T. 9. № 7-8. S. 294-298.
8. Tsurko V.V. Osteoartroz: klinicheskie formy i osobennosti techeniya sustavnogo sindroma. Vrach. 2012. N 9. S. 16-19.
9. Development of criteria for the classification and reporting of osteoarthritis / Altman R. [et al.]// Arthritis Rheumatology. 1986. V 29. P. 1039-1049.
10. Measurement of feelings using visual analogue scales / Aitken R. [et al.] //Proceedings of the Royal Society of Medicine. 1969. V. 62. P. 989-993
11. Bredella M.A., Shasman L. I., Peterfy C.G. Osteoarthritis new in-sights. Part 1: the disease and its risk factors.. Ann Intern Med. 2011. V. 133. P. 637-639.
12. Osteoarthritis may lead to disability of patients / Gomez-Reino J., Keystone E. [et al.]// Journal of European Rheumatologists. 2011. V 21. P. 25.
13. Scher C., Craig J., Nelson F. Pathophysiology of osteoarthrosis and association with total knee arthroplasty within a three-year follow-up. Skeletal Radiology. 2008. V. 37. P. 609-617.
