Mosalem Douaa M, Alghunaim Shothour M, Shehab Diaa K, Baqer Ayyoub B, Alfeeli Aziz K, Ahmed Mohieldin M
Physical Medicine and Rehabilitation Departments, Al-Razi Hospital, Kuwait.
Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.
Open Access Maced J Med Sci. 2018 Sep 18;6(9):1599-1605. doi: 10.3889/oamjms.2018.237. eCollection 2018 Sep 25.
To our knowledge, the importance of US findings, pain (brief pain inventory (BPI)) and disability in osteoarthritic knee (OA) pain patients remain uncertain.
The objectives are to evaluate the correlation of US findings, pain (brief pain inventory (BPI)) and disability in OA pain patients.
Eighty - three patients with OA knee were divided into two groups. The first group was OA as symptomatic knee group and the second group was an asymptomatic control group. The maximum sagittal height of synovial fluid in 12 scans at 0, 30, 60 and 90 degrees flexion knee in 3 major recesses were measured.
There were a significant positive correlation between BPI Pain severity index, or BPI function interference index and a maximum height of effusion at 30-degree flexion angle in a supra-patellar recess in painful symptomatic knees. But, there was a significant negative correlation between BPI Pain severity index, and BPI function interference index and cartilage thickness in painful symptomatic knees.
The increase of maximum height of synovial effusion at different angles of knee and decrease of cartilage thickness associated with pain and disability in OA pain patients and are being predictors for pain severity and disability in OA pain patients.
据我们所知，超声检查结果、疼痛（简明疼痛量表（BPI））以及骨关节炎性膝关节（OA）疼痛患者的功能障碍的重要性仍不明确。
本研究旨在评估骨关节炎性膝关节疼痛患者的超声检查结果、疼痛（简明疼痛量表（BPI））以及功能障碍之间的相关性。
83例膝骨关节炎患者被分为两组。第一组为有症状的膝关节OA组，第二组为无症状对照组。测量膝关节在0°、30°、60°和90°屈曲时3个主要凹陷处12次扫描中滑膜液的最大矢状高度。
在有症状的疼痛膝关节中，髌上囊在30°屈曲角度时，BPI疼痛严重程度指数或BPI功能干扰指数与积液最大高度之间存在显著正相关。但是，在有症状的疼痛膝关节中，BPI疼痛严重程度指数和BPI功能干扰指数与软骨厚度之间存在显著负相关。
骨关节炎性膝关节疼痛患者在不同膝关节角度时滑膜积液最大高度的增加以及软骨厚度的减少与疼痛和功能障碍相关，并且是骨关节炎性膝关节疼痛患者疼痛严重程度和功能障碍的预测指标。
