Cui Wenfang, Zhang Fuwang
Department of Ultrasound, The First People's Hospital of Jiashan, China.
J Musculoskelet Neuronal Interact. 2025 Sep 1;25(3):283-288. doi: 10.22540/JMNI-25-283.
This study aimed to evaluate the diagnostic value of musculoskeletal ultrasound in patients with knee osteoarthritis (KOA) and to assess its correlation with pain stratification, with the goal of supporting early diagnosis and personalized pain management in KOA.
A total of 128 patients with KOA were retrospectively selected. Based on their visual analogue scale (VAS) scores, the patients were categorized into mild, moderate, and severe KOA groups. Line charts and histograms were used to illustrate the distribution and variation of pain levels and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. Scatter plots were generated to analyze the correlation between musculoskeletal ultrasound findings and pain scores.
Preliminary analysis revealed a significant correlation between ultrasound findings and both VAS and WOMAC scores (P < 0.05). Line charts demonstrated an upward trend in VAS scores with increasing pain severity. Histograms indicated significant differences in the distribution of WOMAC scores across different pain stratification levels.
Musculoskeletal ultrasound demonstrates strong diagnostic value in KOA and shows a significant correlation with pain stratification. This non-invasive imaging modality may serve as an effective clinical tool for individualized pain assessment and informed treatment planning.
本研究旨在评估肌肉骨骼超声对膝骨关节炎（KOA）患者的诊断价值，并评估其与疼痛分层的相关性，以支持KOA的早期诊断和个性化疼痛管理。
回顾性选取128例KOA患者。根据视觉模拟评分法（VAS）得分，将患者分为轻度、中度和重度KOA组。使用线图和直方图来说明疼痛水平和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）得分的分布及变化。绘制散点图以分析肌肉骨骼超声检查结果与疼痛评分之间的相关性。
初步分析显示超声检查结果与VAS和WOMAC评分均存在显著相关性（P < 0.05）。线图显示随着疼痛严重程度增加，VAS得分呈上升趋势。直方图表明不同疼痛分层水平的WOMAC评分分布存在显著差异。
肌肉骨骼超声在KOA中具有较强的诊断价值，且与疼痛分层显著相关。这种非侵入性成像方式可作为个性化疼痛评估和明智治疗计划制定的有效临床工具。
