Roemer F (2019)
Publication Type: Journal article
Publication year: 2019
Book Volume: 32
Pages Range: 95-104
Journal Issue: 2
DOI: 10.1007/s00142-018-0237-3
Background Osteoarthritis (OA) is the most prevalent joint disorder and due to ageing of the society afurther increase in the OA incidence is expected in the next decades. Conventional radiographic X-ray analysis is still the simplest and most favorable radiological modality; however, shortcomings are observed particularly in monitoring the course of the disease. In recent years magnetic resonance imaging (MRI) has markedly deepened our understanding of the incidence and progression of the disease.ObjectiveThis article gives an overview of new developments in MRI-based study results on OA research in recent years.Material and methodsA comprehensive literature search and extraction of relevant studies were carried out.ResultsSeveral MRI-based procedures for assessment of OA of the knee joint are available, including semiquantitative, quantitative and compositional techniques. The use of MRI in recent years has essentially contributed to the understanding of the disease to change from the concept of cartilage wear and tear to amulti-tissue process. In particular, the close linkage between joint cartilage and subchondral bone has been recognized. Furthermore, multiple risk factors have been isolated, which are prognostic for progressive joint damage. These include malalignment, intrinsic tissue alterations, such as pathologies of the meniscus, focal chondral defects, ligament instability and subchondral bone marrow alterations.ConclusionWhereas for many years OA was considered a disease of the hyaline cartilage, this has considerably changed. Only MRI is able to visualize all joint structures with high resolution and without artifacts due to superimposition.
APA:
Roemer, F. (2019). Osteoarthritis of the knee joint. What new knowledge has been gained from MRI? Arthroskopie, 32(2), 95-104. https://doi.org/10.1007/s00142-018-0237-3
MLA:
Roemer, Frank. "Osteoarthritis of the knee joint. What new knowledge has been gained from MRI?" Arthroskopie 32.2 (2019): 95-104.
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