Osteoarthritis and Knee Pain
Authors: David T. Felson, Daniel Gale
Journal: Annals of Internal Medicine (2002)

Letters16 April 2002Osteoarthritis and Knee PainDavid T. Felson and Daniel GaleDavid T. FelsonBoston University Arthritis Center; Boston, MA 02118 (Felson)Boston Veterans Affairs Medical Center; Boston, MA 02130 (Gale)Search for more papers by this author and Daniel GaleBoston University Arthritis Center; Boston, MA 02118 (Felson)Boston Veterans Affairs Medical Center; Boston, MA 02130 (Gale)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-136-8-200204160-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:To respond to the questions posed, first, we did not count any cysts as marrow edema lesions, even though cysts are often contained within these lesions. We scored edema lesions alone.Second, the consensus way of defining osteoarthritis, according to the American College of Rheumatology (1) and to a large number of epidemiologic studies (2), is to use osteophytosis as the criterion. Joint space narrowing, although carefully assessed in our study, can be hard to characterize definitively and may sometimes represent thinning cartilage caused by age and not disease. We believe our definition of osteoarthritis as osteophytosis is ...References1. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al . Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986;29:1039-49. [PMID: 3741515] CrossrefMedlineGoogle Scholar2. Lanyon P, O'Reilly S, Jones A, Doherty M. Radiographic assessment of symptomatic knee osteoarthritis in the community: definitions and normal joint space. Ann Rheum Dis. 1998;57:595-601. [PMID: 9893570] CrossrefMedlineGoogle Scholar3. Arnoldi CC, Djurhuus JC, Heerfordt J, Karle A. Intraosseous phlebography, intraosseous pressure measurements and 99mTc-polyphosphate scintigraphy in patients with various painful conditions in the hip and knee. Acta Orthop Scand. 1980;51:19-28. [PMID: 7376840] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: David T. Felson; Daniel GaleAffiliations: Boston University Arthritis Center; Boston, MA 02118 (Felson)Boston Veterans Affairs Medical Center; Boston, MA 02130 (Gale) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Association of Bone Marrow Lesions with Pain in Knee Osteoarthritis David T. Felson , Christine E. Chaisson , Catherine L. Hill , Saara M.S. Totterman , M. Elon Gale , Katherine M. Skinner , Lewis Kazis , and Daniel R. Gale Osteoarthritis and Knee Pain Peter A. Simkin Metrics Cited byWertigkeit der radiologischen Bildgebung beim Kniegelenk für den Orthopäden 16 April 2002Volume 136, Issue 8Page: 630KeywordsBoneBone marrowEdemaFatsHypertensionKneesLesionsOsteoarthritisRheumatologyWalking ePublished: 16 April 2002 Issue Published: 16 April 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...