Varus–valgus laxity correlates with pain in osteoarthritis of the knee
Pain during osteoarthritis (OA) of the knee does not necessarily correlate with the severity of the radiographic grade, and the mechanism of pain has not been completely clarified. The purpose of this study was to evaluate risk factors for pain in the knee OA using epidemiologic analyses. We evaluat...
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| Published in | The knee Vol. 16; no. 1; pp. 30 - 32 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.01.2009
Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0968-0160 1873-5800 |
| DOI | 10.1016/j.knee.2008.09.003 |
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| Abstract | Pain during osteoarthritis (OA) of the knee does not necessarily correlate with the severity of the radiographic grade, and the mechanism of pain has not been completely clarified. The purpose of this study was to evaluate risk factors for pain in the knee OA using epidemiologic analyses.
We evaluated 518 out of 4183 people over the age of 40 (156 males and 362 females) from Shinyoshitomi village, Japan. Mean ages were 63.8 years for men and 60.7 years for women. Screening included a physical examination of the knee and a standing AP roentgenogram of the bilateral knee. Radiographic OA was defined as a Kellgren–Lawrence grade 2 or higher. All data were coded and pain risk factors were evaluated using a multiple logistic regression model.
Radiographic OA was observed in 18.4% of men and 26% of women. Of these subjects with OA, 10.9% of men and 32.5% of women complained of knee pain. Seven factors—age, gender, BMI, radiographic grade, varus–valgus laxity, torque of quadriceps muscles, and varus–valgus alignment—were evaluated as potential risk factors for pain. A significant increase in the odds ratio was observed with varus–valgus laxity (
p
=
0.005; odds ratio, 3.04). Our results suggest that varus–valgus laxity is a risk factor for pain during knee OA. |
|---|---|
| AbstractList | Pain during osteoarthritis (OA) of the knee does not necessarily correlate with the severity of the radiographic grade, and the mechanism of pain has not been completely clarified. The purpose of this study was to evaluate risk factors for pain in the knee OA using epidemiologic analyses.
We evaluated 518 out of 4183 people over the age of 40 (156 males and 362 females) from Shinyoshitomi village, Japan. Mean ages were 63.8 years for men and 60.7 years for women. Screening included a physical examination of the knee and a standing AP roentgenogram of the bilateral knee. Radiographic OA was defined as a Kellgren–Lawrence grade 2 or higher. All data were coded and pain risk factors were evaluated using a multiple logistic regression model.
Radiographic OA was observed in 18.4% of men and 26% of women. Of these subjects with OA, 10.9% of men and 32.5% of women complained of knee pain. Seven factors—age, gender, BMI, radiographic grade, varus–valgus laxity, torque of quadriceps muscles, and varus–valgus alignment—were evaluated as potential risk factors for pain. A significant increase in the odds ratio was observed with varus–valgus laxity (
p
=
0.005; odds ratio, 3.04). Our results suggest that varus–valgus laxity is a risk factor for pain during knee OA. Pain during osteoarthritis (OA) of the knee does not necessarily correlate with the severity of the radiographic grade, and the mechanism of pain has not been completely clarified. The purpose of this study was to evaluate risk factors for pain in the knee OA using epidemiologic analyses. We evaluated 518 out of 4183 people over the age of 40 (156 males and 362 females) from Shinyoshitomi village, Japan. Mean ages were 63.8 years for men and 60.7 years for women. Screening included a physical examination of the knee and a standing AP roentgenogram of the bilateral knee. Radiographic OA was defined as a Kellgren-Lawrence grade 2 or higher. All data were coded and pain risk factors were evaluated using a multiple logistic regression model. Radiographic OA was observed in 18.4% of men and 26% of women. Of these subjects with OA, 10.9% of men and 32.5% of women complained of knee pain. Seven factors--age, gender, BMI, radiographic grade, varus-valgus laxity, torque of quadriceps muscles, and varus-valgus alignment--were evaluated as potential risk factors for pain. A significant increase in the odds ratio was observed with varus-valgus laxity (p =0.005; odds ratio, 3.04). Our results suggest that varus-valgus laxity is a risk factor for pain during knee OA. Abstract Pain during osteoarthritis (OA) of the knee does not necessarily correlate with the severity of the radiographic grade, and the mechanism of pain has not been completely clarified. The purpose of this study was to evaluate risk factors for pain in the knee OA using epidemiologic analyses. We evaluated 518 out of 4183 people over the age of 40 (156 males and 362 females) from Shinyoshitomi village, Japan. Mean ages were 63.8 years for men and 60.7 years for women. Screening included a physical examination of the knee and a standing AP roentgenogram of the bilateral knee. Radiographic OA was defined as a Kellgren–Lawrence grade 2 or higher. All data were coded and pain risk factors were evaluated using a multiple logistic regression model. Radiographic OA was observed in 18.4% of men and 26% of women. Of these subjects with OA, 10.9% of men and 32.5% of women complained of knee pain. Seven factors—age, gender, BMI, radiographic grade, varus–valgus laxity, torque of quadriceps muscles, and varus–valgus alignment—were evaluated as potential risk factors for pain. A significant increase in the odds ratio was observed with varus–valgus laxity ( p = 0.005; odds ratio, 3.04). Our results suggest that varus–valgus laxity is a risk factor for pain during knee OA. Pain during osteoarthritis (OA) of the knee does not necessarily correlate with the severity of the radiographic grade, and the mechanism of pain has not been completely clarified. The purpose of this study was to evaluate risk factors for pain in the knee OA using epidemiologic analyses. We evaluated 518 out of 4183 people over the age of 40 (156 males and 362 females) from Shinyoshitomi village, Japan. Mean ages were 63.8 years for men and 60.7 years for women. Screening included a physical examination of the knee and a standing AP roentgenogram of the bilateral knee. Radiographic OA was defined as a Kellgren-Lawrence grade 2 or higher. All data were coded and pain risk factors were evaluated using a multiple logistic regression model. Radiographic OA was observed in 18.4% of men and 26% of women. Of these subjects with OA, 10.9% of men and 32.5% of women complained of knee pain. Seven factors-age, gender, BMI, radiographic grade, varus-valgus laxity, torque of quadriceps muscles, and varus-valgus alignment-were evaluated as potential risk factors for pain. A significant increase in the odds ratio was observed with varus-valgus laxity (p=0.005; odds ratio, 3.04). Our results suggest that varus-valgus laxity is a risk factor for pain during knee OA.Pain during osteoarthritis (OA) of the knee does not necessarily correlate with the severity of the radiographic grade, and the mechanism of pain has not been completely clarified. The purpose of this study was to evaluate risk factors for pain in the knee OA using epidemiologic analyses. We evaluated 518 out of 4183 people over the age of 40 (156 males and 362 females) from Shinyoshitomi village, Japan. Mean ages were 63.8 years for men and 60.7 years for women. Screening included a physical examination of the knee and a standing AP roentgenogram of the bilateral knee. Radiographic OA was defined as a Kellgren-Lawrence grade 2 or higher. All data were coded and pain risk factors were evaluated using a multiple logistic regression model. Radiographic OA was observed in 18.4% of men and 26% of women. Of these subjects with OA, 10.9% of men and 32.5% of women complained of knee pain. Seven factors-age, gender, BMI, radiographic grade, varus-valgus laxity, torque of quadriceps muscles, and varus-valgus alignment-were evaluated as potential risk factors for pain. A significant increase in the odds ratio was observed with varus-valgus laxity (p=0.005; odds ratio, 3.04). Our results suggest that varus-valgus laxity is a risk factor for pain during knee OA. |
| Author | Takasugi, Shin-ichiro Kawano, Tsutomu Manabe, Takashi Iwamoto, Yukihide Miura, Hiromasa |
| Author_xml | – sequence: 1 givenname: Hiromasa surname: Miura fullname: Miura, Hiromasa email: miura@ortho.med.kyushu-u.ac.jp organization: Department of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan – sequence: 2 givenname: Shin-ichiro surname: Takasugi fullname: Takasugi, Shin-ichiro organization: Department of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan – sequence: 3 givenname: Tsutomu surname: Kawano fullname: Kawano, Tsutomu organization: Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan – sequence: 4 givenname: Takashi surname: Manabe fullname: Manabe, Takashi organization: Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan – sequence: 5 givenname: Yukihide surname: Iwamoto fullname: Iwamoto, Yukihide organization: Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan |
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| CitedBy_id | crossref_primary_10_1007_s11845_024_03780_9 crossref_primary_10_1016_j_joca_2015_10_013 crossref_primary_10_1371_journal_pone_0147496 crossref_primary_10_1186_s12891_025_08452_y crossref_primary_10_1016_j_jbiomech_2023_111891 crossref_primary_10_1589_jpts_29_996 crossref_primary_10_1097_AJP_0b013e31823ae18f crossref_primary_10_1002_jor_23026 crossref_primary_10_1097_MD_0000000000000736 crossref_primary_10_1142_S0219519414500791 crossref_primary_10_1016_j_knee_2017_06_004 crossref_primary_10_5114_reum_2019_89519 |
| Cites_doi | 10.1001/jama.286.2.188 10.1097/00003086-200006000-00022 10.1136/ard.49.10.768 10.1177/03635465020300031801 10.1002/art.1790080311 10.1093/rheumatology/35.2.146 10.1097/00003086-199809000-00022 10.1136/ard.16.4.494 10.1016/j.pain.2007.03.014 10.1002/art.20657 10.1002/0470867639.ch12 10.2106/00004623-198971030-00027 10.1002/art.22515 10.1002/art.20825 10.1097/00003086-199711000-00029 10.1016/S1063-4584(05)80323-1 10.1002/1529-0131(200008)13:4<191::AID-ANR3>3.0.CO;2-C 10.1093/rheumatology/35.6.560 10.2106/JBJS.D.02787 10.1016/S0304-3959(00)00296-7 10.1002/1529-0131(199905)42:5<861::AID-ANR4>3.0.CO;2-N 10.1080/030097402317255309 10.1097/00003086-198702000-00024 10.1097/01.bor.0000172800.49120.97 |
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| Keywords | Knee Varus–valgus laxity Pain Osteoarthritis Risk factor |
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| SubjectTerms | Aged Cohort Studies Female Humans Joint Instability - complications Joint Instability - diagnostic imaging Knee Male Middle Aged Odds Ratio Orthopedics Osteoarthritis Osteoarthritis, Knee - complications Osteoarthritis, Knee - diagnostic imaging Pain Pain - etiology Radiography Risk factor Varus–valgus laxity |
| Title | Varus–valgus laxity correlates with pain in osteoarthritis of the knee |
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