Do NSAIDs Affect Longitudinal Changes in Knee Cartilage Volume and Knee Cartilage Defects in Older Adults?

2009 ◽  
Vol 122 (9) ◽  
pp. 836-842 ◽  
Author(s):  
Changhai Ding ◽  
Flavia Cicuttini ◽  
Graeme Jones
2014 ◽  
Vol 75 (3) ◽  
pp. 519-525 ◽  
Author(s):  
Xia Wang ◽  
Leigh Blizzard ◽  
Andrew Halliday ◽  
Weiyu Han ◽  
Xingzhong Jin ◽  
...  

ObjectiveTo describe the cross-sectional and longitudinal associations between knee regional effusion-synovitis and structural changes in older adults.MethodsA total of 977 subjects were randomly selected from the local community (mean 62 years, 50% female) at baseline and 404 were followed up 2.6 years later. T2-weighted MRI was used to assess knee effusion-synovitis in four subregions: suprapatellar pouch, central portion, posterior femoral recess and subpopliteal recess. Knee cartilage defects, cartilage volume and bone marrow lesions (BMLs) were measured using MRI at baseline and follow-up.ResultsCross-sectionally, effusion-synovitis in most subregions was significantly associated with a higher risk of cartilage defects, BMLs and reduced cartilage volume. Longitudinally, suprapatellar pouch effusion-synovitis at baseline predicted an increase in cartilage defects (p<0.01), loss of cartilage volume (p=0.04) and an increase in BMLs (p=0.02) in multivariable analyses. The significant associations of effusion-synovitis with cartilage volume and BMLs disappeared after adjustment for cartilage defects. Effusion-synovitis in whole knee joint (p<0.01) and subpopliteal recess (p<0.05) was consistently associated with longitudinal changes in cartilage defects but not in cartilage volume and BMLs.ConclusionsThere are independent associations between knee joint effusion-synovitis and knee cartilage defects in both cross-sectional and longitudinal analyses, suggesting a potential causal relationship. The associations of effusion-synovitis with BMLs and cartilage volume were largely dependent on cartilage defects, suggesting potential causal pathways.


Rheumatology ◽  
2004 ◽  
Vol 43 (6) ◽  
pp. 765-769 ◽  
Author(s):  
F. Cicuttini ◽  
A. Wluka ◽  
S. Davis ◽  
B. J. G. Strauss ◽  
S. Yeung ◽  
...  

2020 ◽  
Vol 50 (2) ◽  
pp. 192-197
Author(s):  
Tao Meng ◽  
Benny Antony ◽  
Alison Venn ◽  
Brooklyn Fraser ◽  
Flavia Cicuttini ◽  
...  

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