Osteoarthritis

Association between synovial tissue damage and pain in late-stage knee osteoarthritis: A cross-sectional study

Osteoarthritis CartilagePublished Cross-sectional study

Authors' conclusion

Synovial tissue damage is associated with pain in late-stage knee OA, independent from inflammation and radiographic damage.

Study context

Population
Patients undergoing surgery for painful late-stage (Kellgren-Lawrence Grade 3 or 4) knee osteoarthritis (OA)Ultrasound (US) measures in 118
Participants
122 patients
Exposure
Histopathological features of synovial inflammation vs synovial tissue damage, related to US synovitis and pain
Outcome
Associations of histopathological synovial inflammation and tissue damage with US synovitis and pain (KOOS)
Methodological detailslinear or logistic regression controlling for covariates
  • Linear or logistic regression controlling for covariates

Main finding

As reported in the abstract

Histopathological inflammation and moderate/severe US synovitis, OR

1.34

95% CI 1.04, 1.74

Synovial tissue damage and moderate/severe US synovitis, OR

0.77

95% CI 0.57, 1.03

Worse synovial tissue damage scores and pain (KOOS; more pain), estimate

−1.47

95% CI −2.88, −0.05

Synovial tissue damage and pain, adjusted for synovial inflammation, estimate

−1.61

95% CI −3.12, −0.10

Observational data: associations, not effects.

Original publication

Association between synovial tissue damage and pain in late-stage knee osteoarthritis: A cross-sectional study. Osteoarthritis Cartilage. Published 4 July 2024. doi:10.1016/j.joca.2024.06.015

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