Osteoarthritis

Associations between magnetic resonance imaging (MRI) features and pain in first metatarsophalangeal joint osteoarthritis

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

MRI-detected bone marrow lesions in the first metatarsal head and cartilage loss are associated with pain severity in first MTP joint OA.

Study context

Population
Participants aged 36 to 74 years (mean [SD] = 57.5 [8.8]) with first metatarsophalangeal (MTP) joint osteoarthritis (OA) enrolled in two randomised trials
Participants
80 participants
Outcome
Association of MRI features with pain severity (VAS)
Methodological detailsbaseline data from two randomised trials, multivariable linear regression, exploratory stepwise forward-selection
  • Baseline data from two randomised trials
  • Multivariable linear regression
  • Exploratory stepwise forward-selection

Main finding

As reported in the abstract

First metatarsal head bone marrow lesions (involving >66% of the first metatarsal head) associated with pain severity, adjusted analysis
p = 0.025
First metatarsal head bone marrow lesions associated with pain severity, stepwise analysis
p = 0.039
Cartilage loss associated with pain severity, stepwise analysis
p = 0.047

Observational data: associations, not effects.

Original publication

Associations between MRI features and pain in first metatarsophalangeal joint osteoarthritis. Semin Arthritis Rheum. Published 18 June 2026. doi:10.1016/j.semarthrit.2026.153029

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