Osteoarthritis

Intra‐Articular Mineralization on Computerized Tomography of the Knee and Risk of Cartilage Damage: The Multicenter Osteoarthritis Study

Arthritis RheumatolPublished Prospective cohort study

Main finding · Cartilage worsening on MRI (any increase in MRI OA Knee Score, incl. incident damage)Result — go to the resultRelative risk 1.39 95% CI 1.04–1.88

Authors' conclusion

CT-detected IA mineralization in the cartilage was associated with higher risk of MRI cartilage worsening in the same compartment and subregion over two years.

Study context

Population
Participants from the Multicenter Osteoarthritis Study with knee computed tomography (CT) and magnetic resonance imaging (MRI) scans (mean age 60 years, 56% female, mean body mass index (BMI) 29)
Participants
1,673 participants
Exposure
Intra-articular (IA) mineralization on knee CT vs none
Outcome
Cartilage worsening on MRI (any increase in the MRI osteoarthritis (OA) Knee Score, including incident damage) in the corresponding locations
Follow-up
Two years'
Methodological detailsmulticentre, binomial regression with generalized estimating equations, adjusted for age, sex and BMI
  • Multicentre
  • Binomial regression with generalized estimating equations
  • Adjusted for age, sex and BMI

Main finding

As reported in the abstract

Cartilage worsening on MRI (any increase in MRI OA Knee Score, incl. incident damage) · 2 years

Relative risk

1.39

95% CI 1.04–1.88

IA mineralization on knee CT (Boston University Calcium Knee Score >0)vs none
RR 1.39 (95% CI 1.04–1.88)

Observational data: associations, not effects.

Original publication

Intra‐Articular Mineralization on Computerized Tomography of the Knee and Risk of Cartilage Damage: The Multicenter Osteoarthritis Study. Arthritis Rheumatol. Published 2 April 2024. doi:10.1002/art.42832

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