Features of pathological changes of fibro-cartilaginous tissue knee in patients with Baker cyst
https://doi.org/10.20862/0042-4676-2016-97-5-274-282
Abstract
Objective: using magnetic resonance imaging (MRI) to evaluate the characteristics of pathological changes of fibro-cartilage of the knee in patients with Baker cyst, to assess the compliance of degrees of damage stages of osteoarthritis on a scale of Kellgren–Lawrence (K–L), and compare the results with the data of other researchers.
Material and methods. This study included patients (38–82 years) with a cyst Baker accidentally detected during ultrasound veins of the lower extremities. The subjects underwent a single knee MRI. MRI was made in three dimensions using 3D gradient-echo protocol. Independent radiologist evaluated the presence and severity of chondral defect osteophytosis, damage to the menisci and ligaments, intraosseous edema and subchondral cysts. The osteoarthritis stage of the knee were identified by X-ray performed in a standing position in the standard two projections, with K–L scale.
Results. In this study, the results of a survey of 20 people, whose average age was 57.2 years. According to the radiological scale of K–L two patients were assigned to the stage 0 degree, 5 people to stage 1, 2, 4 each, and 3 – to stage 3. Synovitis of various severity was detected in 85% of the studies. Nineteen visualized the patellar cartilage damage, the condyles of the femur and tibia are most commonly affects the joint area. Among the most commonly injured ligament anterior cruciate ligament was determined – 9 (45%) patients in the same amount of detected intramedullary edema condyles femur and tibia. Eighteen subjects had at least one anomaly meniscus detectable by MRI, while in 11 (55%) persons were deviations, at least two or more regions of the knee examined.
Conclusions. Our results suggest that not all visualized on MRI degenerative damage to intra fibro-cartilaginous tissue correlate positively with the stages of osteoarthritis of the knee, identified by standard radiographs and may not significantly affect the onset and progression of synovial cyst of the popliteal region.
About the Authors
S. A. Chernyad'ev
Ural State Medical University, Ministry of Health of the Russia, ul. Repina, 3, Ekaterinburg, 620000, Russian Federation;
Russian Federation
MD, PhD, DSc, Professor, Head of Department of Surgical Diseases
Russian Federation
MD, PhD, DSc, Professor, Head of Department of Surgical Diseases
A. I. Chernookov
Center of Phlebology, pereulok Sivtsev Vrazhek, 45, stroenie 1, Moscow, 119002, Russian Federation;
Russian Federation
MD, PhD, DSc, Professor, Supervisor
Russian Federation
MD, PhD, DSc, Professor, Supervisor
E. A. Grebenev
Sverdlovsk Regional Oncology Center, ul. Soboleva, 29, Ekaterinburg, 620000, Russian Federation;
Russian Federation
MD, PhD, Deputy Chief Physician of Radiodiagnostics
Russian Federation
MD, PhD, Deputy Chief Physician of Radiodiagnostics
N. I. Sivkova
Ural Federal University named after the first President of Russia B.N. Yeltsin,
ul. Mira, 19, Ekaterinburg, 620002, Russian Federation
Russian Federation
PhD in Soc. Sci, Associate Professor of Department of Political Sciences;
Russian Federation
PhD in Soc. Sci, Associate Professor of Department of Political Sciences;
A. V. Zhilyakov
Regional Specialized Medical Rehabilitation Center "Ozero Chusovskoe", poselok Chusovskoe Ozero, ul. Mira, 1, Ekaterinburg, 620053, Russian Federation
Russian Federation
MD, PhD, Surgeon Arthrology
Russian Federation
MD, PhD, Surgeon Arthrology
D. A. Babushkin
Ural State Medical University, Ministry of Health of the Russia, ul. Repina, 3, Ekaterinburg, 620000, Russian Federation;
Russian Federation
MD, PhD, Associate Professor of Department of Surgical Diseases, Surgeon
Russian Federation
MD, PhD, Associate Professor of Department of Surgical Diseases, Surgeon
N. Yu. Korobova
Ural State Medical University, Ministry of Health of the Russia, ul. Repina, 3, Ekaterinburg, 620000, Russian Federation;
Russian Federation
Russian Federation
Assistant Department of Surgical Diseases, Phlebologist Surgeon
O. A. Vinogradov
Center of Phlebology, pereulok Sivtsev Vrazhek, 45, stroenie 1, Moscow, 119002, Russian Federation;
Russian Federation
Russian Federation
MD, PhD, Surgeon, Branch Manager of Center of Phlebology
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Review
For citations:
Chernyad'ev S.A., Chernookov A.I., Grebenev E.A., Sivkova N.I., Zhilyakov A.V., Babushkin D.A., Korobova N.Yu., Vinogradov O.A. Features of pathological changes of fibro-cartilaginous tissue knee in patients with Baker cyst. Journal of radiology and nuclear medicine. 2016;97(5):274-282. (In Russ.) https://doi.org/10.20862/0042-4676-2016-97-5-274-282
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