Classification Criteria For Early Knee Osteoarthritis: A Review Article

Abstract

Objective The aim of this systematic review (SR) was to define the “state of the art” on classification criteria for early knee osteoarthritis (EKOA).

Methods A systematic review was performed using MEDLINE (Pubmed), Web of Science, Scopus, EMBASE, PEDro, CINAHL and Google scholar databases. Two independent reviewers conducted the eligibility review. Any type of study that proposed diagnostic criteria of EKOA was included.

Results Seven articles were included according to the inclusion criteria. The evidence presented in this SR shows that there is still no consensus regarding definition and classification of EKOA. At present, there are seven different proposals in the scientific literature, and they only agree on including knee pain and radiographic evaluation in their criteria, but they do not even consider the same situations for including these two factors.

Conclusion There is still no consensus regarding definition and classification of EKOA. Knee pain and radiological assessment seem to be the most commonly used criteria, but due to the variability encountered, it is not possible to reach a consensus on a clear definition and diagnosis of EOKA.

Key words

diagnosis criteria - early osteoarthritis - knee osteoarthritis

Schlüsselwörter

Diagnosekriterien - Arthrose im Knie - Arthrose im Frühstadium

• References

• 1 Iolascon G, Gimigliano F, Moretti A. et al. Early osteoarthritis: How to define, diagnose, and manage. A systematic review. Eur Geriatr Med 2017; 8: 383-396
• 2 Altman R, Asch E, Bloch D. et al Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee. Arthritis Rheum [Internet] 1986; 29: 1039-1049 Available from: https://pubmed.ncbi.nlm.nih.gov/3741515/
• 3 Zhang W, Doherty M, Peat G. et al EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Ann Rheum Dis [Internet] 2010; 69: 483-489 Available from: https://pubmed.ncbi.nlm.nih.gov/19762361/
• 4 Conaghan P, Birrel F, Porcheret M. et al Osteoarthritis: care and management in adults. Clinical guideline 177. Natl Clin Guidel Cent [Internet] 2014; 1-498 Available from: https://www.ncbi.nlm.nih.gov/books/NBK248069/
• 5 Kanamoto T, Mae T, Yokoyama T. et al. Significance and definition of early knee osteoarthritis. Ann Jt 2020; 5: 4-4
• 6 Rondanelli M, Braschi V, Gasparri C. et al Effectiveness of Non-Animal Chondroitin Sulfate Supplementation in the Treatment of Moderate Knee Osteoarthritis in a Group of Overweight Subjects: A Randomized, Double-Blind, Placebo-Controlled Pilot Study. Nutrients 2019; 11: 2027
• 7 Im GI. The Concept of Early Osteoarthritis and Its Significance in Regenerative Medicine. Tissue Eng Regen Med. 2022; 19: 431-436 Epub 2022 Mar 4 PMID: 35244885; PMCID: PMC9130436.
• 8 Luyten FP, Denti M, Filardo G. et al Definition and classification of early osteoarthritis of the knee. Knee Surgery, Sport Traumatol Arthrosc [Internet] 2012; 20: 401-406 Available from: https://pubmed.ncbi.nlm.nih.gov/22068268/
• 9 Kanamoto T, Mae T, Yokoyama T. et al Significance and definition of early knee osteoarthritis. Ann Jt [Internet] 2020; 5: 4-4 Available from: http://aoj.amegroups.com/article/view/5432/html
• 10 Migliore A, Scirè CA, Carmona L. et al The challenge of the definition of early symptomatic knee osteoarthritis: a proposal of criteria and red flags from an international initiative promoted by the Italian Society for Rheumatology. Rheumatol Int [Internet] 2017; 37: 1227-1236 Available from: https://pubmed.ncbi.nlm.nih.gov/28451793/
• 11 Liberati A, Altman DG, Tetzlaff J. et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med 2009; 151: W65-W94
• 12 Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions Cochrane Book Series. 2008
• 13 Muaidi QI. Rehabilitation of patellar tendinopathy. Journal of musculoskeletal & neuronal interactions 2020; 20: 535-540
• 14 Hong E, Kraft MC. Evaluating anterior knee pain. The Medical clinics of North America 2014; 98: 697-xi
• 15 Luyten FP, Bierma-Zeinstra S, Dell’Accio F. et al Toward classification criteria for early osteoarthritis of the knee. Semin Arthritis Rheum [Internet] 2018; 47: 457-463 Available from: https://pubmed.ncbi.nlm.nih.gov/28917712/
• 16 Mahmoudian A, Lohmander LS, Jafari H. et al Towards classification criteria for early-stage knee osteoarthritis: A population-based study to enrich for progressors. Semin Arthritis Rheum [Internet] 2021; 51: 285-291 Available from: https://pubmed.ncbi.nlm.nih.gov/33433364/
• 17 Emery CA, Whittaker JL, Mahmoudian A. et al Establishing outcome measures in early knee osteoarthritis. Nat Rev Rheumatol [Internet] 2019; 15: 438-448 Available from: https://pubmed.ncbi.nlm.nih.gov/31201386/
• 18 Runhaar J, Kloppenburg M, Boers M. et al Towards developing diagnostic criteria for early knee osteoarthritis: data from the CHECK study. Rheumatology [Internet] 2020; 60: 2448-2455 Available from: https://academic.oup.com/rheumatology/article/60/5/2448/6007761
• 19 Malempati C, Jacobs CA, Lattermann C. The Early Osteoarthritic Knee: Implications for Cartilage Repair [Internet]. Vol. 36, Clinics in Sports Medicine. W.B. Saunders; 2017: 587-596 Available from: https://pubmed.ncbi.nlm.nih.gov/28577714/
• 20 Lim YZ, Wang Y, Wluka AE. et al Association of obesity and systemic factors with bone marrow lesions at the knee: A systematic review. Semin Arthritis Rheum [Internet] 2014; 43: 600-612 Available from: https://pubmed.ncbi.nlm.nih.gov/24287353/
• 21 Favero M, Ramonda R, Goldring MB. et al. Early knee osteoarthritis [Internet]. Vol. 1, RMD Open. BMJ Publishing Group; 2015. Available from: pmc/articles/PMC4632144/
• 22 Uchio Y. Early knee osteoarthritis – definition, pathogenesis, diagnosis, treatment, and prevention. Ann Jt [Internet] 2019; 4: 35-35 Available from: https://aoj.amegroups.com/article/view/5354/html
• 23 Décary S, Ouellet P, Vendittoli PA. et al. Reliability of physical examination tests for the diagnosis of knee disorders: Evidence from a systematic review [Internet]. Vol. 26, Manual Therapy. Churchill Livingstone; 2016: 172-182 Available from: https://pubmed.ncbi.nlm.nih.gov/27697691/
• 24 Collins NJ, Prinsen CAC, Christensen R. et al. Knee Injury and Osteoarthritis Outcome Score (KOOS): systematic review and meta-analysis of measurement properties [Internet]. Vol. 24, Osteoarthritis and Cartilage. W.B. Saunders Ltd; 2016: 1317-1329 Available from https://pubmed.ncbi.nlm.nih.gov/27012756/
• 25 Baert IAC, Staes F, Truijen S. et al Weak associations between structural changes on MRI and symptoms, function and muscle strength in relation to knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc [Internet] 2014; 22: 2013-2025 Available from: https://pubmed.ncbi.nlm.nih.gov/23377800/
• 26 Kellgren JH, Lawrance JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis [Internet] 1957; 16: 494-502 Available from: https://pubmed.ncbi.nlm.nih.gov/13498
• 27 Sukerkar PA, Doyle Z. Imaging of Osteoarthritis of the Knee. Radiologic clinics of North America 2022; 60: 605-616
• 28 Lee LS, Chan PK, Fung WC. et al. Imaging of knee osteoarthritis: A review of current evidence and clinical guidelines. Musculoskeletal care 2021; 19: 363-374