Baker's cysts in knees with chronic osteoarthritic pain: a clinical, ultrasonographic, radiographic and scintigraphic evaluation
Baker's cysts in knees with chronic osteoarthritic pain: a clinical, ultrasonographic, radiographic and scintigraphic evaluation
复制标题
DOI：
10.1007/s00296-008-0639-z
复制
发表时间：
2008-12-01
影响因子：
4
通讯作者：
Arsos, Georgios
中科院分区：
文献类型：
--
作者：
Chatzopoulos, Dimitrios;Moralidis, Efstratios;Arsos, Georgios
本研究旨在确定患有慢性骨关节炎疼痛的膝盖中贝克氏囊肿的超声患病率，并调查囊肿与闪烁扫描确定的滑膜炎的相关性和关系。患有慢性骨关节炎膝关节疼痛的患者连续接受了临床检查、X射线、超声检查和早期骨闪烁扫描。在 328 个患有慢性骨关节炎疼痛的膝关节中检测到 89 个贝克氏囊肿 (27%)，而在 54 个非骨关节炎膝关节中检测到 1 个囊肿 (2%，P < 0.001)。在 72/195 (37%) 膝骨关节炎患者中检测到贝克氏囊肿。早期骨闪烁扫描中异常和强烈的示踪剂积累在有贝克囊肿的骨关节炎膝关节中显着更频繁（分别为 97% 和 56%），而在没有贝克囊肿的膝关节中（分别为 89% 和 40%，P < 0.05）。临床和放射学变量无法预测这些囊肿的存在。贝克氏囊肿是患有慢性骨关节炎疼痛的膝盖常见的超声检查发现，与滑膜炎症及其级别相关。
This study aimed to determine the ultrasonographic prevalence of Baker's cysts in knees with chronic osteoarthritic pain and investigate for cysts correlates and relationships with scintigraphically established synovitis. Consecutive patients with chronic osteoarthritic knee pain underwent clinical examination, X-rays, ultrasonography and early-phase bone scintigraphy. Eighty-nine Baker's cysts were detected in 328 knees with chronic osteoarthritic pain (27%), whereas one cyst was identified among the 54 non-osteoarthritic knees (2%, P < 0.001). Baker's cysts were detected in 72/195 (37%) patients with knee osteoarthritis. Abnormal and intense tracer accumulation in early-phase bone scintigraphy were significantly more frequent in osteoarthritic knees with Baker's cysts (97 and 56%, respectively), than in those without (89 and 40%, respectively, P < 0.05 for both). Clinical and radiographic variables could not predict the presence of those cysts. Baker's cysts are a common ultrasonographic finding in knees with chronic osteoarthritic pain and are associated with synovial inflammation and its grade.