Relationship between Clinical Features and Ultrasonographic Findings in Knee Osteoarthritis

Introduction: One of the leading causes of disability and morbidity is knee Osteoarthritis.  Clinical symptoms, careful examination, and radiographic evidence like Magnetic Resonance Imaging diagnose knee OA.  MRI is expensive and scarce, but MSK USG is cheaper and more accessible, especially in peripheral locations.  Thus, this study examined the link between clinical characteristics and ultrasonographic data in knee OA patients to simplify investigation. Methods: The Department of Physical Medicine and Rehabilitation and Department of Radiology and Imaging, Dhaka Medical College Hospital (DMCH), Dhaka collaborated on this cross-sectional study.  The trial lasted a year.  This study comprised 90 knee OA patients who met inclusion and exclusion criteria.  Participants gave written informed consent.  Every patient had a complete history and clinical evaluation.  WOMAC measured pain, stiffness, and physical function.  X-rays and MSK US were done on each patient.  Data were gathered by questionnaire.  The data was analyzed using SPSS 23. Results: The mean age of responders was 50.9±7.6 (SD) years, with a 4:6 male-female ratio.  The mean WOMAC scores for pain, stiffness, and physical function were 10.7±2.2, 3.7±2.4, and 41.3±5.3, respectively MSK US showed osteophytes in 76.7%, effusion in 51.1%, articular cartilage degeneration in 35.6%, and power dropler change in 37.8%. These features were significantly linked to KLS grading (X-ray) and WOMAC scores (Pain & stiffness) (p<.05). Conclusion: This study observed significant positive association between MSK US findings and clinical features among patients with knee OA. Sill, further larger study is recommended.