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A novel method for assessing proximal tibiofibular joint on MR images in patients with knee osteoarthritis


Chang, J and Zhu, Z and Liao, Z and Meng, T and Zheng, S and Cicuttini, F and Winzenberg, T and Wluka, A and Jiang, D and Han, W and Ding, C, A novel method for assessing proximal tibiofibular joint on MR images in patients with knee osteoarthritis, Osteoarthritis and Cartilage, 26, (12) pp. 1675-1682. ISSN 1063-4584 (2018) [Refereed Article]

Copyright Statement

Copyright 2018 Osteoarthritis Research Society International

DOI: doi:10.1016/j.joca.2018.08.011


Objectives: To validate a method to measure the morphological parameters of the proximal tibiofibular joint (PTFJ) in patients with knee osteoarthritis (OA).

Methods: 408 participants were examined in this cross-sectional subject-based study. We calculated the fibular contacting area of PTFJ (S) and its projection areas onto the horizontal plane (load-bearing area, Sτ), the sagittal plane (lateral stress-bolstering area, Sφ) and the coronal plane (posterior stress-bolstering area, Sυ). Joint space narrowing (JSN) and osteophyte was measured using radiographs. Cartilage defects, bone marrow lesions (BMLs) and cartilage volume were evaluated using magnetic resonance imaging (MRI).

Results: The average PTFJ fibular contacting area was 2.4 cm2 (SD, 0.7 cm2). Intra-observer and inter-observer reliabilities of measures of PTFJ morphological parameters were excellent (≥0.90). S, Sτ and Sφ were significantly associated with JSN in the medial tibiofemoral compartment (PR: 1.40, 95% CI 1.10-1.78; PR: 1.65, 95% CI 1.25-2.18 and PR: 0.53, 95% CI 0.29-0.97, respectively). There was a significantly positive association between S, Sτ and medial and/or femoral tibial cartilage defects. S, Sτ and Sυ were significantly and positively associated with medial and/or femoral tibial BMLs (PR: 1.36, 95% CI 1.12-1.64; PR: 1.47, 95% CI 1.17-1.83; and PR: 1.39, 95% CI 1.06-1.82, respectively) after adjustment. S and Sτ were significantly and negatively associated with medial tibial cartilage volume.

Conclusions: This novel method to assess the morphological parameters of PTFJ in MRI is reproducible. These parameters are associated with knee radiographic and MRI-based OA-related structural abnormalities, suggesting clinical construct validity. Its predictive validity needs to be examined in future longitudinal studies.

Item Details

Item Type:Refereed Article
Keywords:knee osteoarthritis, MR images, proximal tibiofibular joint
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Rheumatology and arthritis
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Zhu, Z (Mr Zhaohua Zhu)
UTAS Author:Meng, T (Mr Tao Meng)
UTAS Author:Zheng, S (Miss Shuang Zheng)
UTAS Author:Winzenberg, T (Professor Tania Winzenberg)
UTAS Author:Jiang, D (Dr Danchi Jiang)
UTAS Author:Han, W (Dr Weiyu Han)
UTAS Author:Ding, C (Professor Chang-Hai Ding)
ID Code:130124
Year Published:2018
Web of Science® Times Cited:6
Deposited By:Menzies Institute for Medical Research
Deposited On:2019-01-10
Last Modified:2019-03-18

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