title: The validity of in vivo ultrasonographic grading of osteoarthritic femoral condylar cartilage: a comparison with in vitro ultrasonographic and histologic gradings.
abstract: OBJECTIVE
  To establish an ultrasonographic (US) grading for semiquantitative evaluation of the femoral condylar cartilage of knee osteoarthritis (OA), in vivo, and compare the in vivo US grading with the in vitro US and histologic gradings.
  
  
  METHODS
  Ninety-five patients going to receive total knee arthroplasty because of OA of the knee were recruited. US examination was performed in vivo in the day before operation using a grading system including parameters of margin sharpness, clarity and thickness. Specimens of the medial and lateral distal femoral condyles taken during the operation were graded with in vitro US and histologic evaluation. The correlation between the in vivo US and in vitro US as well as between the in vivo US and histologic gradings was analyzed.
  
  
  RESULTS
  In 172 femoral condyles (including medial and lateral ones), the distribution of grading ranged from Grade 1 to 6 in in vivo US and from Grade 1 to 4 in histologic examination. The in vivo US grading was significantly correlated to in vitro US grading over anterior and middle areas (p<0.001, Rho=0.35 and 0.45, respectively) and histologic grading over these two areas (p<0.001, Rho=0.40 and 0.36, respectively). When the cases with maximal angle of knee flexion less than 120 degree were excluded, the correlation was better.
  
  
  CONCLUSIONS
  The significant correlation between in vivo US and histologic gradings might permit semi-quantitative in vivo US assessment of osteoarthritic femoral condylar cartilage.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors.forename: C-L
authors.initials: CL
authors.lastname: Lee
authors.forename: M-H
authors.initials: MH
authors.lastname: Huang
authors.forename: C-Y
authors.initials: CY
authors.lastname: Chai
authors.forename: C-H
authors.initials: CH
authors.lastname: Chen
authors.forename: J-Y
authors.initials: JY
authors.lastname: Su
authors.forename: Y-C
authors.initials: YC
authors.lastname: Tien
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D006652:Histological Techniques; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging*; D008297:Male; D020370:Osteoarthritis, Knee / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D014463:Ultrasonography