title: Relationship between atherosclerosis and knee osteoarthritis as graded by radiography and ultrasonography in females.
abstract: [Purpose] The aim of this study was to assess the relationship between atherosclerosis and knee osteoarthritis grade in women as assessed by both ultrasonography and radiography. [Subjects and Methods] Seventy women diagnosed with knee osteoarthritis were classified into two groups according to cartilage grading/radiographic grading. Patients with Kellgren-Lawrence grades 1 and 2 were included in group 1, while those with Kellgren-Lawrence grades 3 and 4 were included in group 2. Patients with cartilage grades 1-3 were included in group 1, while those with cartilage grades 4-6 were included in group 2. Patients were clinically assessed using a visual analog scale and the Western Ontario and McMaster Universities Arthritis Index. Radiographic osteoarthritis grade was scored using the Kellgren and Lawrence grading system. Using ultrasonography, symptomatic knees were graded and evaluated for distal femoral cartilage thickness. Carotid intima-media thickness and serum lipid levels were measured to assess atherosclerosis. [Results] Carotid intima-media thickness measurements were higher in group 2 than in group 1 as determined by the Kellgren-Lawrence and cartilage grading systems. Carotid intima-media thickness measurements were positively correlated with both the ultrasonographic cartilage grade and Kellgren-Lawrence. [Conclusion] The results of this study suggest that osteoarthritis as assessed by ultrasonography was successful and comparable to assessment with radiography. We showed a correlation between atherosclerosis and ultrasonographic knee osteoarthritis grade.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Zübeyde Hanım Campus, Eskişehir State Hospital, Turkey.
authors.forename: Ayşe Aydemir
authors.initials: AA
authors.lastname: Ekim
authors.affiliation: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Süleyman Demirel University, Turkey.
authors.forename: Esra Erkol
authors.initials: EE
authors.lastname: İnal
authors.affiliation: Department of Physical Medicine and Rehabilitation, Zübeyde Hanım Campus, Eskişehir State Hospital, Turkey.
authors.forename: Dilek Serin
authors.initials: DS
authors.lastname: Kaya
authors.affiliation: Department of Physical Medicine and Rehabilitation, Zübeyde Hanım Campus, Eskişehir State Hospital, Turkey.
authors.forename: Şebnem
authors.initials: Ş
authors.lastname: Yılmazer
authors.affiliation: Department of Physical Medicine and Rehabilitation, Zübeyde Hanım Campus, Eskişehir State Hospital, Turkey.
authors.forename: Selen
authors.initials: S
authors.lastname: Kuzgun
authors.affiliation: Department of Physical Medicine and Rehabilitation, Zübeyde Hanım Campus, Eskişehir State Hospital, Turkey.
authors.forename: Gamze
authors.initials: G
authors.lastname: Mumcu
authors.affiliation: Department of Radiology, Eskişehir State Hospital, Turkey.
authors.forename: Alper
authors.initials: A
authors.lastname: Yurdasiper
authors.affiliation: Department of Biostatistics and Medical Informatics, Faculty of Medicine, Osmangazi University, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Musmul
keywords: Atherosclerosis; Knee osteoarthritis; Ultrasonography