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Wang X, Jin X, Han W, Cao Y, Halliday A, Blizzard L, Pan F, Antony B, Cicuttini F, Jones G, Ding C. Cross-sectional and Longitudinal Associations between Knee Joint Effusion Synovitis and Knee Pain in Older Adults. J Rheumatol 2015; 43:121-30. [PMID: 26568597 DOI: 10.3899/jrheum.150355] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To describe the cross-sectional and longitudinal associations between knee regional effusion synovitis and knee pain in older adults. METHODS Data from a population-based random sample (n = 880, mean age 62 yrs, 50% women) were used. Baseline knee joint effusion synovitis was graded (0-3) using T2-weighted magnetic resonance imaging (MRI) in the suprapatellar pouch, central portion, posterior femoral recess, and subpopliteal recess. Effusion synovitis of the whole joint was defined as a score of ≥ 2 in any subregion. Other knee structural (including cartilage, bone marrow, and menisci) lesions were assessed by MRI at baseline. Knee pain was assessed by the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire at baseline and 2.6 years later. Multivariable analyses were performed after adjustment for age, sex, body mass index, and other structural lesions. RESULTS The prevalence of effusion synovitis was 67%. Suprapatellar pouch effusion synovitis was significantly and independently associated with increased total and nonweight-bearing knee pain in both cross-sectional and longitudinal analyses (for an increase in total knee pain of ≥ 5, RR 1.26 per grade, 95% CI 1.04-1.52), and increased weight-bearing knee pain in longitudinal analysis only. Effusion synovitis in posterior femoral recess and central portion were independently associated with increases in nonweight-bearing pain (RR 1.63 per grade, 95% CI 1.32-2.01 and RR 1.29 per grade, 95% CI 1.01-1.65, respectively) in longitudinal analyses only. CONCLUSION Knee joint effusion synovitis has independent associations with knee pain in older adults. Suprapatellar pouch effusion synovitis is associated with nonweight-bearing and weight-bearing knee pain, while posterior femoral recess and central portion effusion synovitis are only associated with nonweight-bearing pain.
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Affiliation(s)
- Xia Wang
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Xingzhong Jin
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Weiyu Han
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Yuelong Cao
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Andrew Halliday
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Leigh Blizzard
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Faming Pan
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Benny Antony
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Flavia Cicuttini
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Graeme Jones
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
| | - Changhai Ding
- From the Menzies Institute for Medical Research, University of Tasmania; Department of Radiology, Royal Hobart Hospital, Hobart, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University, Guangzhou, China; Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Epidemiology and Biostatistics, School of Public Health, and the Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, Hefei, China.X. Wang, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; X. Jin, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; W. Han, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Orthopedics, 3rd Affiliated Hospital of Southern Medical University; Y. Cao, MD, Menzies Institute for Medical Research, University of Tasmania, and Research Institute of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine; A. Halliday, MD, Department of Radiology, Royal Hobart Hospital; L. Blizzard, PhD, Menzies Institute for Medical Research, University of Tasmania; F. Pan, MD, Menzies Institute for Medical Research, University of Tasmania, and Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University; B. Antony, PhD, Student, Menzies Institute for Medical Research, University of Tasmania; F. Cicuttini, PhD, Department of Epidemiology and Preventive Medicine, Monash University; G. Jones, MD, Menzies Institute for Medical Research, University of Tasmania; C. Ding, MD, Menzies Institute for Medical Research, University of Tasmania, and Arthritis Research Institute, 1st Affiliated Hospital, Anhui Medical University, and Department of
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