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Table 2 Baseline Pre-Radiographic Structural Features Associated with Accelerated Knee Osteoarthritis (OA) Over the Next 4 Years

From: Early pre-radiographic structural pathology precedes the onset of accelerated knee osteoarthritis

Structural Feature

Group

AKOA (n = 113)

No AKOA (Reference, n = 241)

Univariate Odds Ratio

n (%)

n (%)

OR (95% CI)

Semi-Quantitative

Degenerative Cruciate Ligaments

Absence

66 (58%)

181 (75%)

Reference

Presence

47 (42%)

60 (25%)

2.15 (1.34, 3.45)*

Degenerative Collateral Ligaments

Absence

88 (78%)

206 (85%)

Reference

Presence

25 (22%)

35 (15%)

1.67 (0.95, 2.96)

Degenerative Extensor Mechanism

Absence

64 (57%)

163 (68%)

Reference

Presence

49 (43%)

78 (32%)

1.60 (1.01, 2.53)

Degenerative Gastrocnemius Tendon

Absence

64 (57%)

146 (61%)

Reference

Presence

49 (43%)

95 (39%)

1.18 (0.75, 1.85)

Infrapatellar Fat Pad Signal Intensity Alteration

Absence

63 (56%)

172 (71%)

Reference

Presence

50 (44%)

69 (29%)

1.98 (1.24, 3.15)*

Medial Meniscal Pathology

Absence

35 (31%)

118 (49%)

Reference

Presence

78 (69%)

123 (51%)

2.14 (1.33, 3.43)*

Lateral Meniscal Pathology

Absence

64 (57%)

182 (76%)

Reference

Presence

49 (43%)

59 (24%)

2.36 (1.47, 3.79)*

Medial Meniscal Extrusion

Absence

90 (80%)

210 (87%)

Reference

Presence

23 (20%)

31 (13%)

1.73 (0.96, 3.13)

Lateral Meniscal Extrusion

Absence

109 (96%)

238 (99%)

Reference

Presence

4 (4%)

3 (1%)

2.91 (0.64, 13.23)

Quantitative

Effusion-Synovitis Volume^

Smallest

63 (56%)

176 (73%)

Reference

Largest

50 (44%)

65 (27%)

2.15 (1.35, 3.43)*

Bone Marrow Lesion Volume^

Smallest

78 (69%)

161 (67%)

Reference

Largest

35 (31%)

80 (33%)

0.90 (0.56, 1.46)

Cartilage Damage Index^

Largest

79 (70%)

159 (66%)

Reference

Smallest

34 (30%)

82 (34%)

0.84 (0.52, 1.35)

  1. *Statistically significant: p < 0.004. ^Comparing the worst tertile (i.e. largest effusion-synovitis /bone marrow lesion, smallest CDI) to the other 2 tertiles