![]() ![]() The Noyes Chondral Injury Classification system was used to classify CP. 8 Grades I and II were regarded as mild and grades III and IV as severe. OA grading was based on radiography and the Kellgren-Lawrence system grading scale. Presence of osteophytes, narrowing in the articular space and sclerotic changes were assessed with radiography. An approval was obtained from Canakkale Onsekiz Mart University Ethics Committee and written informed consent was waived because of the retrospective nature of the study. The second radiologist, blinded to the results, investigated the presence of bursitis in all patients. The first radiologist assessed all patients in terms of OA, CP, medial meniscal damage and anterior and posterior cruciate ligament pathologies. The radiological findings of 100 patients with OA of the knee undergoing MRI with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. 7 This study investigated the relationship between pathologies, such as meniscal tear, OA and CP, affecting knee mechanics and bursitis in medial compartment of knee ![]() 6 Magnetic resonance imaging (MRI) is the gold standard radiological technique in the assessment of pathologies of the ligament, meniscus, cartilage, bursa and bone marrow in the knee joint. Etiological factors such as recurring trauma, impaired joint stability and joint overloading play a role in the development of bursitis. Similarly, inflammation in the iliotibial or lateral collateral ligament (LCL) bursae in the lateral of knee also lead to knee pain. Pes anserine (PA) bursa, semimembranosus-tibial collateral ligament (SM-TCL) bursa and medial collateral ligament (MCL) bursa inflammations may cause to medial knee pain. 5 There are several superficially or deeply located bursae in the knee joint, their principal function being to reduce friction between the surfaces. 5 The principal changes in cartilage tissue are softening, swelling, fissuring or ulceration. Vascular insufficiency, patellar variations, trauma, dislocation, fracture, rheumatological diseases and impairment of mechanical stress balance on the joint are implicated in the etiology. 4 Another clinical condition frequently encountered together with aging is chondromalacia patella (CP). 1, 3 Since it results in a mechanical disadvantage for lower extremity functions, pain is more frequent and more severe. 3 Obesity also leads to osteoarthritis, not only through its mechanical effect but also due to its metabolic consequences, and has an adverse effect on clinical findings. Hormonal changes in particular occurring in women in the postmenopausal period are also a significant predisposing factor. 2 Female gender and obesity are other important risk factors in addition to aging. The most important of these are decreased cartilage perfusion, impaired joint morphology, increased ligament laxity, decreased anabolic response and thinning in the cartilage plate. 1 Various factors are implicated in the link between aging and OA. The process begins with progressive loss of joint cartilage and gradually causes meniscal, muscle, bone tissue, ligament and bursa pathologies. It has become more important in terms of public health with the increase in the average life span associated with advances in the medical sphere. ![]() Although osteoarthritis (OA), a common joint disease, is not fatal it compromises quality of life. ![]()
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