{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:09:56Z","timestamp":1791378596389,"version":"4.3.2"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,10,29]],"date-time":"2013-10-29T00:00:00Z","timestamp":1383004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the relationship among clinical, radiological and ultrasonographical findings in knee osteoarthritis (<jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Sixty\u2010one patients (122 knees) with knee <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> were enrolled. Patients' knees were classified into two groups according to symptom severity. Group I consisted of 61 more symptomatic knees and Group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> comprised 61 less symptomatic knees. Subjects were clinically assessed for pain and functional status by using a visual analog scale and the Western Ontario and McMaster Universities Arthritis Index (<jats:styled-content style=\"fixed-case\">WOMAC<\/jats:styled-content>), respectively. Knee radiographs were evaluated by using the Kellgren\u2013Lawrence (K\u2013L) grading system. All knees were also evaluated ultrasonographically for meniscal bulging, distal femoral cartilage thickness, cartilage grading and also for the presence of effusion, Baker's cyst and so on.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Baker's cyst and joint effusion were observed more in Group I when compared with Group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>. Positive correlations were found between meniscal bulging and all <jats:styled-content style=\"fixed-case\">WOMAC<\/jats:styled-content> scores (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). K\u2013L grades of the patients were also positively correlated with <jats:styled-content style=\"fixed-case\">WOMAC<\/jats:styled-content> scores (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). Meniscal bulging measurements and K\u2013L grades were positively correlated (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). There was a negative correlation between cartilage grades and cartilage thickness measurements (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found that joint space narrowing seemed to be associated with meniscal bulging. Moreover, increased meniscal bulging and presence of <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>aker's cyst\/joint effusion were associated with worse pain or poorer function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12190","type":"journal-article","created":{"date-parts":[[2013,10,29]],"date-time":"2013-10-29T13:36:50Z","timestamp":1383053810000},"page":"536-540","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["Ultrasonographic evaluation in symptomatic knee osteoarthritis: clinical and radiological correlation"],"prefix":"10.1111","volume":"17","author":[{"given":"Fevziye \u00dcnsal","family":"Malas","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Hacettepe University Medical School Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Kara","sequence":"additional","affiliation":[{"name":"Ankara 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