{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T08:13:13Z","timestamp":1788336793146,"version":"build-2803163510"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the Vice Chancellor for Research of Tehran University of Medical Sciences","award":["1402-1-381-64737"],"award-info":[{"award-number":["1402-1-381-64737"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound"],"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>Musculoskeletal ultrasonography is an accessible imaging modality with potential utility in knee osteoarthritis. This study aims to compare the sonographic features of knee osteoarthritis with standing radiographic grading and to assess the association with pain severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this cross-sectional study, patients with knee osteoarthritis underwent knee ultrasonography and standing anteroposterior and lateral radiographs. Radiographs were independently assessed by a blinded reviewer and graded using the Kellgren\u2013Lawrence system. Kellgren\u2013Lawrence grades 1\u20132 were classified as mild osteoarthritis and grades 3\u20134 as moderate to severe osteoarthritis. Sonographic findings were compared with radiographic grades, and the association with pain severity measured by the visual analogue scale (VAS) was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Sonographic measurements of medial femoral osteophytes, suprapatellar effusion, Baker\u2019s cyst, and medial meniscal protrusion significantly correlated to radiographic osteoarthritis severity (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2a7d 0.05). A composite score derived from these four variables demonstrated acceptable diagnostic performance (Youden index: 0.61). This composite score significantly correlated to VAS pain scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.003), whereas VAS was not significantly associated with the Kellgren\u2013Lawrence grade.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Ultrasonography may serve as a valuable adjunct or alternative to plain radiography for estimating knee osteoarthritis severity and its clinical impact. Further well-designed studies are warranted to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1742271x261459305","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:54:25Z","timestamp":1788166465000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Musculoskeletal ultrasonography versus standing radiography in grading knee osteoarthritis: A comparison study"],"prefix":"10.1177","author":[{"given":"Mohadese","family":"Yadolahi","sequence":"first","affiliation":[{"name":"Department of Sports and Exercise Medicine, Imam Khomeini Hospital Complex (IKHC), School of Medicine, Tehran University of Medical Sciences, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elahe","family":"Mohammadnia","sequence":"additional","affiliation":[{"name":"Department of Sports and Exercise Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehsan","family":"Hedayat","sequence":"additional","affiliation":[{"name":"Khatam ol Anbia Hospital, Shoushtar University of Medical Sciences, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3005-6190","authenticated-orcid":false,"given":"Farzin","family":"Halabchi","sequence":"additional","affiliation":[{"name":"Department of Sports and Exercise Medicine, Imam Khomeini Hospital Complex (IKHC), School of Medicine, Tehran University of Medical Sciences, Iran"},{"name":"Musculoskeletal Imaging Research Center (MIRC), Tehran University of Medical Sciences, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Cross M Smith E Hoy D et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014; 73(7): 1323\u20131330. https:\/\/doi.org\/10.1136\/annrheumdis-2013-204763","DOI":"10.1136\/annrheumdis-2013-204763"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","unstructured":"Arden N Nevitt MC. Osteoarthritis: epidemiology. Best Pract Res Clin Rheumatol 2006; 20(1): 3\u201325. https:\/\/doi.org\/10.1016\/j.berh.2005.09.007","DOI":"10.1016\/j.berh.2005.09.007"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"Bedson J Croft PR. The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature. BMC Musculoskelet Disord 2008; 9(1): 1\u201311. https:\/\/doi.org\/10.1186\/1471-2474-9-116","DOI":"10.1186\/1471-2474-9-116"},{"key":"e_1_3_3_5_2","doi-asserted-by":"crossref","unstructured":"Hunter DJ Bierma-Zeinstra S. Osteoarthritis. 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