Bone marrow lesions, subchondral bone cysts and subchondral bone attrition are associated with histological synovitis in patients with end-stage knee.

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Bone marrow lesions, subchondral bone cysts and subchondral bone attrition are associated with histological synovitis in patients with end-stage knee osteoarthritis: a cross-sectional study  A. Yusup, H. Kaneko, L. Liu, L. Ning, R. Sadatsuki, S. Hada, K. Kamagata, M. Kinoshita, I. Futami, Y. Shimura, M. Tsuchiya, Y. Saita, Y. Takazawa, H. Ikeda, S. Aoki, K. Kaneko, M. Ishijima  Osteoarthritis and Cartilage  Volume 23, Issue 11, Pages 1858-1864 (November 2015) DOI: 10.1016/j.joca.2015.05.017 Copyright © 2015 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Association between the HSS and the BML score (A), SBC score (B) and SBA score (C) in patients with end-stage knee OA receiving TKA. The sagittal T2-weighted MR image (D, E and F) and the histological sections (G, H and I) of the three representative cases (J, K and L, respectively) those showed the presence of BML, SBC and SBA. J: Cartilage loss: grade 6 in MFc (arrow with head) and MTc, grade 5 in MFa and MTa, grade 4 in MFp and MTp, BML: grade 3 in MTa, grade 2 in MFc (arrow head), SBC: grade 1 in MFc (thin arrow), SBA: grade 1 in MTc (thick arrow), osteophyte: grade 7 in MFa (open arrow head), grade 5 in MFp, MTa and MTp, meniscus: grade 4 in the medial meniscus (open arrow). K: Cartilage loss: grade 6 in MFa, MFc, MTa and MTc, grade 5 in MFp (arrow with head) and MTp, BML: grade 3 in MFa, MFc (arrow head), MTa and MTc, grade 2 in MTp, SBC: grade 1 in MFa and MFc (thin arrow), SBA: grade 2 in MTc (thick arrow), osteophyte: grade 7 in MFa (open arrow head) and MFp, grade 6 in MTa, grade 5 in MTp, meniscus: grade 3 in the medial meniscus (open arrow), effusion: grade 1 (star). L: Cartilage loss: grade 6 in MFc (arrow with head), MFp and MTc, grade 4 in MFa and MTa, BML: grade 3 in MFa, MFc (arrow head), MFp, MTa, MTc and MTp, SBC: grade 3 in MFc (thin arrow), grade 2 in MFp, SBA: grade 3 in MFc and MTc (thick arrow), osteophyte: grade 4 in MTa (open arrow head) and MTp, grade 2 in MFa, meniscus: grade 3 in the medial meniscus (open arrow), effusion: grade 3 (star). MF: medial femoral plateau, MT: medial tibial plateau, a: anterior, c: central, p: posterior. Osteoarthritis and Cartilage 2015 23, 1858-1864DOI: (10.1016/j.joca.2015.05.017) Copyright © 2015 Osteoarthritis Research Society International Terms and Conditions