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Table 1 Magnetic resonance imaging assessment, according to Boston-Leeds Osteoarthritis Knee Score [42]

From: Biomechanical factors and physical examination findings in osteoarthritis of the knee: associations with tissue abnormalities assessed by conventional radiography and high-resolution 3.0 Tesla magnetic resonance imaging

  

Cartilage integrity

Osteophytes

Bone marrow lesions

Effusion

Synovitis

Assessment

 

Size of any cartilage thickness loss (both partial and full thickness loss) as percentage of cartilage surface area of each region

Size of protuberance of osteophyte

Size of BML (including volume of any associated cysts) as percentage of bone volume of each region

Size of effusion within synovial space

Presence of synovitis

Region

Number

8

12

9

1 (one score for whole knee)

5

 

MTF

Medial weight-bearing femur

Medial weight-bearing femur

Medial weight-bearing femur

-

-

  

Medial region tibia

Medial posterior region femur

Medial region tibia

  
   

Medial region tibia

   
 

LTF

Lateral weight-bearing femur

Lateral weight-bearing femur

lateral weight-bearing Femur

-

-

  

Lateral region tibia

Lateral posterior region femur

Lateral region tibia

  
   

Lateral region tibia

   
 

PF

Medial region patella

Superior region patella

Medial region patella

-

-

  

Lateral region patella

Inferior region patella

Lateral region patella

  
  

Medial trochlea femur

Medial region patella

Medial trochlea femur

  
  

Lateral trochlea femur

Lateral region patella

Lateral trochlea femur

  
   

Medial trochlea femur

   
   

Lateral trochlea femur

   
 

Other

-

-

Subspinous region tibia

-

Hoffa's fat pad (infrapatellar)

      

Medial posterior-condylar region

      

Lateral posterior-condylar region

      

Medial recess

      

Lateral recess

Score (per region)

 

0 = none

0 = none

0 = none

0 = physiological amounta

0 = absent

  

1 = <10% of surface area

1 = mild

1 = <10% of bone volume

1 = smallb

1 = present

  

2 = 10 to 75% of surface area

2 = moderate

2 = 10 to 25% of bone volume

2 = mediumc

 
  

3 = >75% of surface area

3 = severe

3 = >25% of bone volume

3 = larged

 

Details

  

An osteophyte must be visible on two consecutive slices. Largest osteophyte within region scored

If BML span more than one region, then full size of BML is attributed to region that is most involved

  
  1. BML, bone marrow lesions; LTF, lateral tibiofemoral compartment; MTF, medial tibiofemoral compartment; PF, patellafemoral compartment. aIn supra-patellar bursa only. bFluid continuous in retropatellar space. cWith slight convexity of suprapatellar bursa. dEvidence of capsular distention.