Abstract: Aim of study was to assess the relationship between disability and defining features of osteoarthritis knee (Radiological findings and pain) To identify predictors of disability in patients where radiological evidence of deformity and pain occurs differentially.
Material and Method: This Study is conducted in Department of Orthopaedics, Netaji Subhash Chandra Bose Medical College & Hospital, Jabalpur (M.P.) India from 1st March 2015 to 30th September 2016. This Prospective study between OA knee pain and radiological correlation is done on 300 subjects (396 knees). Patients with Chronic knee pain (>3 months), Age between 40 – 80 years, Nontraumatic knee pain, Non - radicular knee pain, Deformity (Varus & Valgus deformity <100),are included in the study.
Osteoarthritis with recent trauma of knee or surgery, Patient with ligament injury of knee less than 3months, Unwilling patient, Non ambulatory patient, Any chronic medical condition other than osteoarthritis known to be associated with disability (eg. inflammatory rheumatic diseases, symptomatic cardiac and pulmonary disease, diagnose mental illness etc.) are not included in the study.
Observation & Result: For assessment of pain authors used VAS score.For functional assessment we use WOMAC score and for assessment of radiological features we were use KL score, Joint space narrowing and osteophyte count. In our study clinical features like pain and functional limitation were strongly correlated with KL score, joint space narrowing, and osteophyte count. In our study we were identify that when Q angle decreases there is increasing severity of radiological features. The mean age of presentation for osteoarthritis is 56.17 ± 9.776 years. 53.33% cases of osteoarthritis knee were female and 46.67% cases were male. Crepitus (tibio- femoral and patella femoral joint) was present in 10.1% case of osteoarthritis knee. Fixed flexion deformity (FFD) was present in 30.1% knees. 38.60% knees had synovial thickening. 61.7% cases of knee osteoarthritis knee having radiographic joint space narrowing. There was significant correlation between functional WOMAC score & KL. There was significant correlation between functional WOMAC score & Joint Space Narrowing. There was significant correlation between Pain &KL Score. There was significant correlation between Pain & No. of osteophytes. There was significant correlation between functional Pain & joint space narrowing. There was significant correlation between functional WOMAC score &pain. There was distribution of KL score according to sex is not significant.
