Skip to main content
SpringerLink
Log in

Radiologic classification of knee joint destruction in juvenile chronic arthritis

  • Originals
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

A new radiologic classification of juvenile chronic arthritis (JCA) of the knee joint is presented. Osteoporosis, epiphyseal enlargement, erosions, subchondral cyst formation and deformity of the joint surfaces are expressed in terms of a score. No attention is paid to the joint space or soft tissues. Thirty knee joints in 15 patients with JCA were evaluated according to the radiologic classification. There was a good correlation between the radiologic score and the clinical findings. The inter- and intraobserver variation was low. The classification system is proposed as a valuable tool for measuring the degree of knee joint destruction in evaluation of the natural course or results of treatment in JCA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Brattström M, Sundberg J (1965) Juvenile rheumatoid arthritis I. Clinical and roentgenological study. Acta Rheum Scand 11: 266

    PubMed  Google Scholar 

  2. Heijnen L, de Groot C, Prevo A, Veltkamp J, Sjamsoedin-Visser L, Breederveld C, Aronstam A (1983) Arthropathy in haemophiliacs, comparing long-term prophylaxis with treatment on demand. The XVth World Federation of Hemophilia Congress, Stockholm

  3. Kellgren JH, Jefrey MR, Ball J (1963) Atlas of standard radiographs of arthritis. Blackwell, Oxford

    Google Scholar 

  4. Larsen A (1974) A radiological method for grading the severity of rheumatoid arthritis. Thesis, University of Helsinki

  5. Larsen A (1977) Radiological grading of rheumatoid arthritis, an interobserver study. Scand J Rheumatol 2:136

    Google Scholar 

  6. Larsen A, Dale K Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol (Diagn) 18:481

    CAS  Google Scholar 

  7. Pettersson H, Ahlberg Å, Nilsson IM (1980) A radiologic classification of hemophilic arthropathy. Clin Orthop 149:153

    PubMed  Google Scholar 

  8. Sharp JT, Lidsky MD, Collins LC, Moreland J (1971) Methods of scoring the progression of radiologic changes in rheumatoid arthritis. Arthritis Rheum 14:706

    CAS  PubMed  Google Scholar 

  9. Sjöblom KK, Pettersson H, Sacksne T, Wollheim FA (1983) Factors related to the progression of joint destruction in RA. Scand J Rheumatol (in press)

  10. Steinbrocker O, Traeger CH, Batterman RC (1949) Therapeutic criteria in rheumatoid arthritis. JAMA 140:659

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Diagnostic Radiology, University Hospital, S-221 85, Lund, Sweden

    H. Pettersson

  2. Department of Orthopaedic Surgery, University Hospital, Lund, Sweden

    U. Rydholm

Authors
  1. H. Pettersson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. U. Rydholm
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pettersson, H., Rydholm, U. Radiologic classification of knee joint destruction in juvenile chronic arthritis. Pediatr Radiol 14, 419–421 (1984). https://doi.org/10.1007/BF02343432

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02343432

Keywords

Search

Navigation