OBJECTIVES: Overweight and obesity are afflictions that lead to an increased risk of health problems including joint problems. The aim of the study was to assess the condition of articular cartilage in obese adolescent patients suffering from knee pain. METHODS: MRI of 24 knees of 20 morbidly obese patients, mean age 14.2 years, was performed in an open 1.0 Tesla MR system, where the cartilage, the quality and structure of the menisci, and the presence or absence of surrounding changes was examined. RESULTS: In all patients a cartilage lesion in at least one region of the knee could be detected. Retropatellar cartilage lesions have been found in 19 knees. Ten cartilage lesions grade I, and four lesions grade II have been described in the lateral compartment of the knee, whereas the medial compartment showed in eight cases a grade I, in 13 cases a grade II and in two cases a grade III cartilage lesion. Meniscal changes were assessed in most patients. CONCLUSION: Morbidly obese children and adolescents show major abnormalities in the articular cartilage of the knee. Whether obesity alone is the causal factor for the development of the pattern of these changes, remains to be seen. KEY POINTS: • Morbidly obese children and adolescents often suffer from knee pain • Prospective study showed cartilage and meniscal lesions in morbidly obese adolescents • MRI is an adequate tool for assessing cartilage lesions even in morbidly obese patients • It is unclear whether cartilage abnormalities are mainly due to mechanical overload.
OBJECTIVES: Overweight and obesity are afflictions that lead to an increased risk of health problems including joint problems. The aim of the study was to assess the condition of articular cartilage in obese adolescentpatients suffering from knee pain. METHODS: MRI of 24 knees of 20 morbidly obesepatients, mean age 14.2 years, was performed in an open 1.0 Tesla MR system, where the cartilage, the quality and structure of the menisci, and the presence or absence of surrounding changes was examined. RESULTS: In all patients a cartilage lesion in at least one region of the knee could be detected. Retropatellar cartilage lesions have been found in 19 knees. Ten cartilage lesions grade I, and four lesions grade II have been described in the lateral compartment of the knee, whereas the medial compartment showed in eight cases a grade I, in 13 cases a grade II and in two cases a grade III cartilage lesion. Meniscal changes were assessed in most patients. CONCLUSION: Morbidly obesechildren and adolescents show major abnormalities in the articular cartilage of the knee. Whether obesity alone is the causal factor for the development of the pattern of these changes, remains to be seen. KEY POINTS: • Morbidly obesechildren and adolescents often suffer from knee pain • Prospective study showed cartilage and meniscal lesions in morbidly obese adolescents • MRI is an adequate tool for assessing cartilage lesions even in morbidly obesepatients • It is unclear whether cartilage abnormalities are mainly due to mechanical overload.
Authors: Stylianos Kapiotis; Gregor Holzer; Georg Schaller; Markus Haumer; Harald Widhalm; Daniel Weghuber; Bernd Jilma; Georg Röggla; Michael Wolzt; Kurt Widhalm; Oswald F Wagner Journal: Arterioscler Thromb Vasc Biol Date: 2006-09-14 Impact factor: 8.311
Authors: Cynthia L Ogden; Margaret D Carroll; Lester R Curtin; Margaret A McDowell; Carolyn J Tabak; Katherine M Flegal Journal: JAMA Date: 2006-04-05 Impact factor: 56.272
Authors: Catherine M Phan; Thomas M Link; Gabrielle Blumenkrantz; Timothy C Dunn; Michael D Ries; Lynne S Steinbach; Sharmila Majumdar Journal: Eur Radiol Date: 2005-10-13 Impact factor: 5.315
Authors: Ananthila Anandacoomarasamy; Garett Smith; Steven Leibman; Ian Caterson; Bruno Giuffre; Marlene Fransen; Philip Sambrook; Lyn March Journal: Rheumatology (Oxford) Date: 2009-08-18 Impact factor: 7.580
Authors: H K Widhalm; R Seemann; M Hamboeck; M Mittlboeck; A Neuhold; K Friedrich; S Hajdu; K Widhalm Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-05-20 Impact factor: 4.342
Authors: Keri R Hainsworth; Xue Cheng Liu; Pippa M Simpson; Ann M Swartz; Nina Linneman; Susan T Tran; Gustavo R Medrano; Bryant Mascarenhas; Liyun Zhang; Steven J Weisman Journal: Children (Basel) Date: 2018-07-04