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The presence of meniscal lesions is a strong predictor of neuropathic pain in symptomatic knee osteoarthritis: a cross-sectional pilot study

Overview of attention for article published in Arthritis Research & Therapy, December 2014
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Title
The presence of meniscal lesions is a strong predictor of neuropathic pain in symptomatic knee osteoarthritis: a cross-sectional pilot study
Published in
Arthritis Research & Therapy, December 2014
DOI 10.1186/s13075-014-0507-z
Pubmed ID
Authors

Camille Roubille, Jean-Pierre Raynauld, François Abram, Patrice Paiement, Marc Dorais, Philippe Delorme, Louis Bessette, André D Beaulieu, Johanne Martel-Pelletier, Jean-Pierre Pelletier

Abstract

IntroductionPain in osteoarthritis (OA) has been classically attributed to joint structural damage. Disparity between the degree of radiographic structural damage and the severity of symptoms implies that factors other than the joint pathology itself contribute to the pain. Peripheral and central sensitization have been suggested as two of the underlying mechanisms that contribute to pain in OA. The aim of this study was to explore in symptomatic knee OA patients, the structural changes assessed by magnetic resonance imaging (MRI) that could be used as markers of neuropathic pain (NP).MethodsThis cross-sectional observational pilot study included 50 knee OA patients with moderate to severe pain (VAS ¿40) in the target knee. The presence of NP was determined based on the PainDETECT questionnaire. Among the 50 patients included, 25 had PainDETECT score ¿12 (unlikely NP), 9 had PainDETECT score between 13 and 18 (uncertain NP) and 16 had PainDETECT score ¿19 (likely NP). WOMAC, PainDETECT, and VAS pain scores as well as knee MRI were assessed.ResultsData showed no significant difference in demographic characteristics between the three groups. However, a positive and statistically significant association was found between the WOMAC pain (P¿<¿0.001), function (P¿<¿0.001), stiffness (P¿=¿0.007) and total (P¿<¿0.001) scores as well as higher VAS pain score (P¿=¿0.023), and PainDETECT scores. Although no difference was found in the cartilage volume between groups, the presence of meniscal extrusion in both medial (P¿=¿0.006) and lateral (P¿=¿0.023) compartments, and presence of meniscal tears in the lateral compartment (P¿=¿0.011), were significantly associated with increasing PainDETECT score. Moreover, the presence of bone marrow lesions in the lateral plateau and the extent of the synovial membrane thickness in the lateral recess were associated with increasing PainDETECT scores (P¿=¿0.032, P¿=¿0.027, respectively).ConclusionsIn this study, meniscal lesions, particularly extrusion, were found to be among the strongest risk factors for NP in knee OA patients.Trial registrationClinicalTrials.gov NCT01733277. Registered 16 November 2012.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 79 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Unknown 78 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 22%
Other 12 15%
Student > Ph. D. Student 10 13%
Researcher 9 11%
Student > Bachelor 3 4%
Other 9 11%
Unknown 19 24%
Readers by discipline Count As %
Medicine and Dentistry 31 39%
Nursing and Health Professions 10 13%
Engineering 4 5%
Agricultural and Biological Sciences 2 3%
Neuroscience 2 3%
Other 7 9%
Unknown 23 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 December 2014.
All research outputs
#16,721,717
of 25,374,647 outputs
Outputs from Arthritis Research & Therapy
#2,443
of 3,381 outputs
Outputs of similar age
#211,586
of 361,442 outputs
Outputs of similar age from Arthritis Research & Therapy
#39
of 60 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,381 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.2. This one is in the 25th percentile – i.e., 25% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 361,442 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 60 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.