Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH PRIMARY OSTEOARTHRITIS OF THE KNEE IN HAI PHONG IN 2024

Pham Thuy Hang1,2, Nguyen Mai Hong3,4
1 Hai Phong University of Medicine and Pharmacy
2 Trường Đại học Y Dược Hải Phòng
3 Bach Mai Hospital
4 Bệnh viện Bạch Mai
DOI: 10.52163/yhc.v67iCD7.5636
30 Views
0 Downloads
Keywords
Knee osteoarthritis, knee X-ray, knee ultrasound.
Abstract

ABTRACT

Objective: To describe the clinical and paraclinical characteristics of patients with primary osteoarthritis of the knee in Hai Phong in 2024.

Method: A prospective, cross-sectional descriptive study was conducted on 84 patients with primary osteoarthritis of the knee. Data were collected through interviews, clinical examinations, and review of laboratory test results in patients' medical records. Descriptive statistical analysis was performed.

Results: Patients over 60 years old accounted for the highest proportion (66.7%). Functional symptoms in 112 joints included: 100% had joint pain (severe level accounted for 52.7%), limited mobility (77.0%), joint stiffness (75.9%), and joint crepitus (54.5%). X-ray images of lesions according to the Kellgren-Lawrence classification of the 112 knee joints were mainly stage 2, accounting for 58.0%; osteophytes accounted for the highest proportion (90.2%). Ultrasound images of 65 knee joints showed a variety of lesions, including: osteophytes (100.0%), joint effusion (96.9%), synovial membrane proliferation (53.8%), and popliteal cysts (20.0%).

Conclusion: Knee X-rays are the first-line method for diagnosing primary osteoarthritis of the knee in patients over 60 years old. Ultrasound is a valuable supplementary tool for detecting soft tissue damage in joints with progressive inflammation, enabling comprehensive assessment and timely treatment guidance.

References
[1]
R.J. Cleveland, C. Alvarez, T.A. Schwartz et al, “The impact of painful knee osteoarthritis on mortality: a community-based cohort study with over 24 years of follow-up,” Osteoarthr Cartil, 2019, vol. 27, nº 4, pp. 593-602. Google Scholar
[2]
Long H, Liu Q, Lin J et al , “Prevalence trends of site-specific osteoarthritis from 1990 to 2019: Findings from the global burden of disease study 2019,” Arthritis Rheumatol,2022, vol. 74, nº 7, pp. 1172-1183. Google Scholar
[3]
Cui A, Li H, Wang D et al, “Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies,” EClinicalMedicine, 2020, vol. 29, nº 100587. Google Scholar
[4]
R. Altman, “Criteria for classification of clinical osteoarthritis,” J Rheu-matol Suppl,1991, vol. 27, pp. 10-12. Google Scholar
[5]
Nguyễn Thị Hiền, "Nghiên cứu đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân thoái hóa khớp gối nguyên phát tại Bệnh viện Đại học Y Thái Bình", [Luận văn Thạc sĩ Y học]. Trường Đại học Y Dược Thái Bình; 2023. Google Scholar
[6]
N. H. A. El-Soud, “A Randomized Double Blind Clinical Study on the Efficacy of Low Level Laser Therapy in Reducing Pain After Simple Third Molar Extraction,” Macedonian Journal of Medical Sciences, 2010. Google Scholar
[7]
Kellgren JH, Lawrence JS, “Radiological Assessment of Osteo-Arthrosis,” Ann Rheum Dis,1957, vol. 16(4), pp. 494-502. Google Scholar
[8]
Roemer FW, Guermazi A, Demehri S, et al, “Imaging in Osteoarthritis,” Osteoarthritis and cartilage,2022, vol. 30, pp. 913-934. Google Scholar
[9]
N. T. Ái, “Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và áp dụng các tiêu chuẩn chẩn đoán thoái hóa khớp gối,” Luận văn Thạc sĩ y học, Trường Đại học Y Hà Nội, 2008. Google Scholar
[10]
Ragab G et al , “The importance of using ultrasonography in knee osteoarthritis,” Egyptian Journal of internal medicine,2012, vol. 24, pp. 93-96 Google Scholar