Prevalence of radiographic ankle osteoarthritis in different subgroups of patients referred for ankle radiography

Prevalence of radiographic ankle osteoarthritis in different subgroups of patients referred for ankle radiography

Ankle osteoarthritis(OA) has detrimental effects on physical health and has a relatively early disease onset compared to OA in other joints. However, the prevalence of radiographic ankle OA in different subgroups of patients referred for ankle radiography remains unknown. Therefore, we aimed to dete...

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Published in:Seminars in arthritis and rheumatism Vol. 58; p. 152138
Main Authors: Kloprogge, S. E. (Sabine), Katier, N. (Nienke), Mailuhu, A. K.E. (Adinda), van Vooren, J. (Jeanette), van Ochten, J. M. (John), Bindels, P.J.E. (Patrick), Bierma-Zeinstra, S. M.A. (Sita), van Middelkoop, M. (Marienke)
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-02-2023
Subjects:
Ankle
Cross-Sectional Studies
Epidemiology
Humans
Male
Osteoarthritis
Osteoarthritis - diagnostic imaging
Osteoarthritis - epidemiology
Prevalence
Radiography
Subgroups
Ankle
Radiography
Prevalence
Osteoarthritis
Epidemiology
Subgroups
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Summary:Ankle osteoarthritis(OA) has detrimental effects on physical health and has a relatively early disease onset compared to OA in other joints. However, the prevalence of radiographic ankle OA in different subgroups of patients referred for ankle radiography remains unknown. Therefore, we aimed to determine the prevalence of radiographic talocrural, subtalar and talonavicular OA(Kellgren-Lawrence scale ≥2) in a population referred for ankle radiography. Moreover, we aimed to identify differences in prevalence between specific subgroups of patients i.e. Body Mass Index (BMI), sex, age and reason for referral. A cross-sectional study was conducted at a radiology department serving primary and secondary care. Patients completed a questionnaire before radiography. Features of radiographic ankle OA were assessed for subgroups of patients, including; BMI, sex, age and reason for referral (chronic vs (sub)acute complaints). To examine the difference in (features of) radiographic OA for subgroups, multinomial and logistic regression were used to calculate Odds Ratios (ORs), with adjustment for age, sex and BMI. Data from 893 patients that visited the radiology department across 16 months in 2017 or 2018 were included for analysis. Prevalence of radiographic ankle OA was 9.2%, 0.4% and 7.0%, for the talocrural, subtalar and talonavicular joint, respectively. Obesity was associated with radiographic talonavicular OA (adjusted OR 2.16, 95%CI:1.09; 5.26). Radiographic talocrural and talonavicular OA were both positively associated with male sex [(adjusted OR 4.64, 95%CI:276; 7.81) and (adjusted OR 1.95, 95%CI:1.13; 3.35), respectively]. Radiographic ankle OA was more common in men and obese patients that were referred to radiology.
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ISSN:0049-0172
1532-866X
DOI:10.1016/j.semarthrit.2022.152138