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ISSUES AND ADVANCES IN THE EARLY STAGE DIAGNOSIS OF OSTEOARTHRITIS

CAMERON PETER BROWN

Facoltà di Scienze, Università di Roma II, Via Della Ricerca Scientifica 00133 Roma, Italy

Permanent address: Institut National de la Recherche Scientifique, Université du Québec, 1650 boulevard Lionel-Boulet, Varennes, Québec J3X 1S2, Canada.

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https://doi.org/10.1142/S0219581X10006508Cited by:3 (Source: Crossref)

Abstract

With the progress of localized treatment procedures such as unicompartmental knee replacement, chondrocyte implantation and osteochondral grafting, it has become important to develop a means of assessing early stage cartilage and bone degradation. This review outlines the recent advances in arthroscopic tools, and discusses the major problems and issues faced in developing effective assessment methods. The central problem in joint tissue assessment is to discriminate degradation from the wide variation in normal tissue. This discrimination, however, is far from being realized by current methodologies, and is compounded by the difficulty in correlating structural features with pain and mobility in the joint. In response to these findings, an argument is provided for a new direction in quantitative tissue evaluation using an integrated chemical, structural, and functional approach, and the importance of structure–function–pain relationships.

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