International Knee Documentation Committee Radiographic Knee Joint Grading More Reliable Than Kellgren-Lawrence Grading and Other Grading Systems.

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  • Author(s): Ilahi OA;Ilahi OA
  • Source:
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2024 May; Vol. 40 (5), pp. 1716-1719. Date of Electronic Publication: 2023 Dec 12.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: W.B. Saunders Co Country of Publication: United States NLM ID: 8506498 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-3231 (Electronic) Linking ISSN: 07498063 NLM ISO Abbreviation: Arthroscopy Subsets: MEDLINE
    • Publication Information:
      Publication: Philadelphia, PA : W.B. Saunders Co.
      Original Publication: [New York, N.Y.] : Raven Press, [c1985-
    • Subject Terms:
      Knee Joint*/diagnostic imaging ; Radiography*; Humans ; Reproducibility of Results ; Osteoarthritis, Knee/diagnostic imaging ; Osteoarthritis, Knee/surgery ; Severity of Illness Index
    • Abstract:
      Kellgren-Lawrence grading appears to have become the de facto standard for reporting radiographic degeneration of knees, yet the much later-introduced and knee-specific International Knee Documentation Committee system has repeatedly been shown to have higher reliability. Although International Knee Documentation Committee radiographic grading does have limitations-especially in cases of severe gonarthrosis-it appears to be the most reliable current system suitable for the purposes of arthroscopic knee surgeons, and it was designed to encompass all 3 knee compartments. Posterior-anterior weight-bearing radiographs taken at approximately 45° of knee flexion have repeatedly been shown to be more sensitive for revealing tibiofemoral degeneration than standard anterior-posterior weight-bearing views at or near full extension.
      Competing Interests: Disclosures The author reports no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
      (Copyright © 2023 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)
    • Publication Date:
      Date Created: 20231213 Date Completed: 20240505 Latest Revision: 20240505
    • Publication Date:
      20240506
    • Accession Number:
      10.1016/j.arthro.2023.11.036
    • Accession Number:
      38092278