Journal article

The natural history of bone marrow lesions in community-based adults with no clinical knee osteoarthritis

ML Davies-Tuck, Anita Wluka, Y Wang, DR English, GG Giles, Flavia M Cicuttini

Annals of the Rheumatic Diseases | BMJ PUBLISHING GROUP | Published : 2009

Abstract

OBJECTIVE: Although bone marrow lesions (BML) have been implicated in the pathogenesis of osteoarthritis, their natural history in a healthy population is unknown. This study in a healthy, pain-free population aimed to examine the natural history of BML; factors associated with incidence and progression of BML over 2 years and whether incident BML are associated with the development of pain. METHODS: 271 subjects with no clinical knee osteoarthritis, being pain free at baseline, underwent magnetic resonance imaging of their dominant knee at baseline and 2 years later. The presence of BML was assessed. RESULTS: In knees initially free of BML, incident BML developed in 14% of people over the s..

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