MRI findings of juvenile psoriatic arthritis. (Skeletal Radiol. 2008)

Radiographic joint space narrowing in osteoarthritis of the knee: relationship to meniscal tears and duration of pain. (Skeletal Radiol. 2008)

Basal joint arthritis of the thumb. (J Am Acad Orthop Surg. 2008)

Clinical implications of rotator cuff degeneration in the rheumatic shoulder. (Arthritis Rheum. 2008 )

Gout in the spotlight

Early syphilis: a cause of mono-arthritis of the knee. (Ann R Coll Surg Engl. 2008)

Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment. (Knee Surg Sports Traumatol Arthrosc. 2008 ) “We observed significantly better knee-stability (P = 0.008) but more osteoarthritis (Grade II or higher) after ACL-reconstruction (42% vs. 25%). Physical activity levels were similar in both groups during the follow-up period (P = 0.16). Eleven years after ACL-rupture the physical activity levels are similar for both groups. After ACL-reconstruction, stability is higher as is osteoarthritis, whereby the result is not necessarily perceived as better subjectively. Specifically, this retrospective study yielded a 24% incidence of oseoarthrits 11 years after conservative management of ACL-rupture in patients not needing secondary surgery. The risk of secondary meniscal tears is reduced after ACL reconstruction, which reduces the negative effects of OA after surgery. The ultimate objective would be to achieve a good subjective outcome by conservative treatment followed by a rehabilitation program designed to keep secondary meniscus tears at a low level.”

The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. (Am J Sports Med. 2007 ) “At 10 to 20 years after the diagnosis, on average, 50% of those with a diagnosed anterior cruciate ligament or meniscus tear have osteoarthritis with associated pain and functional impairment: the young patient with an old knee. These individuals make up a substantial proportion of the overall osteoarthritis population. There is a lack of evidence to support a protective role of repair or reconstructive surgery of the anterior cruciate ligament or meniscus against osteoarthritis development. A consistent finding in a review of the literature is the often poor reporting of critical study variables, precluding data pooling or a meta-analysis. Osteoarthritis development in the injured joints is caused by intra-articular pathogenic processes initiated at the time of injury, combined with long-term changes in dynamic joint loading. Variation in outcome is reinforced by additional variables associated with the individual such as age, sex, genetics, obesity, muscle strength, activity, and reinjury.”