OsteoArthritis

Perhimpunan Rheumatologi Indonesia

Grading OA menurut kriteria Kellgren-
Lawrence :
1. Grade 0 : normal
2. Grade 1 : sendi normal, terdapat sedikit osteofit
3. Grade 2 : osteofit pada dua tempat dengan
sklerosis subkondral, celah sendi normal,
terdapat kista subkondral
4. Grade 3 : osteofit moderat, terdapat deformitas
pada garis tulang, terdapat penyempitan celah
sendi
5. Grade 4 : terdapat banyak osteofit, tidak ada
celah sendi, terdapat kista subkondral dan
sklerosis.
 Menurut Alhback system :
grade 1: joint space narrowing (less than 3
mm)
grade 2: joint space obliteration
grade 3: minor bone attrition (0-5 mm)
grade 4: moderate bone attrition (5-10 mm)
grade 5: severe bone attrition (more than 10
mm)
 OA of the hip grading :
Conventional radiograph grading
grade 0: normal
grade 1: possible joint space narrowing and subtle
osteophytes
grade 2: definite joint space narrowing, defined
osteophytes and some sclerosis, especially in the
acetabular region
grade 3: marked joint space narrowing, small osteophytes,
some sclerosis and cyst formation and deformity of femoral
head and acetabulum
grade 4: gross loss of joint space with above features plus
large osteophytes and increased deformity of the femoral
head and acetabulum
MRI grading
grade 0: normal
grade 1: inhomogeneous high signal intensity in
cartilage (T2WI)
grade 2: inhomogeneity with areas of high signal
intensity in articular cartilage (T2WI); indistinct
trabeculae or signal intensity loss in femoral head &
neck (T1WI)
grade 3: criteria of grade 1 and 2 plus indistinct zone
between femoral head & acetabulum; subchondral
signal loss due to bone sclerosis
grade 4: above criteria plus femoral head deformity
Grade 2 Grade 3