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CompletedNCT06113536Updated Mar 6, 2025

Evaluation of Meniscal Extrusion by Dynamic Ultrasonography in Patients With Ostearthritis

An interventional study of Ultrasonographic evaluation in Knee Osteoarthritis and Meniscus Disorder, sponsored by Istituto Ortopedico Rizzoli. Completed at 1 site in Italy. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-03-06.

Sponsored by Istituto Ortopedico Rizzoli · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 2 years 7 months after the study started (first participant enrolled Mar 2021, registered Oct 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
202
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a diagnostic, open-label, single-center interventional study. The aim of the study is to evaluate the relationship between medial and lateral meniscus extrusion determined by dynamic ultrasound study and bone edema assessed by MRI study in patients with knee OA.

As a secondary objective, the correlation of the above parameters with the patient's symptomatology assessed by subject clinical questionnaires will be evaluated.

Read the detailed description

Patients with a diagnosis of knee OA will be included in a study involving evaluation of the correlation between meniscal extrusion assessed by dynamic ultrasonography and bone edema assessed on MRI. A total of 202 patients will be included, who, after providing their signed informed consent to participate in the study, will undergo dynamic ultrasonography. After giving signed consent to participate in the study, the patient will undergo the following examinations::

  • ultrasound evaluation for assessment of possible meniscal extrusion;
  • At the same time as the ultrasound examination, subjective questionnaires will be administered to patients.Recent radiological examinations of the patients or from the patient's medical record will be collected during or before the diagnostic investigation.
02

Conditions studied

  • Knee Osteoarthritis
  • Meniscus Disorder

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Keywords

  • dynamic ultrasonography
  • Nuclear magnetic resonance imaging
  • Meniscal extrusion
  • Osteoarthritis
03

In context

Osteoarthritis

4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.

This study's enrollment of 202 is above the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

Istituto Ortopedico Rizzoli is the lead sponsor of 298 studies on the registry; 102 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age between 18 and 80 years;
  2. Signs and symptoms of degenerative pathology of knee cartilage;
  3. Patients with Radiographic (X-ray or MRI) signs of OA (K-L grade 0-4); 3.
  4. Cooperative patients with pain that does not prevent orthostatism
  5. Ability and consent of patients to actively participate in clinical follow-up;
  6. Recently performed MRI (maximum 1 month).

Exclusion criteria

Exclusion Criteria:

  1. Patients unable to express consent;
  2. Patients undergoing intra-articular infiltration of other substance in the previous 6 months;
  3. Patients undergoing knee surgery in the previous 12 months;
  4. Patients with malignant neoplasms;
  5. Patients with rheumatic diseases;
  6. Patients with a history of total/subtotal meniscectomy;
  7. Patients with symptomatology such that a dynamic examination in orthostatism is not possible; 7.
  8. Patients abusing alcoholic beverages, drugs or medications;
  9. Body Mass Index > 40;
  10. Pregnant or lactating women;
  11. Patients with axis deviation > 5°.
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
202 participants (actual)

Study arms

  • Experimental
    Ultrasonographic evaluation

    Ultrasonographic evaluation for assessment of possible meniscal extrusion

    Diagnostic Test: Ultrasonographic evaluation

Interventions

  • Diagnostic testUltrasonographic evaluation

    Ultrasonographic evaluation for assessment of possible meniscal extrusion

06

What researchers measure

Primary outcomes

  1. Meniscal extrusion

    Meniscal extrusion in clinostatism and orthostatism, assessed in millimeters (mm) or percent meniscal extrusion relative to tibial margin, and difference between the two measurements

    Time frame: baseline

Secondary outcomes

  1. IKDC-Subjective Score (Subjective International Knee Documentation Committee)

    The IKDC-Subjective Score (Subjective International Knee Documentation Committee) is a subjective, knee-specific rating scale.The questionnaire examines 3 categories: symptoms, sports activity, and knee function. The response "Unable to perform any of the above activities due to knee pain" receives a score of 0 while the response "Very strenuous activities like jumping or pivoting as in basketball or soccer" receives a score of 4. This is how item 1, which is related to the highest level of activity without significant pain, is scored. For item 2, which asks about the frequency of pain in the last four weeks, the responses "Constant" and "Never" receive scores of 0 and 10, respectively

    Time frame: baseline

  2. KOOS Score ( Knee Injury and Osteoarthritis Outcome score)

    The full questionnaire consists of five subscales and they cover: pain (9 items), symptoms (7 items of which two relate to stiffness), functions and activities of daily living (17 items) physical function, sports activities and leisure (5 items) and quality of life in relation to the knee (4 items). All items in the relevant subscales have the same response mode, use a 5-point Likert scale, and each question is assigned a score from 0 to 4, where 0 indicates "no difficulty" and 4 "a severe difficulty). Score range 0-100 for each subscale

    Time frame: baseline

  3. VAS-dolore (Visual Analogue Scale)

    Visual analog scale consisting of a straight line segment (10 cm length), the ends of which correspond to "no pain" and "the strongest pain imaginable."

    Time frame: baseline

  4. Tegner Activity Level Scale

    The Tegner Activity Level Scale: allows the estimation of a subject's motor activity level with a score between 0 and 10, where 0 represents 'inability' and 10 represents 'participation in competitive sports, such as soccer at the national or international level. This score is the one most commonly used to define the motor activity level of patients with knee disorders.

    Time frame: baseline

  5. EQ-VAS

    Visual analog scale consisting of a straight line segment (10 cm length), the ends of which correspond to "no pain" and "the strongest pain imaginable."

    Time frame: baseline

  6. Objective parameters - Circumferences

    Bilateral trans- and supra- patellar circumferences measurement for comparative analysis.The measurement will be taken by the orthopedist by meter and will be reported in centimeters

    Time frame: baseline

  7. Objective parameters- Range of Motion

    Evaluation of the Range of Motion for comparative analysis. Range of motion (ROM) is a term used to describe how far you can move a joint or muscle in various directions. It is used to measure how much you can move a joint on your own (active ROM) or with the assistance of someone else (passive ROM).Range of motion is measured using a goniometer.

    Time frame: baseline

07

Study locations

1 site
  • Istituto Ortopedico Rizzoli
    Bologna, 40136, Italy
08

References and documents

Publications

  • Loeser RF, Goldring SR, Scanzello CR, Goldring MB. Osteoarthritis: a disease of the joint as an organ. Arthritis Rheum. 2012 Jun;64(6):1697-707. doi: 10.1002/art.34453. Epub 2012 Mar 5. No abstract available. PubMed 22392533 ↗
  • Englund M, Guermazi A, Roemer FW, Aliabadi P, Yang M, Lewis CE, Torner J, Nevitt MC, Sack B, Felson DT. Meniscal tear in knees without surgery and the development of radiographic osteoarthritis among middle-aged and elderly persons: The Multicenter Osteoarthritis Study. Arthritis Rheum. 2009 Mar;60(3):831-9. doi: 10.1002/art.24383. PubMed 19248082 ↗
  • Podlipska J, Guermazi A, Lehenkari P, Niinimaki J, Roemer FW, Arokoski JP, Kaukinen P, Liukkonen E, Lammentausta E, Nieminen MT, Tervonen O, Koski JM, Saarakkala S. Comparison of Diagnostic Performance of Semi-Quantitative Knee Ultrasound and Knee Radiography with MRI: Oulu Knee Osteoarthritis Study. Sci Rep. 2016 Mar 1;6:22365. doi: 10.1038/srep22365. Erratum In: Sci Rep. 2016 Sep 16;6:33109. doi: 10.1038/srep33109. PubMed 26926836 ↗
  • Ozdemir M, Turan A. Correlation Between Medial Meniscal Extrusion Determined by Dynamic Ultrasound and Magnetic Resonance Imaging Findings of Medial-Type Knee Osteoarthritis in Patients With Knee Pain. J Ultrasound Med. 2019 Oct;38(10):2709-2719. doi: 10.1002/jum.14976. Epub 2019 Mar 4. PubMed 30828848 ↗
  • Felson DT, McLaughlin S, Goggins J, LaValley MP, Gale ME, Totterman S, Li W, Hill C, Gale D. Bone marrow edema and its relation to progression of knee osteoarthritis. Ann Intern Med. 2003 Sep 2;139(5 Pt 1):330-6. doi: 10.7326/0003-4819-139-5_part_1-200309020-00008. PubMed 12965941 ↗
  • Wang Y, Wluka AE, Pelletier JP, Martel-Pelletier J, Abram F, Ding C, Cicuttini FM. Meniscal extrusion predicts increases in subchondral bone marrow lesions and bone cysts and expansion of subchondral bone in osteoarthritic knees. Rheumatology (Oxford). 2010 May;49(5):997-1004. doi: 10.1093/rheumatology/keq034. Epub 2010 Feb 24. PubMed 20181669 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06113536
Lead sponsor
Istituto Ortopedico Rizzoli
Responsible party
Sponsor
First posted
Nov 2, 2023
Start date
Mar 23, 2021
Primary completion
Jan 21, 2025
Completion
Jan 21, 2025
Last update
Mar 6, 2025

Study contacts

Luca Andriolo, MD
principal investigator · Istituto Ortopedico Rizzoli - II Clinica Ortopedica e Traumatologica

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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