Radiographic Grading Scheme of Lane et al for Osteoarthritis Involving the Hip, Hand or Spine

Description

Lane et al developed a grading scheme for radiographs from the hip, hand and spine in patients with osteoarthritis. This can aid in the initial evaluation of the patient and in the monitoring of the condition over time. The authors are from the University of California San Francisco and the University of Maryland.

Parameters seen on joint radiographs:

(1) osteophytes

(2) joint narrowing

Parameter	Finding	Points
osteophytes	none	0
	mild	1
	moderate	2
	severe	3
joint narrowing	none	0
	mild	1
	moderate	2
	severe	3

Joints evaluated:

(1) hip

(2) PIP (proximal interphalangeal), DIP (distal interphalangeal), IP (interphalangeal, thumb) and CMC (carpal metacarpal) joints of the hand

(3) scaphotrapezoid (TS) joint of the hand

(4) thoracic and lumbar spine

Hip Joint	Grade
no osteophytes and no narrowing (normal)	0
mild osteophytes and/or mild narrowing	1
moderate to severe osteophytes and/or moderate narrowing	2
mild to severe osteophytes and severe narrowing	3

Hand PIP/DIP/IP/CMC Joints	Grade
no osteophytes and no narrowing (normal)	0
mild osteophytes and/or mild narrowing	1
moderate to severe osteophytes and/or moderate to severe narrowing	2

Hand TS Joint	Grade
no osteophytes and no narrowing (normal)	0
mild narrowing	1
moderate to severe narrowing	2

Thoracic and Lumbar Joint	Grade
no osteophytes and no narrowing (normal)	0
mild osteophytes and/or mild narrowing	1
moderate to severe osteophytes and/or moderate to severe narrowing	2

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Description

Specialty

ICD-10