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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 1 Luyten’s classification criteria proposal for early knee OA [18]

From: Greater medial proximal tibial slope is associated with bone marrow lesions in middle-aged women with early knee osteoarthritis

A. Patient-based questionnaires (KOOS)

Two out of the four KOOS subscales need to score “positive” (≤ 85%)

 1. Pain (9 items, including information on pain intensity, frequency and duration)

 2. Symptoms, stiffness (7 items)

 3. Function, daily living (short version: 7 items)

 4. Knee-related quality of life (QOL; 4 items)

B. Clinical examination

 At least 1 criterion needs to be present

 Joint line tenderness

 Crepitus

C. Radiograph

  KL grade 0–I standing, weight-bearing (at least two projections: PA fixed flexion and skyline for patellofemoral OA)

  1. KOOS Knee Injury and Osteoarthritis Outcome Score