Kellgren-Lawrence grading

Trauma and orthopaedics

Also known as: Kellgren-Lawrence-Klassifikation (Arthrose) · Kellgren-Lawrence sınıflaması (osteoartrit) · Kellgren-Lawrence grading (radiographic osteoarthritis)

What it is for

Five-grade radiographic grading of osteoarthritis (most often of the knee, also hip and hand) based on osteophytes, joint space narrowing, subchondral sclerosis and bone-end deformity.

Classification

CategoryDescription
Grade 0 (none)no radiographic features of osteoarthritis.
Grade 1 (doubtful)doubtful joint space narrowing, possible osteophytic lipping.
Grade 2 (minimal)definite osteophytes, possible joint space narrowing.
Grade 3 (moderate)moderate multiple osteophytes, definite joint space narrowing, some sclerosis, possible bone-end deformity.
Grade 4 (severe)large osteophytes, marked joint space narrowing, severe sclerosis, definite bone-end deformity.
Thresholdradiographic osteoarthritis is usually defined as grade 2 or higher.

Source

Radiological assessment of osteo-arthrosis

Ann Rheum Dis 1957;16:494–502 (Kellgren JH, Lawrence JS)

DOI: 10.1136/ard.16.4.494

PMID: 13498604

Edition
Kellgren & Lawrence 1957 (grade descriptions as commonly used today)
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