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Synovitis in osteoarthritis: current understanding with therapeutic implications

Open access
Mathiessen, Alexander, Conaghan, Philip G.·2017·Arthritis Research & Therapy

Abstract

Modern concepts of osteoarthritis (OA) have been forever changed by modern imaging phenotypes demonstrating complex and multi-tissue pathologies involving cartilage, subchondral bone and (increasingly recognized) inflammation of the synovium. The synovium may show significant changes, even before visible cartilage degeneration has occurred, with infiltration of mononuclear cells, thickening of the synovial lining layer and production of inflammatory cytokines. The combination of sensitive imaging modalities and tissue examination has confirmed a high prevalence of synovial inflammation in all stages of OA, with a number of studies demonstrating that synovitis is related to pain, poor function and may even be an independent driver of radiographic OA onset and structural progression. Treating key aspects of synovial inflammation therefore holds great promise for analgesia and also for structure modification. This article will review current knowledge on the prevalence of synovitis in OA and its role in symptoms and structural progression, and explore lessons learnt from targeting synovitis therapeutically.

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Metadata

Authors
Mathiessen, A., & Conaghan, P. G.
Venue
Arthritis Research & Therapy
Published
2017-02-02
Volume
19
Issue
1
Pages
18-18
ISSN
  • 1478-6354 (ISSN-L)
  • 1478-6362
OpenAlex
W2584503597
Cited by
1,065
References
1
FWCI
49.02
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Synovitis in osteoarthritis: current understanding with therapeutic implications. https://app.cochat.ai/papers/10.1186/s13075-017-1229-9
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Mathiessen, A., & Conaghan, P. G. (2017). Synovitis in osteoarthritis: current understanding with therapeutic implications. Arthritis Research & Therapy. https://doi.org/10.1186/s13075-017-1229-9

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.