Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee.

By M. Hannan, David T Felson, T. Pincus. Journal of Rheumatology, 2000

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Epidemiology of Osteoarthritis (2010, unknown): “Studies of OA in people who have joint symptoms may be more clinically relevant, because not all persons who have radiographic OA have clinical disease, and not all persons who have joint symptoms demonstrate radiographic OA (12).”
The discordance between clinical and radiographic knee osteoarthritis: A systematic search and summary of the literature (2008, unknown): “Hannan [25] 15 Pain, swelling, morning stiffness in or around the knee on most days for one month”
Lifetime risk of symptomatic knee osteoarthritis. (2008, unknown): “Second, previous studies indicate that OA symptoms may be intermittent (16).”
The Long-term Consequence of Anterior Cruciate Ligament and Meniscus Injuries (2007, background): “However, for radiography, relation to patient-relevant outcomes and sensitivity to change are limited.(68) Standardization of image acquisition and assessment is critical.”