Objectives-To examine objectively spatial patterns of osteophytes around th
e distal end of the femur and to identify distinct subgroups.
Methods-A sample of 107 human femora from a large skeletal population were
selected for study. These femora included subjects with evidence of late st
age osteoarthritis (that is, with eburnation present) and those with no suc
h evidence. The location of osteophytes was recorded using a video camera a
nd digitised computer images were extracted. Multidimensional scaling was u
sed to identify clusters of femora based upon osteophyte location.
Results-A distinct subgroup of femora was identified with osteophytes prese
nt only within the intercondylar notch region. None of these subjects had a
ny evidence of eburnation.
Conclusions-This finding adds to an earlier study based on radiographs. Ost
eophytes located within the intercondylar notch of the femur appear to be a
distinct subset, which may occur either as an early stage of knee osteoart
hritis or for some independent reason.