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放射性关节炎是否与脚的疼痛和残疾有关?

S E Kloprogge¹, N Katier², A K E Mailuhu¹

¹Department of General Practice, Erasmus MC Medical University Centre Rotterdam, Rotterdam, the Netherlands.

Osteoarthritis and cartilage open

|July 31, 2023

概括

放射性关节骨关节炎 (OA) 与整体疼痛或残疾没有相关性. 然而,骨骨关节性OA与功能损失有关,而骨关节性OA与硬性有关,有助于临床识别脚OA.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
类风湿病学类风湿病学

背景情况:

关节骨关节炎 (OA) 是研究不足的疾病,影响的是年轻人.
证据将放射性OA与脚症状联系起来是矛盾的.
了解这种关联对于临床实践至关重要.

研究的目的:

为了检查在特定的脚关节 (talocrural, subtalar, talonavicular) 的放射性OA严重程度与脚疼痛,残疾和主要症状之间的关联.
为了澄清成像检测结果与患者报告的慢性脚病情的结果之间的关系.

主要方法:

对231名患有慢性脚病症的成年人进行了横截面研究,这些成年人被转诊进行放射学检查.
患者完成了疼痛和残疾的关节骨关节炎量表 (AOS),并报告了主要的症状.
凯尔格伦-劳伦斯得分与AOS结果 (线性回归) 和主要症状 (逻辑回归) 相相关.

主要成果:

放射性OA与AOS测量的整体疼痛或残疾没有关联.
塔洛克鲁尔OA与功能损失有显著的相关性 (OR 3.26).
一个趋势表明,与度相关的骨骨关节性OA (OR 2.63).

结论:

放射性关节OA的严重程度与患者报告的疼痛或残疾无关.
特定的放射性发现,如胸部骨髓骨折,与功能损失有关.
塔洛纳维克拉性OA与度相关,改善了关节OA的临床识别.

关键词:

脚脚在脚上年代记年代记年代记年代记骨关节炎是一种骨关节炎.放射学放射学放射学放射学症状症状症状

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