手腕骨关节炎的模式:一个单中心观察队列研究
Bram Cornette1, Nadine Hollevoet1
1Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.
The Journal of hand surgery, European volume
|January 3, 2025
概括
晚期手腕骨关节炎很常见,影响了40岁以上的17%的患者. 最常见的模式涉及形形关节,通常独立影响中手腕关节.
科学领域:
- 整形外科手术 整形外科手术
- 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:
- 骨关节炎 (OA) 是一种普遍存在的退行性关节疾病.
- 手腕OA模式和患病率,特别是晚期,需要进一步描述.
研究的目的:
- 为了研究手腕中晚期骨关节炎的模式和患病率.
- 识别手腕关节中常见的OA位置和模式.
主要方法:
- 对40岁以上的1327名患者双边手腕放射图的审查.
- 在不同手腕关节区分的OA模式的分类和量化.
主要成果:
- 在17%的患者 (228/1327) 中发现了骨关节炎,影响了368个手腕.
- 最常见的OA模式是孤立的scapotrapeziotrapezoidal (STT) 关节OA (59%).
- 晚期OA主要影响中手腕关节 (68%),通常不涉及放射性手腕关节.
结论:
- 先进的中手腕关节OA,包括STT关节,比以前认可的更常见.
- 手腕OA表现出多样化的模式,孤立的手腕中干涉是一个重要的发现.
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