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沙特阿拉伯软骨钙质沉着症与骨关节炎之间的关系。

The relationship between chondrocalcinosis and osteoarthritis in Saudi Arabia.

作者信息

Al-Arfaj A S

机构信息

King Khalid University Hospital, Riyadh, Saudi Arabia.

出版信息

Clin Rheumatol. 2002 Nov;21(6):493-6. doi: 10.1007/s100670200121.

Abstract

The association between articular chondrocalcinosis and osteoarthritis was sought by studying 92 patients over the age of 60. Anteroposterior and lateral X-ray projections of knees, hands and wrists were studied for the presence of chondrocalcinosis and osteoarthritis. Of the 92 patients (60 males, 32 females), six had chondrocalcinosis of the knees; two of them also had it in the wrist. The six cases with chondrocalcinosis were compared to the 86 cases without, for the presence of osteoarthritis in the different compartments of the knees, intercarpal joints (IC) and metacarpophalangeal joints (MCP). We found an association between chondrocalcinosis and osteoarthritis of the lateral knee compartment (odd ratio (OR) 10.59, 95% CI 3.47-34.9), second MCP joint (OR 3.27 95% CI 1.44-8.93), third MCP joints (OR 6.92, 95% CI 1.99-25.54) and IC joint (OR 5.69, 95% CI 1.14-29.7). No association was found with overall knee OA, medial knee compartment OA or patellofemoral OA. In conclusion, chondrocalcinosis was associated with OA of the lateral knee compartment, second MCP, third MCP and IC joints.

摘要

通过对92名60岁以上患者的研究,探寻关节软骨钙质沉着症与骨关节炎之间的关联。对膝盖、手部和腕部的前后位及侧位X线片进行研究,以确定是否存在软骨钙质沉着症和骨关节炎。在这92名患者中(60名男性,32名女性),6人膝盖有软骨钙质沉着症;其中2人手腕也有。将这6例有软骨钙质沉着症的患者与86例无此症状的患者进行比较,观察膝盖不同部位、腕骨间关节(IC)和掌指关节(MCP)是否存在骨关节炎。我们发现软骨钙质沉着症与外侧膝关节腔骨关节炎(优势比(OR)10.59,95%可信区间3.47 - 34.9)、第二掌指关节(OR 3.27,95%可信区间1.44 - 8.93)、第三掌指关节(OR 6.92,95%可信区间1.99 - 25.54)和腕骨间关节(OR 5.69,95%可信区间1.14 - 29.7)之间存在关联。未发现与全膝关节骨关节炎、内侧膝关节腔骨关节炎或髌股关节骨关节炎有关联。总之,软骨钙质沉着症与外侧膝关节腔、第二掌指关节、第三掌指关节和腕骨间关节的骨关节炎有关。

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