Snibbe Jason C, Gambardella Ralph A
Beverly Hills Orthopedic Group, Beverly Hills, Calif, USA.
Orthopedics. 2005 Feb;28(2 Suppl):s215-20. doi: 10.3928/0147-7447-20050202-06.
Osteoarthritis is the most common form of arthritis and can be a major source of disability. Many older patients continue to be active in sports-related activities. Therefore, treating an active patient with osteoarthritis is becoming more common. Physical therapy and weight loss continue to play a central role in the treatment of patients with osteoarthritis. Nonsteroidal anti-inflammatory drugs decrease inflammation and swelling, which makes physical therapy more effective. Intra-articular corticosteroids have been used for the treatment of osteoarthritis. However, no guidelines exist for the administration of corticosteroids and they can be associated with increased risk of tendon rupture and infection. Viscosupplementation has gained popularity in the treatment of osteoarthritis of the knee. Intra-articular injections of hyaluronic acid have been shown to decrease pain and improve functional outcomes.
骨关节炎是最常见的关节炎形式，可能是导致残疾的主要原因。许多老年患者仍积极参与与运动相关的活动。因此，治疗活跃的骨关节炎患者变得越来越普遍。物理治疗和减肥在骨关节炎患者的治疗中继续发挥核心作用。非甾体抗炎药可减轻炎症和肿胀，从而使物理治疗更有效。关节内注射皮质类固醇已用于治疗骨关节炎。然而，目前尚无皮质类固醇给药的指南，且它们可能与肌腱断裂和感染风险增加有关。粘弹性补充疗法在膝关节骨关节炎的治疗中越来越受欢迎。关节内注射透明质酸已被证明可减轻疼痛并改善功能结局。
