Das Siddharth Kumar, Farooqi Abid
Department of Rheumatology, C.S.M. Medical University, RALC Campus, Lucknow, India.
Best Pract Res Clin Rheumatol. 2008 Aug;22(4):657-75. doi: 10.1016/j.berh.2008.07.002.
Osteoarthritis (OA) is a chronic degenerative disorder characterized by cartilage loss. Its prevalence is high, and it is a major cause of disability. The cause of OA is not known; however, current evidence indicates that it is multifactorial. Major risk factors for osteoarthritis are age, female sex, obesity, geographic factors, occupational knee-bending, physical labour, genetic factors and race, joint trauma, vitamin D deficiency, and chondrocalcinosis. Osteoarthritis causes joint pain, stiffness, and limitation of joint function. Knee involvement is the commonest presentation of this disease all over the world. Given the absence of a curative treatment, it is important to treat osteoarthritis as effectively as possible using a multidisciplinary approach tailored to the patient's needs. This article reviews current thinking on the epidemiology, clinical presentation, lifestyle, genetic epidemiology, and management of osteoarthritis in developing countries.
骨关节炎(OA)是一种以软骨丧失为特征的慢性退行性疾病。其患病率很高,是导致残疾的主要原因。OA的病因尚不清楚;然而,目前的证据表明它是多因素的。骨关节炎的主要危险因素包括年龄、女性性别、肥胖、地理因素、职业性屈膝、体力劳动、遗传因素和种族、关节创伤、维生素D缺乏以及软骨钙质沉着症。骨关节炎会导致关节疼痛、僵硬和关节功能受限。膝关节受累是全世界这种疾病最常见的表现形式。鉴于缺乏治愈性治疗方法,采用根据患者需求定制的多学科方法尽可能有效地治疗骨关节炎非常重要。本文综述了发展中国家对骨关节炎的流行病学、临床表现、生活方式、遗传流行病学和管理的当前认识。