Felson D T
Boston University Arthritis Center, Massachusetts.
Rheum Dis Clin North Am. 1990 Aug;16(3):499-512.
In summary, the relationship between risk factors and OA may differ across joints. For knees, obesity and knee injury either due to acute events or to repetitive impact loading may be the most important preventable causes of disease. Hand OA is probably also caused by repetitive use, but its association with other risk factors is unknown. Hip OA is probably different from OA in other joints, in that many cases are due to congenital and developmental abnormalities. Current inquiry focuses on generalized OA and its predictors. Future studies will look at the long-term course of OA and will focus especially on as-yet unidentified risk factors.
总之,风险因素与骨关节炎(OA)之间的关系可能因关节不同而有所差异。对于膝关节而言,肥胖以及急性事件或重复性冲击负荷导致的膝关节损伤可能是该疾病最重要的可预防病因。手部骨关节炎可能也由重复性使用引起,但其与其他风险因素的关联尚不清楚。髋关节骨关节炎可能与其他关节的骨关节炎不同,因为许多病例是由先天性和发育异常所致。目前的研究重点在于全身性骨关节炎及其预测因素。未来的研究将关注骨关节炎的长期病程,尤其会聚焦于尚未明确的风险因素。