Heidari Behzad
Caspian J Intern Med. 2011 Spring;2(2):205-12.
Osteoarthritis (OA) a common disease of aged population and one of the leading causes of disability. Incidence of knee OA is rising by increasing average age of general population. Age, weight, trauma to joint due to repetiting movements in particular squatting and kneeling are common risk factors of knee OA. Several factors including cytokines, leptin, and mechanical forces are pathogenic factors of knee OA. In patients with knee pain attribution of pain to knee OA should be considered with caution. Since a proportion of knee OA are asymptomatic and in a number of patients identification of knee OA is not possible due to low sensitivity of radiographic examination. In this review data presented in regard to prevalence, pathogenesis, risk factors.
骨关节炎(OA)是老年人群的常见疾病,也是导致残疾的主要原因之一。由于普通人群平均年龄的增加,膝骨关节炎的发病率正在上升。年龄、体重、特别是蹲和跪等重复性动作对关节造成的创伤是膝骨关节炎的常见危险因素。包括细胞因子、瘦素和机械力在内的多种因素是膝骨关节炎的致病因素。对于膝关节疼痛的患者,应谨慎考虑将疼痛归因于膝骨关节炎。由于一部分膝骨关节炎患者没有症状,而且在许多患者中,由于影像学检查的敏感性较低,无法确诊膝骨关节炎。在本综述中,介绍了有关患病率、发病机制、危险因素的数据。