de Rezende Márcia Uchôa, de Campos Gustavo Constantino, Pailo Alexandre Felício
Institute of Orthopedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brazil.
Acta Ortop Bras. 2013 Mar;21(2):120-2. doi: 10.1590/S1413-78522013000200010.
Osteoarthritis (OA), the most common form of joint disease, affects mainly the hips, knees, hands and feet, leading to severe disability and loss of quality of life, particularly in the elderly population. Its importance grows every year with the aging of the population, with a large increase in the elderly population compared to younger patients. The progressive understanding of the pathophysiology of OA, the perception that the process is not purely mechanical and / or aging, and clarification of the inflammatory pathways involved led recently to the clinical application of various drugs and other measures. This update aims to expose the current concepts on the pathophysiology and treatment of OA.
骨关节炎(OA)是最常见的关节疾病形式,主要影响髋部、膝盖、手和脚,导致严重残疾和生活质量下降,在老年人群中尤为如此。随着人口老龄化,其重要性逐年增加,与年轻患者相比,老年人口大幅增加。对OA病理生理学的逐步了解、认识到该过程并非纯粹是机械性的和/或与衰老相关,以及对所涉及的炎症途径的阐明,最近促使了各种药物和其他措施的临床应用。本综述旨在阐述关于OA病理生理学和治疗的当前概念。