Spahn Gunter, Lipfert Jens Uwe, Maurer Constance, Hartmann Bernd, Schiele Rainer, Klemm Holm-Torsten, Grifka Joachim, Hofmann Gunther O
Center of Trauma and Orthopedic Surgery Eisenach, Jena University Hospital, Trauma Center, Sophienstr. 16, 99817, Eisenach, Germany.
Center for General Medicine, Wutha Farnroda, Germany.
Arch Orthop Trauma Surg. 2017 Apr;137(4):557-566. doi: 10.1007/s00402-017-2654-6. Epub 2017 Feb 24.
This case-control study compares patients with healthy elbows to a group of symptomatic patients with cartilage damage/osteoarthritis.
The control group (n = 126) was recruited during routine medical examinations of patients (general medical offices). Included in the case group were a total of 92 patients who were undergoing arthroscopy as a result of chronic elbow discomfort. All patients were questioned with regard to occupational stress and athletic stress.
A significantly increased risk of cartilage damage/osteoarthritis was found with subjectively perceived increased stress in occupational settings: OR = 3.8 (95% CI 2.1-6.7); p < 0.001; for the individual stresses of the elbow joint in occupational settings, the following severities in effects were found: Exposure to heavy work OR = 3.9 (95% CI 2.2-6.8); Force OR = 3.7 (95% CI 2.1-6.5); Vibration OR = 4.6 (95% CI 2.5-8.5); Repetition OR = 9.2 (95% CI 3.6-23.3); p < 0.001. Elbow-stressing sport types represent a potential risk factor for the development of cartilage damage/osteoarthritis of the elbow joint: OR = 2.5 (95% CI 1.3-4.7); p = 0.003.
Cartilage damage/radiographic osteoarthritis of the elbow joint are rare with respect to the overall prevalence of osteoarthritis. In the large number of patients with cartilage damage/radiographic osteoarthritis of the elbow joint, occupational or athletic stress factors and injuries sustained, in addition to other causes (rheumatism, gout), can prove as possible causes of these as secondary to symptomatic forms of osteoarthritis.
