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骨关节炎的临床特点和转归。

Clinical aspects and outcomes in osteoarthritis.

机构信息

Marmara University School of Medicine, Physical Medicine, Rehabilitation Department, Rheumatology Division, Istanbul, Turkey; Eastern Mediterranean University, Faculty of Medicine, Famagusta, North Cyprus.

Marmara University School of Medicine, Physical Medicine, Rehabilitation Department, Rheumatology Division, Istanbul, Turkey.

出版信息

Best Pract Res Clin Rheumatol. 2023 Jun;37(2):101855. doi: 10.1016/j.berh.2023.101855. Epub 2023 Jul 29.

DOI:10.1016/j.berh.2023.101855
PMID:37524622
Abstract

Osteoarthritis (OA) is the most prevalent type of arthritis worldwide, and its incidence significantly increases with age. It commonly affects the knees, hips, spine, big toes, and hands. OA can be identified through clinical examination, symptoms, and imaging methods. Its main symptoms include pain, stiffness, and limitations in joint movement. Examinations may reveal coarse crepitus, bony enlargement, and tenderness at the joint line. In severe cases of OA, rest pain, night pain, and deformity may occur. OA can lead to decreased physical activity, function, and quality of life due to symptoms such as pain and stiffness. To evaluate these impacts, patient-reported outcome measures (PROMs) are necessary. Various generic, disease-specific, and joint-specific PROMs have been developed and used in clinical practice to assess the outcomes of OA.

摘要

骨关节炎(OA)是全球最常见的关节炎类型,其发病率随着年龄的增长显著增加。它通常影响膝盖、臀部、脊柱、大脚趾和手。OA 可以通过临床检查、症状和影像学方法来识别。其主要症状包括疼痛、僵硬和关节运动受限。检查可能会发现粗糙的摩擦音、骨肿大和关节线上的压痛。在 OA 的严重情况下,可能会出现休息痛、夜间痛和畸形。由于疼痛和僵硬等症状,OA 可导致身体活动、功能和生活质量下降。为了评估这些影响,需要使用患者报告的结局测量(PROM)。已经开发并在临床实践中使用了各种通用、疾病特异性和关节特异性的 PROM 来评估 OA 的结局。

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