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髋关节骨关节炎。流行病学及临床作用。

Osteoarthritis of the hip. Epidemiology and clinical role.

作者信息

Jørring K

出版信息

Acta Orthop Scand. 1980 Jun;51(3):523-30. doi: 10.3109/17453678008990835.

Abstract

Among 6321 patients who had undergone X-ray examination of the colon 4.7 per cent proved to have osteoarthritis of the hip. A mild osteoarthritis was found to be equally common in both sexes, but in all age groups above 60 severe osteoarthritis of the hip was twice a common in women as in men. Osteoarthritis setting in at an early age was secondary to other hip conditions. In 50 per cent of the patients the arthritis was located laterally and in 24 per cent medially. The medially located osteoarthritis was less troublesome than the lateral. According to the present study, only half the patients who exhibit radiological evidence of osteoarthritis of the hip actually need treatment. In keeping with the fact that the osteoarthritis was more severe radiologically in women than in the men, the women were also more severely affected by the condition. They more often had to apply for disablement pension they had more severe pain, and they were more handicapped in activities of daily living.

摘要

在6321例接受结肠X线检查的患者中,4.7%被证实患有髋骨关节炎。轻度骨关节炎在男女中同样常见,但在60岁以上的所有年龄组中,女性髋部重度骨关节炎的发生率是男性的两倍。早年发病的骨关节炎继发于其他髋部疾病。50%的患者关节炎位于外侧,24%位于内侧。内侧的骨关节炎比外侧的麻烦少。根据目前的研究,只有一半有髋骨关节炎放射学证据的患者实际需要治疗。与女性髋骨关节炎在放射学上比男性更严重这一事实相符的是,女性受该病的影响也更严重。她们更常申请残疾抚恤金,疼痛更严重,在日常生活活动中残疾程度更高。

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