Mutter K, Schlegel K F
Z Orthop Ihre Grenzgeb. 1975 Jun;113(3):402-5.
It is often possible to establish the origin of an arthosis of the hip joint radiologically. Only in 17 out of 445 patients were we unable to arrive at a classification because the arthrosis was already too advanced. Data relating to the history are of limited value -- only 21% of our patients knew of earlier disorders of the joint --, so definition of causes an radiographs is important. The high percentage of arthroses the origin of which is known, makes it likely that the concept of "primary arthrosis" is unnecessary, since behind it there hide those cases of apparently ill-defined arhtroses which -- as shown in our results -- can be further differentiated. This radiologically based classification will serve to increase the possibilities of progressing from symptomatic to prophylactic treatment.
通过放射学手段往往能够确定髋关节关节炎的病因。在445例患者中,只有17例因关节炎病情已过于严重而无法进行分类。与病史相关的数据价值有限——我们的患者中只有21%知晓关节曾有过早期病变——因此通过X光片确定病因很重要。已知病因的关节炎比例很高,这使得“原发性关节炎”这一概念可能并无必要,因为在其背后隐藏着那些病因看似不明的关节炎病例——正如我们的研究结果所示——这些病例可以进一步细分。这种基于放射学的分类将有助于增加从对症治疗转向预防性治疗的可能性。