Wright V, Hopkins R
Rheumatology and Rehabilitation Research Unit, University Department of Clinical Medicine, General Infirmary Leeds.
Br J Rheumatol. 1993 Mar;32(3):243-44. doi: 10.1093/rheumatology/32.3.243.
To test the suggestion [1] that turning the wrist into a weight-bearing joint by using a stick is likely to cause OA in that joint, 50 consecutive patients (excluding those with RA) who had used a stick for more than 1 year were studied clinically and radiographically. The data did not support this hypothesis. The changes in the original paper, as in one of these patients, were likely to be due to avascular necrosis.
为验证[1]中所提建议,即通过使用拐杖将手腕转变为负重关节可能会导致该关节发生骨关节炎,我们对连续50例(不包括类风湿性关节炎患者)使用拐杖超过1年的患者进行了临床和影像学研究。数据并不支持这一假设。正如其中一名患者的原始论文中所述,这些变化可能是由于缺血性坏死所致。