Ricci G
Minerva Med. 1977 Feb 18;68(8):523-8.
An investigation of the first site of joint pain in 3,419 subjects with primary arthrosis is reported. In both sexes, the lumbar region was by far the most common, followed by the neck, the knee, and other joints; marked and significant differences between males and females were noted. While the data do not clearly show that the first pain site and the first site of involvement are the same, it is felt that this is a fairly constant occurrence. Since bearing joints are concerned in the lumbar region and a psychosomatic site in that of the neck--this, in fact, is twice as frequent in women as in men, this constancy serves to bring into discussion the primary and secondary nature of arthrosis, at least in a certain number of cases.
本文报道了对3419例原发性关节病患者关节疼痛首发部位的调查。在男性和女性中，腰椎是迄今为止最常见的首发疼痛部位，其次是颈部、膝关节和其他关节；男性和女性之间存在显著差异。虽然数据并未明确表明首发疼痛部位与首发受累部位相同，但人们认为这是一种相当常见的情况。由于承重关节与腰椎有关，而颈部是心身相关部位——事实上，女性颈部出现疼痛的频率是男性的两倍，这种一致性至少在一定数量的病例中引发了关于关节病原发性和继发性本质的讨论。
