Dihlmann A, Dihlmann W, Bücheler E
Abt. Röntgendiagnostik, Universitätskrankenhauses Hamburg-Eppendorf.
Aktuelle Radiol. 1996 Sep;6(5):249-56.
Increasing age is a risk factor for the development of osteoarthrosis of the joints of the hand in adults between 21 and 60 years of age. Only in the very old (> or = 80 years) is osteoarthrosis of the hand part of the age related degeneration. The literature contains different parameters and indices correlating the amounts of minerals and ashes of metacarpal bones. Our results speak in favour of the presumptions published by Exton-Smith et al. (1969 b) that bone mass belongs among the biological characteristics of old age. Our investigations of hand roentgenograms reveal that remodeling of the joint socket as described by pathologists is not a general but an elective phenomenon. With age the wrist shows only an increasing angle of the radial joint surface (males, right hand) and there is a variation of form in the medial sesamoid bone at the first metacarpus (males, left hand).
在21至60岁的成年人中,年龄增长是手部关节骨关节炎发展的一个风险因素。只有在非常年老(≥80岁)时,手部骨关节炎才是与年龄相关的退化的一部分。文献中包含了不同的参数和指标,用于关联掌骨的矿物质和灰分含量。我们的结果支持了埃克斯顿 - 史密斯等人(1969年b)发表的推测,即骨量属于老年的生物学特征之一。我们对手部X光片的研究表明,病理学家所描述的关节窝重塑并非普遍现象,而是一种选择性现象。随着年龄的增长,手腕仅显示桡骨关节面角度增加(男性,右手),并且第一掌骨内侧籽骨的形态存在变化(男性,左手)。