DİZ OSTEOARTRİTİNDE KEMİK MİNERAL YOĞUNLUĞU VE RADYOLOJİK BULGULAR ARASINDAKİ İLİŞKİ

Abstract

Amaç; Osteoporoz ve osteoartrit sıklıkla ileri yaşlarda ortaya çıkar. Mortalite ve morbidite açısından bu iki hastalık oldukça farklıdır. Osteoartrit genellikle normalin üzerinde kemik dansitesi ile ilişkilidir. Kemik yoğunluğu açısından radyolojik olarak osteoporoz ile osteoartritin birlikte görüntülenemeyeceği kabul edilir. Çalışmaların çoğunda bu iki hastalığın negatif ilişkili olduğundan bahsedilir.

Materyal-metod; Bu çalışmaya, geriye dönük olarak diz osteoartriti tanısı almış olan toplam 50 kadın dahil edildi. Tüm hastaların diz röntgenleri değerlendirildi. Diz osteoartriti evrelemesi, Kellgren-Lawrence skalasına göre yapıldı. Hastaların dosyalarından ağrı skorları kaydedildi. Dual enerji x-ray absorbsiyometri sonuçlarına göre lomber ve femoral bölge g/cm² kemik yoğunluğu, t ve z skorları kaydedildi.

Sonuç; Biz bu çalışmayı planlarken amacımız, diz osteoartriti hastalarında diz eklemi osteoartriti ile femur ve lomber bölge kemik yoğunluğu arasındaki ilişikiyi araştırmaktı. Sonuçta, osteoartritin radyolojik bulgularıyla kemik mineral yoğunluğu arasında pozitif ya da negatif ilişki saptanmadı.

 

Objective; Osteoporosis and osteoarthritis are often seen in the older population. These diseases are clearly different clinical conditions with respect to morbidity and mortality. Generally, osteoarthritis is associated with above-average bone density. Osteoarthritis is associated with higher bone mineral density in related area.  Osteoarthritis and osteoporosis do not normally present together in respect to radiological findings. Previous studies suggest that osteoarthritis is inversely related to osteoporosis.  

Material-Method; We retrospectively reviewed 50 women who were diagnosed with knee osteoarthritis enrolled to study. All patients’ anteroposterior knee x-ray imaginations were evaluated. Knee osteoarthritis was determined according to the criteria of Kellgren–Lawrence grading scale. Pain score was also recorded from patients’ files. Dual-energy X-ray absorptiometry as g/cm² of lumbar and femoral regions, T and Z scores were also recorded.

Results; When we were planning this study, our aim were to determine the relationship between knee osteoarthritis and the bone mineral density of the femur and lumbar vertebrae. As a consequence, there was no any relationship between knee osteoarthritis and bone mineral density in women. 

Keywords

• Osteoporosis,osteoarthritis

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