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Üniversite Hastanesinde Radyografik Diz Osteoartritinin Yaş ve Cinsiyete Göre Özellikleri

Yıl 2021, Cilt: 43 Sayı: 2, 164 - 170, 30.03.2021
https://doi.org/10.20515/otd.776910

Öz

Bu çalışmada, bir üniversite hastanesi Fizik Tedavi ve Rehabilitasyon kliniğine diz ağrısı ile başvuran hastaların oranını belirlemek ayrıca yaşa ve cinsiyete göre radyografik osteoartritin sıklığını ve karakteristik özelliklerini belirlemek amaçlanmıştır. Diz ağrısı ile başvuran 198 hasta dosyası geriye dönük incelenerek, kriterleri karşılayan 146 (105 kadın, 41 erkek) hastanın yaş, cinsiyet, radyografi bilgileri kaydedilmiştir. Radyografik olarak eklem aralığında daralmanın varlığı ve varsa hangi kompartmanda daha fazla olduğu, osteofit, skleroz araştırılmıştır. Radyografik ölçümler Kellgren Lawrance Skalasına göre yapılmıştır. 2019 yılında ayaktan hasta kliniğine başvuran hastaların %2’sinin diz ağrısı ile başvurduğu saptanmıştır. 146 hastanın 89’unda (%65.7 kadınlarda, %48.7 erkeklerde) radyografik osteoartrit saptanmıştır, 89 hastanın ise 44’ünün (%49) düzeyinin orta ve ağır (evre 3-4) olduğu gözlenmiştir. Ayrıca 69 kadın hastanın 48’inde (%69), 20 erkek hastanın ise 10’unda (%50) eklem aralığında daralma saptanmıştır. Diz ağrısıyla başvuran hastaların yarıdan fazlasında radyografik olarak osteoartrit saptanmıştır. Diz osteoartriti saptanan hastaların yarısının evresi orta-ağırdır. Kadınlarda sıklığı daha fazla saptanmış olup, 50 yaş üzerindeki kadınlarda ise şiddetinin de erkeklere göre daha fazla olduğu gözlenmiştir. Her iki cinsiyette de yaş arttıkça radyografik osteoartrit sıklığı artmıştır.

Kaynakça

  • 1. McAlindon TE, Bannuru R, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis and Cartilage. 2014:22(3):363-88.
  • 2. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthrosis. Ann Rheum Dis. 1957;16(4):494-502.
  • 3. Muraki S, Oka H, Akune T, et al. Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: the ROAD study. Osteoarthritis and Cartilage. 2009;17(9):1137-43.
  • 4. Felson DT, Naimark A, Anderson J, et al. The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum. 1987;30: 914918.
  • 5. Soyocak A, Hulyam K, Ozgen M, et al. Diz Osteoartrit hastalarının evrelerine göre nüklear faktör kappa B (NF-KB) aktivitesi. Osmangazi Tıp Dergisi. 2016;38(1):49-54.
  • 6. Akıncı M, Kapucu S. Total Kalça ve Diz Protezi Yapılan Osteoartritli Yaşlı Kadınların Ağrı, Fonsiyonel Durum ve Günlük Yaşam Aktivitelerinin Belirlenmesi. Osmangazi Tıp Dergisi. 2020;42(4):434-43.
  • 7. Duncan R, Peat G, Thomas E, et al. Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be? Ann Rheum Dis. 2007;66(1):86-91.
  • 8. Gürer G, Seçkin B. Diz Biyomekaniği. Romatizma. 2001;16:114-24.
  • 9. Lethbridge-Cejku M, Tobin JD, Scott WW et al. The relationship of age and gender to prevalence and pattern of radiographic changes of osteoarthritis of the knee: data from Caucasian participants in the Baltimore Longitudinal Study of Aging. Aging Clinical and Experimental Research. 1994;6(5):353-7.
  • 10. Karabulut, M. Diz osteoartritli hastalarda radyolojik evre ile q açısı, femoral kıkırdak kalınlığı ve klinik parametreler arasındaki ilişkinin değerlendirilmesi. Uludag University, Uzmanlık tezi. 2018.
  • 11. Srikanth VK, Fryer JL, Zhai G, et al. A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis and Cartilage. 2005; 13(9), 769-81.
  • 12. Glyn-Jones S, Palmer AJR, Agricola R, et al. Osteoarthritis. The Lancet. 2015;386(9991):376-87.
  • 13. Piperno M, Le Graverand MPH, Conrozier T, et al. Quantificative evaluation of joint space width in femorotibal osteoarthritis: comparison of three radiographic views. Osteoarthritis and Cartilage. 1998; 6(4):252-9.
  • 14. Kotevoglu N, Canık N, Icagasioglu A. Comparison of radiographic patterns of knee osteoarthritis in Turkish and British patients: relationship between symptoms and disability. Romatizma. 2004;19:2:93-8.
  • 15. Edwards MH, Parsons C, Bruyère O, et al. High Kellgren-Lawrence grade and bone marrow lesions predict worsening rates of radiographic joint space narrowing; the SEKOIA study. The Journal of rheumatology. 2016; 43(3):657-65.
  • 16. Bedson J, Croft PR. The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature. BMC Musculoskelet Disord. 2008;9:116.
  • 17. Peat G, Thomas E, Duncan R, et al. Estimating the probability of radiographic osteoarthritis in the older patient with knee pain. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2007; 57(5):794-802.
  • 18. Hannan MT, Felson DT, Pincus T. Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. The Journal of rheumatology. 2000;27(6):1513-7.
  • 19. Tuncer T, Çay HF, Kaçar C et al.. Diz Osteoartrit Tedavisinde Kanıta Dayalı Öneriler: Türkiye Romatizma Araştırma ve Savaş Derneği Uzlaşı Raporu. Turk J Rheumatol. 2012;27(1):1-17. 20. Partanen J, Jamsa T, Jalovaara P. Influence of the upper femur and pelvic geometry on the risk and type of hip fractures. J Bone Miner Res. 2001; 16:1540-6.
  • 21. Wluka AE, Cicuttini FM, Spector TD. Menopause, oestrogens and arthritis. Maturitas. 2000;35(3):183-99.
  • 22. Ding C, Cicuttini F, Scott F et al.Sex differences in knee cartilage volume in adults: role of body and bone size, age and physical activity. Rheumatology. 42(11):1317-23.
  • 23. Cubukcu D, Sarsan A, Alkan H. Relationships between pain, function and radiographic findings in osteoarthritis of the knee: a cross-sectional study. Arthritis. 2012;984060.
  • 24. Botha-Scheepers S, Dougados M, Ravaud P, et al. Effect of medial tibial plateau alignment on serial radiographs on the capacity to predict progression of knee osteoarthritis. Osteoarthritis Cartilage. 2008;16:272-6.
  • 25. Laxafoss E, Jacobsen S, Gosvig KK, et al. Case definitions of knee osteoarthritis in 4,151 unselected subjects: relevance for epidemiological studies: the Copenhagen Osteoarthritis Study. Skeletal Radiol. 2010;39:859-66.
  • 26. Conrozier T, Mathieu P, Piperno M, et al. Selection of knee radiographs for trials of structure-modifying drugs in patients with knee osteoarthritis: a prospective, longitudinal study of Lyon Schuss knee radiographs with the definition of adequate alignment of the medial tibial plateau. Arthritis Rheum. 2005;52(5):1411–7.
  • 27. Agnesi F, Amrami KK, Frigo CA, et al. Comparison of cartilage thickness with radiologic grade of knee osteoarthritis. Skeletal Radiol. 2008;37:639-43.

The Characteristics of Radiographic Knee Osteoarthritis According to Age and Gender at a University Hospital

Yıl 2021, Cilt: 43 Sayı: 2, 164 - 170, 30.03.2021
https://doi.org/10.20515/otd.776910

Öz

The aim of the study was to evaluate the frequency of patients who admitted to physical and rehabilitation medicine clinic of a university hospital with knee pain and to analyse the frequency and characteristics of radiographic osteoarthritis in different age groups according to gender. Patient files of 198 patients with knee pain were detected retrospectively. 146 patient (105 female, 41 male) who met our criteria included in the study and reviewed for gender, age and anterior/posterior and lateral radyographies of knee. Knee radiographies interpreted for the presence of joint space narrowing (medial-lateral), osteophyte and sclerosis. The radiographic measurements were made according to “Kellgren Lawrance Scale”. It was found that 2% of all patients admitted to the outpatient clinic had knee pain complaints in 2019. 89 (60%) of 146 patients (65.7% in female, 48.7% in male) had radiographic knee osteoartritis according to Kellgren Lawrance Scale and 44 (49%) of 89 patients were moderate to severe (Grade 3-4). There was found a narrowing in the joint space in 48 (69%) of 69 females and 10 (50%) of 20 males with knee osteoarthritis. More than half of patients with knee pain had radiographic knee osteoartritis, and about half of patients with knee osteoarthritis were moderate to severe. The frequency of radiographic osteoarthritis were higher in females, the severity were found higher in females more than males after 50 years old. Radiographic knee osteoarthritis increased with age among both males and females,

Kaynakça

  • 1. McAlindon TE, Bannuru R, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis and Cartilage. 2014:22(3):363-88.
  • 2. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthrosis. Ann Rheum Dis. 1957;16(4):494-502.
  • 3. Muraki S, Oka H, Akune T, et al. Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: the ROAD study. Osteoarthritis and Cartilage. 2009;17(9):1137-43.
  • 4. Felson DT, Naimark A, Anderson J, et al. The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum. 1987;30: 914918.
  • 5. Soyocak A, Hulyam K, Ozgen M, et al. Diz Osteoartrit hastalarının evrelerine göre nüklear faktör kappa B (NF-KB) aktivitesi. Osmangazi Tıp Dergisi. 2016;38(1):49-54.
  • 6. Akıncı M, Kapucu S. Total Kalça ve Diz Protezi Yapılan Osteoartritli Yaşlı Kadınların Ağrı, Fonsiyonel Durum ve Günlük Yaşam Aktivitelerinin Belirlenmesi. Osmangazi Tıp Dergisi. 2020;42(4):434-43.
  • 7. Duncan R, Peat G, Thomas E, et al. Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be? Ann Rheum Dis. 2007;66(1):86-91.
  • 8. Gürer G, Seçkin B. Diz Biyomekaniği. Romatizma. 2001;16:114-24.
  • 9. Lethbridge-Cejku M, Tobin JD, Scott WW et al. The relationship of age and gender to prevalence and pattern of radiographic changes of osteoarthritis of the knee: data from Caucasian participants in the Baltimore Longitudinal Study of Aging. Aging Clinical and Experimental Research. 1994;6(5):353-7.
  • 10. Karabulut, M. Diz osteoartritli hastalarda radyolojik evre ile q açısı, femoral kıkırdak kalınlığı ve klinik parametreler arasındaki ilişkinin değerlendirilmesi. Uludag University, Uzmanlık tezi. 2018.
  • 11. Srikanth VK, Fryer JL, Zhai G, et al. A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis and Cartilage. 2005; 13(9), 769-81.
  • 12. Glyn-Jones S, Palmer AJR, Agricola R, et al. Osteoarthritis. The Lancet. 2015;386(9991):376-87.
  • 13. Piperno M, Le Graverand MPH, Conrozier T, et al. Quantificative evaluation of joint space width in femorotibal osteoarthritis: comparison of three radiographic views. Osteoarthritis and Cartilage. 1998; 6(4):252-9.
  • 14. Kotevoglu N, Canık N, Icagasioglu A. Comparison of radiographic patterns of knee osteoarthritis in Turkish and British patients: relationship between symptoms and disability. Romatizma. 2004;19:2:93-8.
  • 15. Edwards MH, Parsons C, Bruyère O, et al. High Kellgren-Lawrence grade and bone marrow lesions predict worsening rates of radiographic joint space narrowing; the SEKOIA study. The Journal of rheumatology. 2016; 43(3):657-65.
  • 16. Bedson J, Croft PR. The discordance between clinical and radiographic knee osteoarthritis: a systematic search and summary of the literature. BMC Musculoskelet Disord. 2008;9:116.
  • 17. Peat G, Thomas E, Duncan R, et al. Estimating the probability of radiographic osteoarthritis in the older patient with knee pain. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2007; 57(5):794-802.
  • 18. Hannan MT, Felson DT, Pincus T. Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. The Journal of rheumatology. 2000;27(6):1513-7.
  • 19. Tuncer T, Çay HF, Kaçar C et al.. Diz Osteoartrit Tedavisinde Kanıta Dayalı Öneriler: Türkiye Romatizma Araştırma ve Savaş Derneği Uzlaşı Raporu. Turk J Rheumatol. 2012;27(1):1-17. 20. Partanen J, Jamsa T, Jalovaara P. Influence of the upper femur and pelvic geometry on the risk and type of hip fractures. J Bone Miner Res. 2001; 16:1540-6.
  • 21. Wluka AE, Cicuttini FM, Spector TD. Menopause, oestrogens and arthritis. Maturitas. 2000;35(3):183-99.
  • 22. Ding C, Cicuttini F, Scott F et al.Sex differences in knee cartilage volume in adults: role of body and bone size, age and physical activity. Rheumatology. 42(11):1317-23.
  • 23. Cubukcu D, Sarsan A, Alkan H. Relationships between pain, function and radiographic findings in osteoarthritis of the knee: a cross-sectional study. Arthritis. 2012;984060.
  • 24. Botha-Scheepers S, Dougados M, Ravaud P, et al. Effect of medial tibial plateau alignment on serial radiographs on the capacity to predict progression of knee osteoarthritis. Osteoarthritis Cartilage. 2008;16:272-6.
  • 25. Laxafoss E, Jacobsen S, Gosvig KK, et al. Case definitions of knee osteoarthritis in 4,151 unselected subjects: relevance for epidemiological studies: the Copenhagen Osteoarthritis Study. Skeletal Radiol. 2010;39:859-66.
  • 26. Conrozier T, Mathieu P, Piperno M, et al. Selection of knee radiographs for trials of structure-modifying drugs in patients with knee osteoarthritis: a prospective, longitudinal study of Lyon Schuss knee radiographs with the definition of adequate alignment of the medial tibial plateau. Arthritis Rheum. 2005;52(5):1411–7.
  • 27. Agnesi F, Amrami KK, Frigo CA, et al. Comparison of cartilage thickness with radiologic grade of knee osteoarthritis. Skeletal Radiol. 2008;37:639-43.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Fulya Bakılan 0000-0003-2943-4833

Merih Özgen 0000-0002-8919-968X

Yayımlanma Tarihi 30 Mart 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 43 Sayı: 2

Kaynak Göster

Vancouver Bakılan F, Özgen M. The Characteristics of Radiographic Knee Osteoarthritis According to Age and Gender at a University Hospital. Osmangazi Tıp Dergisi. 2021;43(2):164-70.


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