For now, however, the only definitive treatment for OA is surgical. Such treatment on OA joints should be attempted only if all the non-operative options have been exhausted, and the goal should be to decrease pain and improve mobility. The least extensive treatment is tidal irrigation. It is mostly performed on knee and shoulder joint […]
The general complications of OA include loss of range of motion, extremity deformity due to asymmetric loss of joint space, subluxation, ankylosis or complete bony fusion of a joint, and intraarticular loose bodies related to subchondral fractures.
The reasons for formation of the osteophytes, that are at least partially responsible for the joint deformity and pain in OA, are unclear. Some possibilities include increase in vascularity of the basal layers of the degenerating cartilage, improperly healing stress fractures in subchondral trabculae near subchondral margins, or venous congestion in the bone. In animal […]
Risk factors for primary OA include increasing age, history of injury to the joint (trauma, repetitive stress, inflammation, etc.), and obesity. Secondary OA can develop as a result of any physical, metabolic, or chemical injury to the joint such as congenital or developmental bone malformations (Legg-Calve-Perthes disease or SCFE), metabolic diseases (alcaptonuria, hemochromatosis, Wilson’s disease), […]
Osteoarthritis (OA) is a non-inflammatory disease characterized by progressive loss of joint articular cartilage that results in pain and deformity. The disease is also known as degenerative arthritis, degenerative joint disease (DJD), and osteoarthrosis. Epidemiologic data on OA varies depending on the source but the general consensus is that it is the most common joint […]
In this sample of nearly 600 elderly male veterans with moderate-to-severe OA of the hip and/or knee, we found that African-American patients reported less non-VA insurance coverage than white patients. White patients were more likely than African-American patients to report that it was difficult getting medical care when they needed it. Differences between the two […]
Baseline Comparisons Table 1 summarizes the clinical, demographic and psychosocial characteristics of the comparison groups. The two groups were similar with respect to age, Charlson Comorbidity Index score, Lequesne scores, WOMAC scores and GDS. However, African-American participants, when compared to white participants, reported lower annual household incomes (P<0.01) and were less likely to be employed […]