Objective. To specify in detail the clinical phenotype in 2 Finnish families demonstrating linkage between the type I1 procollagen gene (COL2A1) and osteoarthritis (OA). We also reevaluated the linkage and screened the exon sequences of the COL2Al gene for mutations.Methods. We used single-stranded conformation polymorphism and denaturing gradient-gel electrophoresis techniques for the analyses.Results. Osteoarthritis (OA) is a very common disease which varies in its manifestations. Although most cases are of limited clinical significance, millions of people world-wide become disabled because of OA. Symptoms of pain, stiffness, and limitation of motion are localized to the affected joints. The end result of the process can be grossly deformed joints. The main radiographic features are narrowing of the joint space indicating loss of cartilage, subchondral bone sclerosis, and osteophyte formation in the margins of the bones. The distal interphalangeal joints, hips, knees, the first metatarsophalangeal joints, and the lower lumbar and cervical vertebrae are most commonly affected. Different subsets of the disease can be identified, according to which joints are affected, but the subsets frequently overlap.In some instances, there is an identifiable cause, such as trauma or congenital malformation, but very often, the etiology remains unknown. OA is not an inevitable result of aging; there are elderly people who have no evidence of the disease. Since familial aggregation is seen, genetic factors may be important, particularly in OA of the hand (1,2).