The longitudinal course of hand osteoarthritis in a male population

Abstract

In this prospective analysis of the natural history of osteoarthritis (OA) of the hand, the incidence and progression of various radiographic features of OA were examined in 177 men who participated in the Baltimore Longitudinal Study of Aging. Subjects who were less than 60 years old were selected based on the availability of at least 4 hand radiographs taken during at least 20 years of followup, while subjects who were age 60 or older were required to have had at least 4 hand radiographs taken during only 14 years of followup. Individual joints of the hands were graded for the presence and severity of 5 features of OA: osteophytes, joint space narrowing, subchondral sclerosis, lateral deformity, and cortical collapse. They were also graded according to the global KellgredLawrence scale. The incidence and rate of progression of OA, as measured by all scales, increased in progressively older age groups.

Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization

“…Previous incidence data have been limited to a smaller study of hip and knee OA in Rochester,Minnesota (20), which excluded posttraumatic OA and included grade 1 (questionable) OA, and to a single study of radiographic OA of the hand (21). We present a large-scale incidence study using a comprehensive case definition that includes radiographic and clinical features in a population with a large number of subjects o v e r age 65.…”

Efectividad de la Distracción Tibiofemoral en la Funcionalidad Adicionada al Tratamiento Convencional en Pacientes Mayores de 50 Años con Osteoartritis de Rodilla. Un Estudio Piloto

“…Mundialmente se ha reportado incidencias entre 164 y 240 casos por cada 100.000 habitantes para OA de rodilla (Kallman et al, 1990;Wilson et al, 1990). En Chile, de acuerdo a los datos de la encuesta nacional de salud (ENS) del 2009, un 3,8 % de la población adulta refiere padecer de OA, siendo más frecuente en mujeres y mayor en la medida que aumenta la edad.…”

“…Incluyendo ligamentos, cáp-sula articular, membrana sinovial y músculos peri articulares. De esto se desprende que la OA es un proceso de daño articular con diferentes etiologías, pero con un patrón de presentación similar, tanto biológico, morfológico y clínico (Radrigán, 2004).Mundialmente se ha reportado incidencias entre 164 y 240 casos por cada 100.000 habitantes para OA de rodilla (Kallman et al, 1990;Wilson et al, 1990). En Chile, de acuerdo a los datos de la encuesta nacional de salud (ENS) del 2009, un 3,8 % de la población adulta refiere padecer de OA, siendo más frecuente en mujeres y mayor en la medida que aumenta la edad.…”

Knuckle Cracking and Hand Osteoarthritis

“…8 The prevalence of symptomatic hand OA has been reported to be 22% in persons age 71 to 100 years among the general population. 9 Other risk factors include prior joint trauma, family history of hand OA, and history of heavy labor involving the hands.…”

“…10 Those with hand OA have reduced maximal grip strength, more difficulty writing and handling small objects, and more difficulty carrying objects. 8 Given this burden of suffering from hand OA and the lack of curative or disease-modifying treatments, factors that potentially protect against OA warrant further investigation. One such factor is knuckle cracking.…”