Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Burger H, van Daele PL, Odding E, Valkenburg HA, Hofman A, Grobbee DE, Schütte HE, Birkenhäger JC, Pols HA. Association of radiographically evident osteoarthritis with higher bone mineral density and increased bone loss with age. The Rotterdam Study. Arthritis Rheum. 1996;39(1):81-6.
- 2. Ilhan Sezer, Ozge G. Illeez, Serpil D. Tuna, et al, The Relationship Between Knee Osteoarthritis and Osteoporosis. Eurasian J Med. 2010; 42(3): 124-7
- 3. Petersson IF, Boegård T, Saxne T, et al, Radio-graphic osteoarthritis of the knee classified by the Ahlback and Kellgren & Lawrence systems for the tibiofemoral joint in people aged 35–54 years with chronic knee pain. Ann Rheum Dis. 1997;56:493-6.
- 4. Price DD, McGrath PA, Rafii A, et a, The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17:45-56.
- 5. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. Geneva, World Health Organization, 1994 (WHO Technical Report Series, No. 843).
- 6. Charlie Zhang, Linda Li, Bruce B. Forster, et al, Femoroacetabular impingement and osteoarthritis of the hip. Can Fam Physician. 2015; 61(12): 1055-60.
- 7. Zhengyi Yang; James F. Griffith; Ping Chung Leung; Raymond Lee, Effect of Osteoporosis on Morphology and Mobility of the Lumbar Spine. Spine. 2009;34(3):115-121.
- 8. Fausto Salaffi, A Ciapetti, M Carotti, The sources of pain in osteoarthritis: A pathophysiological review. Reumatismo. 2014; 66 (1): 57-71.
- 9. Sandini L, Arokoski JPA, Jurvelin JS, et al, Increased bone mineral content but not bone mineral density in the hip in surgically treated knee and hip osteoarthritis. J Rheumatol. 2005;32:1951-7.
- 10. Haara MM, Arokoski JPA, Kroger H, et al, Association of radiological hand osteoarthritis with bone mineral mass: a population study. Rheumatology. 2005;44:1549-54.
- 11. Im Gi, Kim MK, The relationship between osteoarthritis and osteoporosis. Journal of Bone and Mineral Metabolism. 2014;32(2):101-09.
- 12. Dequeker J, Aerssens J, Luyten FP, Osteoarthritis and osteoporosis: clinical and research evidence of inverse relationship. Aging Clin Exp Res. 2003;15(5):426-39.
Öz
Kaynakça
- 1. Burger H, van Daele PL, Odding E, Valkenburg HA, Hofman A, Grobbee DE, Schütte HE, Birkenhäger JC, Pols HA. Association of radiographically evident osteoarthritis with higher bone mineral density and increased bone loss with age. The Rotterdam Study. Arthritis Rheum. 1996;39(1):81-6.
- 2. Ilhan Sezer, Ozge G. Illeez, Serpil D. Tuna, et al, The Relationship Between Knee Osteoarthritis and Osteoporosis. Eurasian J Med. 2010; 42(3): 124-7
- 3. Petersson IF, Boegård T, Saxne T, et al, Radio-graphic osteoarthritis of the knee classified by the Ahlback and Kellgren & Lawrence systems for the tibiofemoral joint in people aged 35–54 years with chronic knee pain. Ann Rheum Dis. 1997;56:493-6.
- 4. Price DD, McGrath PA, Rafii A, et a, The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17:45-56.
- 5. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. Geneva, World Health Organization, 1994 (WHO Technical Report Series, No. 843).
- 6. Charlie Zhang, Linda Li, Bruce B. Forster, et al, Femoroacetabular impingement and osteoarthritis of the hip. Can Fam Physician. 2015; 61(12): 1055-60.
- 7. Zhengyi Yang; James F. Griffith; Ping Chung Leung; Raymond Lee, Effect of Osteoporosis on Morphology and Mobility of the Lumbar Spine. Spine. 2009;34(3):115-121.
- 8. Fausto Salaffi, A Ciapetti, M Carotti, The sources of pain in osteoarthritis: A pathophysiological review. Reumatismo. 2014; 66 (1): 57-71.
- 9. Sandini L, Arokoski JPA, Jurvelin JS, et al, Increased bone mineral content but not bone mineral density in the hip in surgically treated knee and hip osteoarthritis. J Rheumatol. 2005;32:1951-7.
- 10. Haara MM, Arokoski JPA, Kroger H, et al, Association of radiological hand osteoarthritis with bone mineral mass: a population study. Rheumatology. 2005;44:1549-54.
- 11. Im Gi, Kim MK, The relationship between osteoarthritis and osteoporosis. Journal of Bone and Mineral Metabolism. 2014;32(2):101-09.
- 12. Dequeker J, Aerssens J, Luyten FP, Osteoarthritis and osteoporosis: clinical and research evidence of inverse relationship. Aging Clin Exp Res. 2003;15(5):426-39.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mayıs 2019 |
| Yayımlandığı Sayı | Yıl 2019Cilt: 4 Sayı: 1 |
