Osteoarthritis

A. Barr, P. Conaghan
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Abstract

Clinical osteoarthritis (OA) is a syndrome of joint pain associated with structural deterioration of synovial joints that over time involves the whole joint organ. It is the most common form of arthritis and a leading cause of chronic pain, disability, and socioeconomic burden. Affected individuals report pain (especially on weight bearing) and joint stiffness leading to loss of muscle strength and poor joint function. This results in reduced participation in valued activities, low mood, sleep disturbance, and poor quality of life. The aetiology of joint deterioration, pain, and the interaction of the two remains unclear. OA is associated with a variety of both modifiable and non-modifiable risk factors including obesity, age, gender, occupational injury, trauma, and genetic predisposition. Obesity is the strongest potentially modifiable risk factor.
骨关节炎
临床骨关节炎(OA)是一种与滑膜关节结构恶化相关的关节疼痛综合征,随着时间的推移累及整个关节器官。它是关节炎最常见的形式,也是慢性疼痛、残疾和社会经济负担的主要原因。受影响的个体报告疼痛(特别是在负重时)和关节僵硬导致肌肉力量丧失和关节功能差。这导致减少参与有价值的活动,情绪低落,睡眠障碍和生活质量差。关节恶化、疼痛的病因以及两者之间的相互作用尚不清楚。骨性关节炎与多种可改变和不可改变的危险因素相关,包括肥胖、年龄、性别、职业伤害、创伤和遗传易感性。肥胖是最大的潜在可改变的风险因素。
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