Patterns of osteoarthritis of the wrist: a single-centre observational cohort study.

Bram Cornette, Nadine Hollevoet
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Abstract

This study describes the patterns and prevalence of advanced osteoarthritis of the wrist. Bilateral wrist radiographs of 1327 patients over the age of 40 years were reviewed. Osteoarthritis was present in 228 (17%) patients (368 wrists). One wrist was affected in 88 (39%) patients and both wrists in 140 (61%). A total of 27 different patterns of wrist osteoarthritis were found. The most common pattern was isolated osteoarthritis of the scaphotrapeziotrapezoidal joint (217 wrists, 59%), followed by isolated osteoarthritis of the radioscaphoid joint (45 wrists, 12%). In 251 (68%) wrists, advanced osteoarthritis was present only in the midcarpal joint, including the scaphotrapeziotrapezoidal joint. In 115 (31%) wrists, advanced arthritis was present in the radiocarpal joint or in both the mid- and radiocarpal joints. This suggests that advanced osteoarthritis of the midcarpal joint without radiocarpal involvement may be more common than previously thought.Level of evidence: IV.

腕部骨关节炎的模式:单中心观察队列研究。
本研究描述了腕部晚期骨关节炎的模式和患病率。回顾了1327例40岁以上患者的双侧腕关节x线片。228例(17%)患者(368例手腕)存在骨关节炎。88例(39%)患者单侧手腕受累,140例(61%)患者双侧手腕受累。共发现27种不同类型的腕骨关节炎。最常见的类型是舟方关节孤立性骨关节炎(217例手腕,59%),其次是桡舟状关节孤立性骨关节炎(45例手腕,12%)。在251例(68%)腕关节中,晚期骨关节炎仅存在于腕中关节,包括舟状斜方关节。在115例(31%)腕关节中,晚期关节炎存在于桡腕关节或中腕关节和桡腕关节。这表明不累及桡腕关节的晚期腕中关节骨关节炎可能比以前认为的更常见。证据等级:四级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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