KELLGREN和LAWRENCE对骨性关节炎患者的临床和放射学描述

M. Amran
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引用次数: 1

摘要

骨关节炎(OA)是一种进行性和退行性慢性肌肉骨骼疾病,由关节软骨因骨相互摩擦而变薄引起。病史、体格检查的临床表现和影像学检查结果是诊断OA的基础。患者的主诉包括关节疼痛(这是患者就诊的主要主诉)、关节僵硬、震颤、关节肿胀和步态变化。由于疼痛引起的步态改变在体格检查中被发现,即使放射学上仍处于初始水平。此外还可以发现,肌酐、关节肿胀往往不对称。本研究的目的是通过咨询师和Lawrence确定2018年阿努塔普拉锤形骨科综合诊所门诊基因型骨关节炎患者的临床和影像学特征。采用描述性研究方法对2018年在阿努塔普拉帕卢公立医院骨科门诊治疗的27例生殖器骨关节炎患者进行研究。根据Kellgren和Lawrence标准,通过访谈和观察疼痛、关节僵硬、关节肿胀、步态变化以及影像学检查等方式进行连续抽样和数据收集。数据分析采用SPSS 25进行频率分布检验。研究结果如下:(1)根据临床表现,膝骨性关节炎患者疼痛(100%)、疼痛伴步态改变(70.37%)、疼痛伴关节僵硬(51.4%)、疼痛伴关节肿胀(44.4%)、疼痛伴毛骨悚然(37.0%)。(2)基于影像学的膝骨关节炎患者最高分别为3级和4级(33.3%)、2级(29.6%)、1级(3.7%)和0级未见。结论:发现关节痛及小部分疼痛伴发creitus, 3级和4级多见,0级未见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
GAMBARAN KLINIS DAN RADIOLOGIS MENURUT KELLGREN AND LAWRENCE PADA PENDERITA OSTEOARTHRITIS GENU YANG BEROBAT JALAN DI POLOKLINIK ORTOPEDI RSU ANUTAPURA PALU TAHUN 2018
Osteoarthritis (OA) is a progressive and degenerative chronic musculoskeletal disease caused by thinning of the cartilage in the joint due to bone rubbing against each other. History of the patient's history, clinical picture of the physical examination and the results of the radiological examination are basic things to diagnose OA. Patient's complaints include joint pain which is a major complaint that brings the patient to the doctor, joint stiffness, crepitation, joint swelling, and changes in gait. Gait changes due to pain are found on a physical examination even though radiologically is still at an initial level. In addition it can be found that crepitus, swollen joints are often asymmetrical. The aim of this study was to determine clinical and radiological features by counselor and Lawrence of outpatient genotypes osteoarthritis patients in the rsu anutapura hammer orthopedic polyclinic in 2018. Descriptive research methods were conducted on 27 people with genital osteoarthritis who were treated at the orthopedic clinic in Anutapura Palu Public Hospital 2018. Consecutive sampling was used and data collection through interviews and observations in the form of pain, joint stiffness, crepitus, joint swelling and gait changes and radiological examinations based on Kellgren and Lawrence criteria. Data analysis using SPSS 25 with frequency distribution test. The results of the study were (1) based on the clinical picture in genu osteoarthritis patients pain (100%), pain accompanied by gait changes (70.37%), pain accompanied by joint stiffness (51.4%), pain accompanied by joint swelling (44, 4%), and pain with crepitus (37.0%). (2) based on radiology in patients with osteoarthritis genu with the highest grade 3 and 4 respectively (33.3%), grade 2 (29.6%), grade 1 (3.7%) and in grade 0 not found. Conclusion: found joint pain and a small portion of pain accompanied by crepitus, radiologists found in most grades 3 and 4 while grade 0 was not found.
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