engleski

Progression of osteoarthritis of the hands : a follow-up study

There are but a few population-based longitudinal studies of osteoarthritis, especially of hand joints. Objectives: to analyze the progression of hand osteoarthritis over a 10-year period in elderly population and to examine the influence of some risk factors on the progression of the disease Materials and Methods: Participants of both sexes were 54 to 56 years of age at the first visit. Radiographs of both hands, anthropometry and blood pressure measurement were performed at baseline and than repeated 10 years later. Total number of 286 participants completed the study. Radiographs were red according to Kellgren-Lawrence criteria. Results: Distal interphalangeal joints were most frequently affected with osteoarthritis at the baseline and after 10 years. The worst deterioration (3 grades) was found in distal interphalangeal joints in women and in proximal interphalangeal joints in men. Grip strength in men was significantly related with progression of the disease. Conclusions: The prevalence of hand OA significantly increased in ten years in all joint groups in both sexes. In our population sample mechanical factors, probably occupational workload, are associated with the more rapid progression of the disease.

osteoarthritis; osteoporosis; hand joints

nije evidentirano