Current approach to diagnosis and management of osteoarthritis

被引:5
作者
Ickinger, C. [1 ]
Tikly, M.
机构
[1] Chris Hani Baragwanath Hosp, Div Rheumatol, Johannesburg, South Africa
关键词
osteoarthritis; disability; pain; risk factors; management;
D O I
10.1080/20786204.2010.10874013
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Osteoarthritis (OA) is a common chronic degenerative joint disorder and a major cause of pain and disability, especially in the elderly. The prevalence is steadily rising due to an increase in life expectancy and certain lifestyle factors. OA is a complex dynamic process involving all tissues of the joint organ. Multiple risk factors are associated with the occurrence and progression of OA. There is extreme variability in presentation at different joint sites and between individuals. Management of OA involves a comprehensive approach consisting of preventative measures and numerous therapeutic modalities which should be tailored to individual needs. The family practitioner plays a vital role in the diagnosis of OA, the initiation of treatment and the ongoing monitoring of the condition.
引用
收藏
页码:382 / +
页数:7
相关论文
共 38 条
[1]
THE AMERICAN-COLLEGE-OF-RHEUMATOLOGY CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS OF THE HIP [J].
ALTMAN, R ;
ALARCON, G ;
APPELROUTH, D ;
BLOCH, D ;
BORENSTEIN, D ;
BRANDT, K ;
BROWN, C ;
COOKE, TD ;
DANIEL, W ;
FELDMAN, D ;
GREENWALD, R ;
HOCHBERG, M ;
HOWELL, D ;
IKE, R ;
KAPILA, P ;
KAPLAN, D ;
KOOPMAN, W ;
MARINO, C ;
MCDONALD, E ;
MCSHANE, DJ ;
MEDSGER, T ;
MICHEL, B ;
MURPHY, WA ;
OSIAL, T ;
RAMSEYGOLDMAN, R ;
ROTHSCHILD, B ;
WOLFE, F .
ARTHRITIS AND RHEUMATISM, 1991, 34 (05) :505-514
[2]
THE AMERICAN-COLLEGE-OF-RHEUMATOLOGY CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS OF THE HAND [J].
ALTMAN, R ;
ALARCON, G ;
APPELROUTH, D ;
BLOCH, D ;
BORENSTEIN, D ;
BRANDT, K ;
BROWN, C ;
COOKE, TD ;
DANIEL, W ;
GRAY, R ;
GREENWALD, R ;
HOCHBERG, M ;
HOWELL, D ;
IKE, R ;
KAPILA, P ;
KAPLAN, D ;
KOOPMAN, W ;
LONGLEY, S ;
MCSHANE, DJ ;
MEDSGER, T ;
MICHEL, B ;
MURPHY, W ;
OSIAL, T ;
RAMSEYGOLDMAN, R ;
ROTHSCHILD, B ;
STARK, K ;
WOLFE, F .
ARTHRITIS AND RHEUMATISM, 1990, 33 (11) :1601-1610
[3]
DEVELOPMENT OF CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS - CLASSIFICATION OF OSTEOARTHRITIS OF THE KNEE [J].
ALTMAN, R ;
ASCH, E ;
BLOCH, D ;
BOLE, G ;
BORENSTEIN, D ;
BRANDT, K ;
CHRISTY, W ;
COOKE, TD ;
GREENWALD, R ;
HOCHBERG, M ;
HOWELL, D ;
KAPLAN, D ;
KOOPMAN, W ;
LONGLEY, S ;
MANKIN, H ;
MCSHANE, DJ ;
MEDSGER, T ;
MEENAN, R ;
MIKKELSEN, W ;
MOSKOWITZ, R ;
MURPHY, W ;
ROTHSCHILD, B ;
SEGAL, M ;
SOKOLOFF, L ;
WOLFE, F .
ARTHRITIS AND RHEUMATISM, 1986, 29 (08) :1039-1049
[4]
Arthritis and Musculoskeletal Alliance, 2004, STAND CAR PEOPL OST
[5]
Prognostic factors of progression of osteoarthritis of the knee: A systematic review of observational studies [J].
Belo, J. N. ;
Berger, M. Y. ;
Reijman, M. ;
Koes, B. W. ;
Bierma-Zeinstra, S. M. A. .
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2007, 57 (01) :13-26
[6]
Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis [J].
Blagojevic, M. ;
Jinks, C. ;
Jeffery, A. ;
Jordan, K. P. .
OSTEOARTHRITIS AND CARTILAGE, 2010, 18 (01) :24-33
[7]
Does the hip powder of Rosa canina (rosehip) reduce pain in osteoarthritis patients? a meta-analysis of randomized controlled trials [J].
Christensen, R. ;
Bartels, E. M. ;
Altman, R. D. ;
Astrup, A. ;
Bliddal, H. .
OSTEOARTHRITIS AND CARTILAGE, 2008, 16 (09) :965-972
[8]
Symptomatic efficacy of avocado-soybean unsaponifiables (ASU) in osteoarthritis (OA) patients: a meta-analysis of randomized controlled trials [J].
Christensen, R. ;
Bartels, E. M. ;
Astrup, A. ;
Bliddal, H. .
OSTEOARTHRITIS AND CARTILAGE, 2008, 16 (04) :399-408
[9]
Lifetime nonnarcotic analgesic use and decline in renal function in women [J].
Curhan, GC ;
Knight, EL ;
Rosner, B ;
Hankinson, SE ;
Stampfer, MJ .
ARCHIVES OF INTERNAL MEDICINE, 2004, 164 (14) :1519-1524
[10]
Dillon CF, 2006, J RHEUMATOL, V33, P2271