OSTEOPHYTOSIS OF THE KNEE - ASSOCIATION WITH CHANGES IN WEIGHT-BEARING EXERCISE

被引:17
作者
MICHEL, BA
FRIES, JF
BLOCH, DA
LANE, NE
JONES, HH
机构
[1] Department of Rheumatology, University Hospital of Zürich, Zürich
[2] Department of Medicine, Stanford University School of Medicine, Stanford, 94305, CA
[3] Department of Biostatistics, Stanford University School of Medicine, Stanford, 94305, CA
[4] Department of Radiology, Stanford University School of Medicine, Stanford, 94305, CA
关键词
OSTEOPHYTOSIS; OSTEOARTHRITIS OF THE KNEE; EXERCISE;
D O I
10.1007/BF02207964
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Osteoarthritis has been held to result from wear and tear. We addressed this hypothesis by analysis of anteroposterior radiographs of the knees of 51 subjects with mean age of 60 years who regularly practiced weight-bearing exercise. Radiographs were assessed for longitudinal changes in spur formation over a two-year period. The results showed a negative association between changes in weight-bearing exercise and changes in the rate of spur development in both males and females. The findings suggest that increasing repetitive impulse loading in the form of regular painless weight-bearing activity does not promote osteophytosis (or perhaps degenerative disease) in knee joints.
引用
收藏
页码:235 / 238
页数:4
相关论文
共 19 条
[11]  
Altman R., Asch E., Bloch D., Bole G., Borenstein D., Brandt K., Christy W., Cooke T.D., Greenwald R., Hochberg M., Howell D., Kaplan D., Koopman W., Longley S., Mankin H., McShane D.J., Medsger T., Meenan R., Mikkelsen W., Moskowitz R., Murphy W., Rothschild B., Segal M., Sokoloff L., Wolfe F., Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee, Arthritis Rheum, 29, pp. 1039-1049, (1986)
[12]  
Kendall M.C., Stuart A., The Advanced Theory of Statistics. Vol 2., pp. 302-304, (1967)
[13]  
Van Saase J.L., Van Romunde L.K., Cats A., Vandenbroucke J.P., Valkenburg H.A., Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations, Ann Rheum Dis, 48, pp. 271-280, (1989)
[14]  
Danielsson L., Hernborg J., Clinical and roentgenologic study of knee joints with osteophytes, Clin Orthop Rel Res, 69, pp. 302-312, (1970)
[15]  
Radin E.L., Burr D.B., Hypothesis: Joints can heal, Sem in Arthritis Rheum, 13, pp. 293-302, (1984)
[16]  
Coventry M.B., Osteotomy of the hip for degenerative arthritis, Mayo Clinic Proc, 44, pp. 505-514, (1969)
[17]  
Resnick D., Niwayama G., Degenerative disease of extraspinal locations, Diagnosis of Bone and Joint Disorders, pp. 1364-1479, (1988)
[18]  
Palmoski M., Perricone E., Brandt K.D., Development and reversal of a proteoglycan aggregation defect in normal canine knee cartilage after immobilization, Arthritis Rheum, 22, pp. 508-517, (1979)
[19]  
Saamanen A.M., Tammi M., Kiviranta I., Jurvelin J., Helminen H.J., Levels of chondroitin-6-sulfate and nonaggregating proteoglycans at articular cartilage contact sites in the knees of young dogs subjected to moderate running exercise, Arthritis & Rheumatism, 32, pp. 1282-1292, (1989)