Association of radiological hand osteoarthritis with bone mineral mass: a population study

Haara, Mikko; Arokoski, Jari; Kröger, Heikki; Kärkkäinen, A; Manninen, Pirjo; Knekt, Paul; Impivaara, Olli; Heliövaara, Markku

doi:10.1093/rheumatology/kei084

Cited by 37 publications

(30 citation statements)

References 33 publications

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“…In the same vein, authors observed that erosive arthrosis in the hands was associated with lower T and Z-score indices in the lumbar spine than in controls 27 . Lastly, Haara et al 28 confirmed that the loss of bone mass over 20 years, evaluated by means of quantitative ultrasound in the calcaneum, was more pronounced in those patients with arthrosis of the interphalangial joints.…”

Section: Peripheral Arthrosis and Osteoporosismentioning

confidence: 90%

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Osteoporosis y artrosis: ¿dos enfermedades mutuamente excluyentes o dos entidades relacionadas?

Rodrigo¹,

Martínez

Hernández

2013

Rev Osteoporos Metab Miner

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SummaryThe possible association between osteoporosis and osteoarthritis represents an ongoing matter of debate. It was considered, for decades, that both diseases were mutually exclusive due to the anthropometric characteristics and the difference in bone mass that patients with osteoporosis and osteoarthritis often present. However, in recent years, it was pointed out that both processes can coexist, and even that they may have a direct relationship. In this paper we review some aspects of the association between both diseases from a temporal perspective.

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Section: Peripheral Arthrosis and Osteoporosismentioning

confidence: 90%

“…However, the analysis of the possible relationship between the two processes is problematic due to various factors, some of which have been suggested in different studies 17,28,35,53,54 . Firstly, it is possible that there are different patterns of association as a function of the location of the arthrosis.…”

Section: Discussionmentioning

confidence: 99%

Osteoporosis y artrosis: ¿dos enfermedades mutuamente excluyentes o dos entidades relacionadas?

Rodrigo¹,

Martínez

Hernández

2013

Rev Osteoporos Metab Miner

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“…Some findings from cross-sectional [2] and longitudinal [3,4] studies have shown the coexistence of osteoarthritis and osteoporosis or even an unexpected increased risk of vertebral fractures in patients with spondyloarthritis [5,6]. In this last scenario, however, few radiology-based studies have been reported [5][6][7][8][9][10][11]; most of these have included postmenopausal women and have analyzed only the lumbar spine, with a paucity of data on the thoracic spine.…”

Section: Introductionmentioning

confidence: 99%

Relationship between spinal osteoarthritis and vertebral fractures in men older than 50 years: data from the Camargo Cohort Study

et al. 2016

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Spinal osteoarthritis has been suggested as a risk factor for vertebral fractures. However, results are conflicting: most of the data are focused on the lumbar region, and referred to postmenopausal women, whereas data for men are scarce. The aim of this study is to assess the relationship between spinal osteoarthritis and vertebral fractures in men over 50 years of age. We conducted a cross-sectional study, nested in a prospective population-based cohort, including 507 community-dwelling men, 93 of them with at least one vertebral fracture. Vertebral fractures, osteophytosis, and disc space narrowing (DSN) were assessed by lateral thoracic and lumbar radiographs. Anthropometric, clinical, and densitometric variables were also analyzed. A multiple logistic regression model was performed. Eighty-five percent of vertebral fractures were located at the thoracic spine. Osteophytosis and DSN showed a bimodal distribution, with major frequency peaks at mid- and distal lumbar spine. The three distributions overlapped around the T9 vertebra. We did not find any relationship between lumbar osteoarthritis and vertebral fractures. Nevertheless, thoracic osteophytosis (OR, 1.84; 95 % CI, 1.05-3.17; p = 0.03) and DSN (OR, 2.52; 95 % CI, 1.43-4.46; p = 0.001) were found to be independently associated with prevalent vertebral fractures, after adjusting for confounders. Our results suggest a positive relationship between radiologic osteoarthritic changes at the thoracic spine and prevalent vertebral fractures in men more than 50 years of age. Osteoarthritis may act as a local risk factor, in addition to other mechanical factors, resulting in a greater propensity to fracture, especially at the mid-thoracic region.

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“…Bazı çalışmalarda (8,12) el OA ile OP arasında herhangi bir ilişki gösterilemezken, bazı çalışmalarda (15,16) el OA olan hastalarda kontrol grubuyla kıyasla omurgada ve femurda düşük KMY olduğu bildirilmiştir. Ayrıca, literatürde özellikle radyogra k olarak el OA olan hastalarda periferik kemiklerde de OP riskinin artmış olduğunu öne süren çalışmalar mevcuttur (17)(18)(19). Bu çalışmanın birincil amacı el OA olan postmenopozal kadınların KMY değerlerini el OA olmayan bireylerle karşılaştırmaktır.…”

Section: Introductionunclassified

Evaluation of the Relationship Between Hand Osteoarthritis and Osteoporosis in Postmenauposal Women

Özdemir¹,

Dinçer²,

Samut³

2013

Tod

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SummaryAim: Osteoarthritis (OA) and osteoporosis (OP) are the two leading causes of disability in elderly. The aim of this study was to compare the values of bone mineral density (BMD) in postmenopausal women with and without hand OA. Meterial and Methods: 26 patient with hand OA and 22 age and sex-matched individuals without hand OA were included in the study. The patients with secondary OP and under the treatment of OP were excluded. In physical examination, the number of tender and swollen joints, Heberden and Bouchard nodules were recorded. The participants' grip and lateral pinch strength were measured using Jamar dynamometer and pinchmeter. The Australian Canadian Osteoarthritis Hand Index (AUSCAN) was used to evaluate pain and function. Additionally, the pain during rest and activity were evaluated on a 10-cm visual analog scale (VAS). BMD was measured from 3 different regions (femur neck, lumbar vertebra, and radius) using dual energy X-ray absorptiometry. Results: The mean age of the patients' was 59.0±6.1 years and 84.6% were right-handed. No signi cant difference was found in BMD values of the femur neck, lumbar vertebra between the two groups. However, the patients with hand OA had signi cantly lower t-scores of distal radius (p=0.045). There was no statistically signi cant correlation between distal radius t-score and age, body mass index, postmenopausal duration, right hand pinch strength, number of nodules in the right hand, pain duration, VAS rest and activity scores, AUSCAN pain, stiffness and function scores whereas we found a positive correlation between distal radius t-score and right hand grip strength in the patient group (r=0.478, p=0.016). Conclusion: Several studies investigating the relationship between hand OA and OP found positive correlation whereas some found negative correlation. We found an inverse relationship between hand OA and distal radius t-score. Further studies are needed to enlighten the pathogenesis of this relationship. Bouchard nodül sayısı kaydedildi. Katılımcıların el kavrama kuvvetleri Jamar dinamometresi, lateral pinç kuvvetleri ise pinçmetre kullanılarak ölçüldü. Ağrı ve fonksiyonu değerlendirmek için Australian Canadian Osteoarthritis Hand Index (AUSCAN) kullanıldı. Ek olarak, istirahat ve aktivite sırasındaki ağrı düzeyini değerlendirmek için 10-cm vizüel analog skala (VAS) kullanıldı. KMY, dual enerji X-ray absorpsiyometri ile 3 farklı bölgeden (femur boynu, lomber vertebra ve radius) ölçüldü. Bulgular: Yaş ortalaması 59,0±6,1 yıl olan hastaların %84,6'sı sağ ellerini dominant olarak kullanıyordu. İki grubun lomber vertebra ve femur boynu KMY değerleri arasında herhangi bir fark tespit edilmedi. Bununla birlikte, hasta grubunun distal radius t-skoru belirgin olarak daha düşüktü (p= 0,045). El OA olan hastalarda distal radius t-skoru ile yaş, vücut kitle indeksi, menopoz sonrası geçen süresi, sağ el pinç kuvveti, sağ eldeki nodül sayısı, ağrı süresi, VAS istirahat, VAS aktivite skoru, AUSCAN ağrı, AUSCAN tutukluk ve AUSCAN fonksiyon skorları ile arasında ista...

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Association of radiological hand osteoarthritis with bone mineral mass: a population study

Cited by 37 publications

References 33 publications

Osteoporosis y artrosis: ¿dos enfermedades mutuamente excluyentes o dos entidades relacionadas?

Osteoporosis y artrosis: ¿dos enfermedades mutuamente excluyentes o dos entidades relacionadas?

Relationship between spinal osteoarthritis and vertebral fractures in men older than 50 years: data from the Camargo Cohort Study

Evaluation of the Relationship Between Hand Osteoarthritis and Osteoporosis in Postmenauposal Women

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