Knee Pain Is the Malady—Not Osteoarthritis

Hadler, Nortin M.

doi:10.7326/0003-4819-116-7-598

Cited by 148 publications

(100 citation statements)

References 6 publications

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“…Based on our evaluations of interactions in a multivariate model, there was no evidence that the rate of decline in selfreported disability was any different for individuals who had knee pain only as compared with those who had knee pain and radiographic evidence of knee OA. Such a finding supports the position that knee pain is the real clinical malady with this disease (19).…”

Section: Discussionsupporting

confidence: 69%

Modifiers of change in physical functioning in older adults with knee pain: the Observational Arthritis Study in Seniors (OASIS)

Miller¹,

Rejeski²,

Messier³

et al. 2001

Arthritis & Rheumatism

102

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Section: Discussionsupporting

confidence: 69%

Modifiers of change in physical functioning in older adults with knee pain: the Observational Arthritis Study in Seniors (OASIS)

Miller¹,

Rejeski²,

Messier³

et al. 2001

Arthritis & Rheumatism

102

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“…Diz ve kalça OA tanılı 2682 hasta üzerinde yürütülen bir çalışmada hasta grubunda uyku bozukluğunun önemli bir problem olduğu bildirilmiş, semptomlardan bağımsız olarak sadece radyografik diz osteoartritinin uyku kalitesini etkilemediği gösterilmiştir [16]. Diz OA tanılı hastalar ile, radyografik olarak diz OA' i olmayan hastaların karşılaştırıldığı bir başka çalışmada her iki grupta benzer uyku problemleri olduğu belirtilmiş, ayrıca diz ağrısının uyku bozukluğu yapan temel faktör olduğu vurgulanmıştır [19]. Wilcox ve ark.…”

Section: Uyku Kalitesinin Değerlendirilmesiunclassified

Association of the sleep quality with pain, radiological damage, functional status and depressive symptoms in patients with knee osteoarthritis

Sarıyıldız

Batmaz²,

Kaya³

et al. 2013

J Clin Exp Invest

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Objective: The aim of this study is to evaluate the sleep quality and relationship between the sleep quality with disease-related variables, pain, functional status, radiological damage and the psychological status in patients with Osteoarthritis (OA). Methods:Fifty two patients diagnosed with OA and 35 healthy control subjects were enrolled in the study. The demographic characteristics of the patients such as age, education level, and marital status were recorded. Disease related disability were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Generalized pain, generalized fatigue and knee pain were assessed with the Visual Analogue Scale (VAS). Psychological status were evaluated with the Hospital Anxiety Depression Scale. The radiological grade of knee OA was evaluated according to the Kellgren Lawrence score. For the evaluation of the sleep quality, the OA and control groups were assessed with the help of the Pittsburgh Sleep Quality Index (PSQI). Results:The patients with OA had significantly higher scores in the subjective sleep quality, sleep latency, habitual sleep efficiency and total PSQI score compared to the healthy control group (p<0.05). According to the results of Spearman's analysis, there was a significantly correlation between the total PSQI score with age, generalized pain, knee pain, WOMAC pain, radiological damage and depressive symptoms (p<0.05). Conclusions:The sleep quality is disturbed in patients with OA. Lower quality of sleep is especially associated with the pain, radiological damage and depressive symptoms. J Clin Exp Invest 2013; 4 (2): 189-194Key words: Knee osteoarthritis, sleep quality, pain, radiological grade, depression ÖZET Amaç: Bu çalışmanın amacı diz osteoartriti (OA) tanılı hastalarda uyku kalitesini değerlendirmek ve uyku kalitesi ile klinik parametreler, ağrı, fonksiyonel durum, radyolojik hasar ve psikolojik durum arasındaki ilişkiyi incelemektir.Yöntemler: Diz osteoartriti tanılı 52 hasta ve 35 sağlık-lı gönüllü çalışmaya dahil edildi. Hastaların yaş, eğitim seviyesi, medeni durumu gibi demografik özellikleri kaydedildi. Hastalıkla ilişkili yeti yitimi, Western Ontario ve McMaster Üniversitesi Osteoartrit indeksi (WOMAC) ile değerlendirildi. Genel ağrı, genel yorgunluk ve diz ağrısı seviyesi görsel analog skala ile değerlendirildi. Psikolojik durum hastane anksiyete depresyon skalası ile ölçüldü. Diz osteoartritinin radyolojik evresi Kellgren Lawrence skoruna göre hesaplandı. Hasta ve kontrol grubunun uyku kalitesi, Pittsburgh uyku kalitesi indeksi (PUKİ) yardımıyla değerlendirildi.Bulgular: Diz osteoartriti olan hastalarda, öznel uyku kalitesi, uykuya dalma süresi, alışılmış uyku etkinliği ve total PUKİ skoru kontrol grubuna göre anlamlı olarak yüksekti (p<0,05). Spearman analizi sonuçlarına göre, total PUKİ skoru ile yaş, yaygın ağrı, diz ağrısı, WOMAC ağrı, radyolojik evre ve depresif semptomlar arasında anlamlı korelasyonlar saptandı (p<0,05).Sonuç: Diz OA tanılı hastalarda uyku kalitesi bozulmaktadır. Bozulmuş uy...

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“…[1][2][3][4][5]. There are probably phylogenetic reasons for the squaring of the tender thenar eminence at the first carpo-metacarpal joint-the putative disappearance in evolution of the thumb's metacarpal (the proximal phalanx thus becoming what we call the metacarpal bone) leading to the prehensile thumb but affording an incongruous root articulation in the process.…”

Section: Clinical Diagnosismentioning

confidence: 99%

Erosive osteoarthritis: Presentation, clinical pearls, and therapy

Ehrlich

2001

Curr Rheumatol Rep

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Erosive osteoarthritis (OA) is a subcategory of OA in which destructive changes occur in the joints, probably as a result of a combination of inflammatory inciters and phenomena. The major changes occur in the distal and proximal interphalangeal joints, root joints of the thumb, and less commonly other hand and centripetal joints. A familial tendency suggests hereditary predisposition, and women more likely to be afflicted than men. Diagnosis has been enhanced by newer imaging techniques such as sonography and scintigraphy. Treatment remains chiefly palliative, although there are hints that alleviation of inflammation may be more salutary than simple analgesia.

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Knee Pain Is the Malady—Not Osteoarthritis

Cited by 148 publications

References 6 publications

Modifiers of change in physical functioning in older adults with knee pain: the Observational Arthritis Study in Seniors (OASIS)

Modifiers of change in physical functioning in older adults with knee pain: the Observational Arthritis Study in Seniors (OASIS)

Association of the sleep quality with pain, radiological damage, functional status and depressive symptoms in patients with knee osteoarthritis

Erosive osteoarthritis: Presentation, clinical pearls, and therapy

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