Osteoarthritis in the elderly: clinical and radiological findings in 79 and 85 year olds.

Abstract

survivors ofthis second cohort were re-examined at the ages of 75 and 79 (220 men, 318 women; participation rate 82%). Our study deals with a subsample of the 79 year olds from cohort II and a subsample of 85 year olds, including survivors of the original first cohort and 85 year olds invited and examined for the first time. SAMPLINGThe design and sampling have previously been described"2"4 in detail. In summary, the sample of 70 year olds (cohort I) in 1971-72 was consecutively assigned numbers from 1 to 5 in order to permit subsampling. These 'proband figures' were unchanged throughout the longitudinal study. The last invited 85 year olds were assigned numbers 11 to 13. All 85 year olds were interviewed about joint complaints. Probands numbered 3, 5, and 13 were selected for clinical joint examination and radiographic examination of the wrists, hands, and knee joints. In this report only the interviews on the probands selected for joint exination are referred to.

Prevalence of clinical and radiographic signs of osteoarthrosis of the temporomandibular joint in an older persons community

“…6 Although several studies have assessed the prevalence of OA of the knee and other joints in representative samples using imaging modalities, little is known about the prevalence of OA in the TMJ. 7 In addition, the available database on clinical examinations with predictive values for degenerative joint diseases is insufficient. 8 Moreover, the clinical assessment of TMJ pain and impairment seems to be even more complicated than in other joints because of the close relationship to other functional structures.…”

Prevalence and diagnostic features of osteoarthrosis of the temporomandibular joint: a review

“…The peak prevalence is reported in 5th and 6th decade and there occur reduction in the progression after 75 years. 9 Epidemiologic findings of TMJ osteoarthritis are similar to generalized osteoarthritis. The clinical evidence of TMJ osteoarthritis occurs in 8-16 % of population and involvement may be unilateral or bilateral.…”

“…7 In the age group of 73-75 years, 70 % of the people showed radiographic evidence of osteoarthritis. 8 However, symptoms manifest in only 9.6% of men and 18 % of women of ≥60 years of age. The peak prevalence is reported in 5th and 6th decade and there occur reduction in the progression after 75 years.…”

The Application of Imaging in Osteoarthritis

“…Progression of the early stages of OA, which are a target for (DMOADs), is therefore not adequately characterised. Bagge et al conducted a study of 79 to 85 year-olds and found that more than half of patients with advanced radiographic signs of disease have no significant self-reported complaints (Bagge, Bjelle et al 1991). Another disadvantage of these CR grading systems is their lack of sensitivity to change.…”