“…This perspective contrasts with such comments as, "All men and women over the age of 60 show physical or radiographic evidence of osteoarthritis" (Flatt, 1982). Indeed, we have not focused on minor involvements of periarticular subperiosteal erosion, juxtaarticular 0steoporosis, or some loss of joint space (e.g., Berens and Lockie, 1969;Jaffe, 1972;Poznanski, 1984). In incipient, mild forms, these features are not even evident on routine dorsopalmar views as used here (cf.…”