DO CLINICAL FINDINGS ASSOCIATE WITH RADIOGRAPHIC OSTEOARTHRITIS OF THE KNEE
DO CLINICAL FINDINGS ASSOCIATE WITH RADIOGRAPHIC OSTEOARTHRITIS OF THE KNEE
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DOI：
10.1136/ard.49.10.771
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发表时间：
1990-10-01
影响因子：
27.4
通讯作者：
VALKENBURG, HA
中科院分区：
文献类型：
--
作者：
CLAESSENS, AAMC;SCHOUTEN, JSAG;VALKENBURG, HA
从2865名受试者的人群调查中，根据放射学诊断标准计算了与膝关节骨关节炎相关的许多临床结果的测试特征。病史中包括的临床结果包括年龄、性别、当前膝关节疼痛、膝关节肿胀、双手疼痛、晨僵、任何关节的骨关节炎、从坐位起身时膝关节或髋关节疼痛或僵硬或两者，以及爬楼梯时膝关节或髋关节疼痛;以及体格检查。Quetelet指数、Heberden淋巴结、骨质增大、可触及积液、软组织肿胀、膝关节功能受限、膝关节屈曲疼痛、骨质触痛，最后是乳胶固定试验。在18个临床变量中，除Heberden淋巴结、可触及膝关节积液、双手疼痛和乳胶固定试验外，所有变量在调整年龄后均显示出显著相关性。无论是单一变量还是组合变量都不能以合理的准确度预测膝关节放射学骨关节炎，因此在临床实践中是适用的。因此，X线片在膝关节骨关节炎的诊断中，在一般实践中以及在流行病学研究中保持其地位。
From a population survey of 2865 subjects, test characteristic of a number of clinical findings relating to knee osteoarthritis were calculated against the standard of radiographic diagnosis. The clinical findings included from the history were age, gender, current pain in the knee, swollen knee, pain in both hands, morning stiffness, osteoarthritis in any joint, pain or stiffness, or both, in knees or hips when rising from seated position, and pain in knees or hips while climbing stairs; and from the physical examination. Quetelet''s index, Heberden''s nodes, bony enlargement, palpable effusion, soft tissue swelling, limitation of knee function, pain with knee flexion, bony tenderness and, finally, the latex fixation test. Of 18 clinical variables, all but Heberden''s nodes, palpable knee effusion, pain in both hands, and latex fixation test showed a significant association after adjustment for age. Neither one single variable nor a combination could predict radiographic osteoarthritis of the knee with reasonable accuracy and thus be applicable in clinical practice. The x ray film, therefore, keeps its place in the diagnosis of knee osteoarthritis in general practice as well as an epidemiological research.