Diagnosis and Treatment of Osteoarthritis
Diagnosis and Treatment of Osteoarthritis
复制标题
DOI：
10.1016/j.pop.2013.08.003
复制
发表时间：
2013-12-01
期刊：
影响因子：
1.9
通讯作者：
Lynch, Scott A.
中科院分区：
文献类型：
--
作者：
Taruc-Uy, Rafaelani L.;Lynch, Scott A.
骨关节炎表现为原发性和继发性形式。原发性或特发性形式发生在先前完整的关节中，没有任何刺激物，而继发性形式是由潜在的易感因素（如创伤）引起的。骨关节炎的诊断主要基于彻底的病史和体格检查结果，有或没有影像学证据。虽然有些患者最初可能没有症状，但最常见的症状是疼痛。治疗方案一般分为药物、非药物、手术、补充和/或替代，通常联合使用以达到最佳效果。治疗的目标是减轻症状和改善功能状态。
Osteoarthritis presents in primary and secondary forms. The primary, or idiopathic, form occurs in previously intact joints without any inciting agent, whereas the secondary form is caused by underlying predisposing factors (eg, trauma). The diagnosis of osteoarthritis is primarily based on thorough history and physical examination findings, with or without radiographic evidence. Although some patients may be asymptomatic initially, the most common symptom is pain. Treatment options are generally classified as pharmacologic, nonpharmacologic, surgical, and complementary and/or alternative, typically used in combination to achieve optimal results. The goals of treatment are alleviation of symptoms and improvement in functional status.