Etiopathogenesis of osteoarthritis

被引:244
作者
Brandt, Kenneth D. [1 ,2 ]
Dieppe, Paul [3 ]
Radin, Eric L. [4 ]
机构
[1] Univ Kansas, Med Ctr, Kansas City, KS 66205 USA
[2] Indiana Univ, Sch Med, Indianapolis, IN 46202 USA
[3] Nuffield Orthopaed Ctr, Nuffield Dept Orthopaed Surg, Oxford OX3 7LD, England
[4] Tufts Univ, Sch Med, Marion, MA 02738 USA
关键词
D O I
10.1016/j.rdc.2008.05.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
hi this article, the authors posit that, because osteoarthritis (OA) involves all of the tissues of the synovial joint, the emphasis on the loss of cartilage, in particular, is misguided. In contrast, the authors view OA as a process that is attempting to contain a mechanical problem in the joint. They argue that OA is best defined as failed repair of damage that has been caused by excessive mechanical stress on joint tissues. Because the body's innate mechanisms for repairing the damaged tissues cannot be effective in the face of the overwhelming mechanical abnormality, they cannot solve the problem of OA.
引用
收藏
页码:531 / +
页数:30
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