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Ağrısız ve kısıtlılık oluşturmayan ileri evre gonartroz: Vaka sunumu

Year 2021, Volume: 13 Issue: 3, 111 - 114, 31.12.2021
https://doi.org/10.35514/mtd.2021.58

Abstract

Diz Osteoartriti (gonartroz), diz bölgesindeki kronik ağrının en yaygın nedenlerinden biridir. Gonartrozda tip II kollajenin bozulması, kıkırdak yıkımı, sinovit ve kemik iliği lezyonları tipik olarak belirgin ağrıya sebep olur. Diz eklemindeki bu değişiklikler, zaman içinde eklem hareket açıklığında önemli kısıtlılıklara ve yürüme bozukluklarına yol açmaktadır. Bu semptomların zamanla ilerlemesi ile hastanın yaşam kalitesi giderek düşmekte ve ileri gonartroz vakalarında hastalar bakıma muhtaç hale gelebilmektedir. Bu yazıda diz bölgesinde ağrısız ve hareket kısıtlılığı olmayan ileri evre gonartroz olgusu sunulmaktadır.

References

  • 1. Ringdahl E, Pandit S. Treatment of knee osteoarthritis.[Summary for patients in Am Fam Physician. 2011 Jun 1;83(11):1294
  • 2. Laroche D, Morisset C, Fortunet C, Gremeaux V, Maillefert JF, Ornetti P. Biomechanical effectiveness of a distraction-rotation knee brace in medial knee osteoarthritis: Preliminary results. Knee. 2014 Jun;21(3):710-6.
  • 3. Verbrugge LM, Lepkowski JM, Konkol LL. Levels of disability among U.S. adults with arthritis. J Gerontol. 1991 Mar;46(2):71-83
  • 4. Dominick KL, Ahern FM, Gold CH, Heller DA. Health-related quality of life among older adults with arthritis. Health and Quality of Life Outcomes. 2004 Jan 13;2:5.
  • 5. Bennell KL, Hall M, Hinman RS. Osteoarthritis year in review 2015: Rehabilitation and outcomes. Osteoarthritis and Cartilage. 2016 Jan;24(1):58-70.
  • 6. Nuttall FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr Today. 2015 May;50(3):117-128.
  • 7. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96.
  • 8. McCormack HM, Horne DJL, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med. 1988 Nov;18(4):1007-19.
  • 9. Peat G, Thomas E, Duncan R, Wood L, Hay E, Croft P. Clinical classification criteria for knee osteoarthritis: performance in the general population and primary care. Ann Rheum Dis. 2006 Oct;65(10):1363-7.
  • 10. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of The Knee Society clinical rating system. Clinical Orthopaedics and Related Research. 1989;(248):13–4.
  • 11. Anderson AF, Irrgang JJ, Kocher MS, Mann BJ, Harrast JJ. The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am J Sports Med. 2006 Jan;34(1):128-35.
  • 12. Michael J. W., Schlüter-Brust K. U., Eysel P. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the kneeDtsch Arztebl Int. 2010 Mar;107(9):152-62.
  • 13. Flugsrud GB, Nordsletten L, Reinholt FP, Risberg MA, Rydevik K, Uhlig T. Artrose. Tidsskrift for den Norske Laegeforening. 2010;130(21):2136–40.
  • 14. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Arthritis Rheum. 1986 Aug;29(8):1039-49.
  • 15. Petersson IF, Boegård T, Saxne T, Silman AJ, Svensson B. Radiographic osteoarthritis of the knee classified by the Ahlback and Kellgren and Lawrence systems for the tibiofemoral joint in people aged 35- 54 years with chronic knee pain. Annals of the Rheumatic Diseases. 1997;56(8):493–6.
  • 16. Lanyon P, O'Reilly S, Jones A, Doherty M. Radiographic assessment of symptomatic knee osteoarthritis in the community: definitions and normal joint space. Ann Rheum Dis. 1998 Oct;57(10):595-601.
  • 17. Williams DA, Farrell MJ, Cunningham J, Gracely RH, Ambrose K, Cupps T, et al. Knee pain and radiographic osteoarthritis interact in the prediction of levels of self-reported disability. Arthritis Rheum. 2004 Aug 15;51(4):558-61.
  • 18. Neogi T, Felson D, Niu J, Nevitt M, Lewis CE, Aliabadi P, et al. Association between radiographic features of knee osteoarthritis and pain: Results from two cohort studies. BMJ. 2009 Aug 21;339:b2844.
  • 19. L Torres, D D Dunlop, C Peterfy, A Guermazi, P Prasad, K W Hayes, et al. The relationship between specific tissue lesions and pain severity in persons with knee osteoarthritis. Osteoarthritis Cartilage. 2006 Oct;14(10):1033-40.

Severe gonarthrosis without pain and disability: A case report.

Year 2021, Volume: 13 Issue: 3, 111 - 114, 31.12.2021
https://doi.org/10.35514/mtd.2021.58

Abstract

Knee Osteoarthritis (gonarthrosis) is one of the most common causes of chronic pain in the knee area. In gonarthrosis, disruption of type II collagen, cartilage destruction, synovitis, and bone marrow lesions typically cause significant pain. These changes in the knee joint lead to significant limitation of range of motion and gait disturbances over time. With the progression of these symptoms over time, the quality of life of the patient gradually decreases and patients may become in need of care in advanced cases of gonarthrosis. In this report, a case of advanced gonarthrosis without pain and limitation of movement in the knee region is presented.

References

  • 1. Ringdahl E, Pandit S. Treatment of knee osteoarthritis.[Summary for patients in Am Fam Physician. 2011 Jun 1;83(11):1294
  • 2. Laroche D, Morisset C, Fortunet C, Gremeaux V, Maillefert JF, Ornetti P. Biomechanical effectiveness of a distraction-rotation knee brace in medial knee osteoarthritis: Preliminary results. Knee. 2014 Jun;21(3):710-6.
  • 3. Verbrugge LM, Lepkowski JM, Konkol LL. Levels of disability among U.S. adults with arthritis. J Gerontol. 1991 Mar;46(2):71-83
  • 4. Dominick KL, Ahern FM, Gold CH, Heller DA. Health-related quality of life among older adults with arthritis. Health and Quality of Life Outcomes. 2004 Jan 13;2:5.
  • 5. Bennell KL, Hall M, Hinman RS. Osteoarthritis year in review 2015: Rehabilitation and outcomes. Osteoarthritis and Cartilage. 2016 Jan;24(1):58-70.
  • 6. Nuttall FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr Today. 2015 May;50(3):117-128.
  • 7. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96.
  • 8. McCormack HM, Horne DJL, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med. 1988 Nov;18(4):1007-19.
  • 9. Peat G, Thomas E, Duncan R, Wood L, Hay E, Croft P. Clinical classification criteria for knee osteoarthritis: performance in the general population and primary care. Ann Rheum Dis. 2006 Oct;65(10):1363-7.
  • 10. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of The Knee Society clinical rating system. Clinical Orthopaedics and Related Research. 1989;(248):13–4.
  • 11. Anderson AF, Irrgang JJ, Kocher MS, Mann BJ, Harrast JJ. The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am J Sports Med. 2006 Jan;34(1):128-35.
  • 12. Michael J. W., Schlüter-Brust K. U., Eysel P. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the kneeDtsch Arztebl Int. 2010 Mar;107(9):152-62.
  • 13. Flugsrud GB, Nordsletten L, Reinholt FP, Risberg MA, Rydevik K, Uhlig T. Artrose. Tidsskrift for den Norske Laegeforening. 2010;130(21):2136–40.
  • 14. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Arthritis Rheum. 1986 Aug;29(8):1039-49.
  • 15. Petersson IF, Boegård T, Saxne T, Silman AJ, Svensson B. Radiographic osteoarthritis of the knee classified by the Ahlback and Kellgren and Lawrence systems for the tibiofemoral joint in people aged 35- 54 years with chronic knee pain. Annals of the Rheumatic Diseases. 1997;56(8):493–6.
  • 16. Lanyon P, O'Reilly S, Jones A, Doherty M. Radiographic assessment of symptomatic knee osteoarthritis in the community: definitions and normal joint space. Ann Rheum Dis. 1998 Oct;57(10):595-601.
  • 17. Williams DA, Farrell MJ, Cunningham J, Gracely RH, Ambrose K, Cupps T, et al. Knee pain and radiographic osteoarthritis interact in the prediction of levels of self-reported disability. Arthritis Rheum. 2004 Aug 15;51(4):558-61.
  • 18. Neogi T, Felson D, Niu J, Nevitt M, Lewis CE, Aliabadi P, et al. Association between radiographic features of knee osteoarthritis and pain: Results from two cohort studies. BMJ. 2009 Aug 21;339:b2844.
  • 19. L Torres, D D Dunlop, C Peterfy, A Guermazi, P Prasad, K W Hayes, et al. The relationship between specific tissue lesions and pain severity in persons with knee osteoarthritis. Osteoarthritis Cartilage. 2006 Oct;14(10):1033-40.
There are 19 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Ülkü Sur Ünal 0000-0003-4758-4413

Ömer Kays Ünal 0000-0002-9445-1552

Publication Date December 31, 2021
Submission Date October 19, 2021
Published in Issue Year 2021 Volume: 13 Issue: 3

Cite

Vancouver Sur Ünal Ü, Ünal ÖK. Severe gonarthrosis without pain and disability: A case report. Maltepe tıp derg. 2021;13(3):111-4.