Abstract
For the first time, the paper presents in detail the prevalence of osteoarthritis (OA) and considers the predictors of disease development and progression. The clinical classification of OA and its place in the ICD-10 are described. The clinical presentation of the disease is characterized in detail according to the localization of the process. It is noted that there is a change in the understanding of OA as a classic model of nociceptive pain. The paper depicts clinical, laboratory, and instrumental methods for diagnosing the disease, as well as classification and diagnostic criteria; much attention is paid to the current principles of OA therapy according to the Russian clinical recommendations and the guidelines of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) and the European League Against Rheumatism (EULAR).
Highlights
The paper presents in detail the prevalence of osteoarthritis (OA) and considers the predictors of disease development and progression
The clinical presentation of the disease is characterized in detail according to the localization of the process
The paper depicts clinical, laboratory, and instrumental methods for diagnosing the disease, as well as classification and diagnostic criteria; much attention is paid to the current principles of OA therapy according to the Russian clinical recommendations and the guidelines of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) and the European League Against Rheumatism (EULAR)
Summary
Франция, Великобритания, Испания) и более 380 ОА коленных суставов и суставов кистей (табл. 2). Франция, Великобритания, Испания) и более 380 ОА коленных суставов и суставов кистей Что в России ОА коленных и (или) тазобедрен- ционных критериев Американской коллегии ревматологов ных суставов страдает 13% населения старше 18 лет [6]. Распространенность ОА коленных суставов, как и дру- ся у женщин и имеет возрастную зависимость. По данным Фремингеммость ОА коленных суставов, по данным ряда эпидемиоло- ского исследования [9], у пациентов старше 70 лет рентгегических исследований, колеблется от 2,0 до 42,4% при ис- нологический ОА наблюдается более чем в 90% случаев, пользовании для диагностики только клинических крите- а симптоматический – значительно реже. Частота ОА коленных суставов нарастает с увеличением возраста больных (данная тенденция характерна для пациентов до 80 лет) и выше у лиц женского пола [7].
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