Clinical and Radiographic Parameters in Osteoarthritis of Hip and Knee Joints Associated with Spondyloepiphyseal Dysplasia

I.V. Huzhevskyі, S.I. Herasymenko, M.V. Poluliakh, A.N. Babko, A.S. Herasimenko, D.M. Poluliakh

Abstract


For the purpose of specification of clinical and radiological signs in patients with osteoarthritis of knee and hip joints associated with spondyloepiphyseal dysplasia there were analyzed the data of 155 adult patients with osteoarthritis of knee and hip joints with subclinical spondyloepiphyseal dysplasia. Clinical manifestation of osteoarthritis of low extremities in patients with spondyloepiphyseal dysplasia was found to appear in the most active working age. Periarticular pain syndrome and resistance to oral chondral modulating drugs are typical for the course of the disease. If a patient with osteoarthritis of low extremity has multiple impairment of joints or signs of disproportional development of body, symmetric impairment of extremities axis, reduced moveability in elbow not associated with age changes it is rational to perform radiologic examination not only of impaired joint, but also of the parts of body without symptoms. Somatic stigmas of dysplasia of connective tissue in patients with primary osteoarthritis of hip and knee joints is an important reason to dwell radiologic findings. In most cases account of clinical and radiologic features of osteoarthritis allow distinguish osteoarthritis associated with spondyloepiphyseal dysplasia from other forms of osteoarthritis that is of great importance for the choice of treatment strategy in this cohort of patients.


Keywords


osteoarthritis; spondyloepiphyseal dysplasia

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DOI: https://doi.org/10.22141/1608-1706.6.16.2015.79706

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