KLINIČKA I RADIOLOŠKA OBILJEŽJA BOLESNIKA S OSTEOARTRITISOM KOLJENA

Porin Perić, Đurđica Babić-Naglić, Božidar Ćurković, Sanja Perić, Mirjana Kujundžić Tiljak

The study of 60 outpatients with clinical diagnosis of the osteoarthritis (OA) of the knees is performed. Measured parameters were: general demographic data, clinical data and standard radiographic x-ray of knees in standing position, graduated by Kellgren and Lawrence clasificiation from 0-4. The aim of this study was to establish clinical and radiographic features of OA of knees and to compare those characteristiscs in the two subgroups of patients according to radiographic stages: a group of an early disease (stages 0 or 1) and a group of late disease (stages from 2 to 4).
The mean age was 60 years with range from 39 t0 85 years. 85% of patients were female. Distribution of patients according to Kellgren and Lawrence radiographic stages was as follows: 13 patients (21,7%) in grade 0, 17 (28,3%) in grade 1, 10 (16,7%) in grade 2, 11 (18,3%) in grade 3, and nine patients (15%) in grade 4. Crepitus on movement was registered in aproximatellly 80% of all patients, with no difference between early and late disease. Instability of the knee was present in eleven patients (18%), with more than a half of them (56%) in a radiographic grade 4 of OA of knees. There were no difference between functional parameters comparing original group of patients and two subgroupes. Crepitus on movement was not related to any specific radiographic stage of disease, but instability of knee was frequently registered in late disease.

Istraživanje je provedeno na 60 bolesnika koji su ispunjavali kliničke kriterije za dijagnozu obostranog osteoartritisa (OA) koljena prema ACR klasifikaciji. Ispitivani su opći demografski, ciljani anamnestički i klinički parametri te standardne radiološke snimke koljena u stojećem stavu stupnjevane prema Kellgrenu i Lawrenceu (0-4). Cilj rada bio je procijeniti klinička i radiološka obilježja u ispitivanoj skupini te usporediti klinička obilježja OA u bolesnika koji su prema radiološkom nalazu podijeljeni u dvije skupine: s ranim (0 i 1) i kasnim OA koljena (2-4). Prosječna životna dob ispitanika bila je 60 godina (raspon 39-85 godina) sa znatnim udjelom žena (85%). Raspodjela ispitanika prema radiološkim stadijima Kellgrena i Lawrencea bila je: 13 (21,7%) u stadiju 0, 17 (28,3%) u 1., 10 (16,7%) u 2., 11 (18,3%) u 3. i 9 ispitanika (15%) u 4. stadiju. Raspodjela ispitanika s krepitacijama u odnosu na ranije i kasnije stadije OA nije pokazala statistički značajnu razliku. Nestabilnost zgloba koljena zabilježena je u 11 ispitanika (18%), uz statistički značajniju zastupljenost u 4. radiološkom stadiju bolesti (55,6%). Krepitacije u OA koljena, prema našim rezultatima, nisu povezane s određenom fazom bolesti, dok je instabilitet zgloba značajno zastupljeniji u kasnijim radiografskim stadijima.