porozendoОстеопороз и остеопатииOsteoporosis and Bone Diseases2072-26802311-0716Endocrinology Research Centre10.14341/osteo2011119-20porozendo-4128Research ArticleСтатьиArticlesВЗАИМОСВЯЗЬ МИНЕРАЛЬНОЙ ПЛОТНОСТИ КОСТИ С ОСТЕОАРТРОЗОМ КОЛЕННЫХ СУСТАВОВInterrelation of bone mineral density with kneeosteoarthrosisZaytsevaE. M.-SmirnovA. V.-AlekseevaL. I.alekseeva@irramn.ruZaitsevaE. M.-SmirnovA. V.-AlekseevaL. I.-201115042011141№1 (2011)1920Copyright © Zaytseva E.M., Smirnov A.V., Alekseeva L.I., Zaitseva E.M., Smirnov A.V., Alekseeva L.I., 20112011Zaytseva E.M., Smirnov A.V., Alekseeva L.I., Zaitseva E.M., Smirnov A.V., Alekseeva L.I.Zaytseva E.M., Smirnov A.V., Alekseeva L.I., Zaitseva E.M., Smirnov A.V., Alekseeva L.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.osteo-endojournals.ru/jour/article/view/4128

Изучена взаимосвязь значений минеральной плотности кости (МПК) осевого скелета с возрастом начала гонартроза, а также клиническими проявлениями заболевания и данными инструментального обследования. Анализ проведен у 116 больных женского пола с первичным ОА коленных суставов, 74 из которых имели нормальную или повышенную МПК в поясничном отделе позвоночника, и 42 -остеопороз (ОП). Боль в коленных суставах оценивалась по визуальной аналоговой шкале (ВАШ), всем больным проведена стандартная рентгенография коленных суставов в 2-х проекциях (оценка стадии гонартроза проводилась по классификации Кеіllgrеп-Lawrепсе), 2-хэ-нергетическая рентгеновская денситометрия поясничного отдела позвоночника и проксимальных отделов бедренной кости на аппарате QDR-4500W ("Hologic"), МРТ и УЗИ коленных суставов. Установлена взаимосвязь высоких значений МПК поясничного отдела позвоночника с более ранним возрастом начала гонартроза, более выраженными рентгенологическими изменениями в коленных суставах и более высокой частотой развития варусной деформации большеберцовых костей.

Association of bone mineral density (BMD) of axial skeleton with age of the disease onset as well as with clinical traits and instrumental investigation findings has been studied in osteoarthritic patients. 116 females with primary knee OA, 74 ofwhich exhibited normal or increased BMD at lumbar spine and 42, with osteoporosis were included in the study. Knee joint pain was measured using visual analog scale (VAS). All the patients were subjected to X-ray analysis of their knee joints at two sites (OA stage was determined according to Kellgren-Lawrence scale), densitometry at lumbar spine and proximal femur using QDR-4500W (Hologic), MRT, and ultrasonography of the knee joints. We determined that the increasedBMD at lumbar spine was associated with early OA onset, more pronounced X-ray changes in the knee joints and higher frequency of varus deformation development in tibial bones.

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The authors declare that there are no conflicts of interest present.