Abstract
The purpose of the study was to review quantitative and qualitative radiological manifestations of coxarthrosis and gonarthrosis in patients over 60 years. Radiography, computed tomography, and multislice computed tomography were performed in 48 patients aged 60–70 years with deforming arthritis of the hip and knee joints. Idiopathic and dysplastic cases prevailed. The results of the study showed that X-ray anatomical changes in the hip and knee joints were accompanied by changes in the density of the femoral head and typical restructuring of the femoral and tibial condyles and patella, which are detected with computed tomography much earlier. A decrease in the total density of the femoral and tibial condyles and a relative increase in the subchondral density with varus of the knee in particular were shown to be a specific feature of quantitative changes in the bone tissue density in patients with deforming arthritis.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Alekseeva, L.I. and Zaitseva, E.M., The role of subchondral bone at osteoarthritis, Nauchno-Prakt. Revmatol. 2009, no. 4, pp. 41–47
Volokitina, E.A. and Chirkova, A.M., Clinical X-ray and morphological characteristics of the terminal stages of coxarthrosis, Genii Ortoped. 2000, no. 2, p 114.
Diachkova, G.V., Korabel’nikov, M.A., and Diachkov, K.A., Quantitative assessment of the acetabulum and femoral head in patients of different ages by computer and magnetic resonance imaging tomography, Genii Ortoped. 2009, no. 2, pp. 131–135
Zharkov, P.L.,’ Udel nova, I.A., and Purtova, G.S., X-ray diagnosis of arthrosis, Vestn. Ross. Nauch. Tsentra Rentgenoradiol. Minist. Zdravookhr. Ross. 2010, vol. 2, no. 10, pp. 11–12
Luchikhina, L.V. and Baev, A.A., Arthrosis of the knee joint: the limits of research methods, Travmatol. Ortoped. Ross. 2005, special issue, pp. 78–79
Matveev, R.P. and Bragina, S.V., Osteoarthritis of the knee joint: problems and social importance, Ekol. Chel. 2012, no. 9, pp. 53–62
Sazonova, N.V., Diachkova, G.V., Novikova, O.S., et al., Integrated X-ray anatomical assessment of the manifestations of deforming arthrosis of large joints of the lower limbs before and after medical treatment, Genii Ortoped. 2009, no. 3, pp. 25–30
Svetlova, M.S., Osteoarthritis of the hip joint: clinical presentation, diagnostics, medical treatment approaches, Sovrem. Revmatol. 2013, no. 1, pp. 46–50. http://cyberleninka.ru/article/n/osteoartroz-tazobedrennogosustava-klinika-diagnostikapodhody-k-lecheniyu. Cited May 5 2014
Tsurko, V.V., Osteoarthritis: geriatric problem, Ross. Med. Zh. 2005, vol. 13, no. 24, p. 1627
Amin, S., Osteoarthritis and bone mineral density: what is the relation and why does it matter? J. Rheumatol. 2002, vol. 29, pp. 1348–1349
Arden, N. and Nevitt, M.C., Osteoarthritis: epidemiology, Best Pract. Res. Clin. Rheumatol. 2006, vol. 20, no. 1, pp. 3–25
Egan, B.A. and Mentes, J.C., Benefits of physical activity for knee osteoarthritis: a brief review, J. Gerontol. Nurs. 2010, vol. 36, no. 9, pp. 9–14
Fink, C., Benedetto, K.P., Hackl, W., et al., Bioabsorbable polyglyconate interference screw fixation in anterior cruciate ligament reconstruction: a prospective computed tomography-controlled study, Arthroscopy 2000, vol. 16, no. 5, pp. 491–498
Goerres, G.W., Hauselmann, H.J., Seifert, B., et al., Patients with knee osteoarthritis have lower total hip bone mineral density in the symptomatic leg than in the contralateral hip, J. Clin. Densitom. 2005, vol. 8, no. 4, pp. 484–487
Goldring, M.B. and Goldring, S.R., Articular cartilage and subchondral bone in the pathogenesis of osteoarthritis, Ann. N.Y. Acad. Sci. 2010, vol. 1192, pp. 230–237
Jones, R.K., Chapman, G.J., Findlow, A.H., et al., A new approach to prevention of knee osteoarthritis: reducing medial load in the contralateral knee, J. Rheumatol. 2013, vol. 40, no. 3, pp. 309–315
Lingard, E.A., Mitchell, S.Y., Francis, R.M., et al., The prevalence of osteoporosis in patients with severe hip and knee osteoarthritis awaiting joint arthroplasty, Age Ageing 2010, vol. 39, no. 2, pp. 234–239
McDonald Blumer, M.H., Bone mineral content versus bone density in a population with osteoarthritis: a new twist to the controversy? J. Rheumatol. 2005, vol. 32, pp. 1868–1869
Okano, K., Ito, M., Aoyagi, K., et al., Discrepancy in bone mineral densities at different skeletal sites in hip osteoarthritis patients, Mod. Rheumatol. 2014, vol. 24, no. 2, pp. 340–342
Zhang, Y., Hannan, M.T., Chaisson, C.E., et al., Bone mineral density and risk of incident and progressive radiographic knee osteoarthritis in women: the Framingham study, J. Rheumatol. 2000, vol. 27, no. 4, pp. 1032–1037.
Author information
Authors and Affiliations
Corresponding author
Additional information
Original Russian Text © G.V. Diachkova, N.V. Sazonova, T.A. Larionova, K.A. Diachkov, 2015, published in Uspekhi Gerontologii, 2015, Vol. 28, No. 1, pp. 80–85.
Rights and permissions
About this article
Cite this article
Diachkova, G.V., Sazonova, N.V., Larionova, T.A. et al. Density of bones forming hip and knee joints in patients aged over 60 years with coxarthrosis and gonarthrosis according to multislice computed tomography. Adv Gerontol 5, 184–188 (2015). https://doi.org/10.1134/S2079057015030066
Published:
Issue Date:
DOI: https://doi.org/10.1134/S2079057015030066