Department of Internal Medicine, Brigham and Women's Hospital, Boston, Mass.
Department of Orthopedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, RI.
Am J Med. 2023 May;136(5):415-421. doi: 10.1016/j.amjmed.2023.01.025. Epub 2023 Feb 3.
Osteoarthritis is a common cause of morbidity in an increasingly aging population. Although the weight-bearing joints of the leg and foot are frequently affected by osteoarthritis, degenerative changes in the joints of the upper extremity are likewise common and can be both particularly debilitating for affected individuals and uniquely challenging for the health care providers managing it. The present review seeks to overview the epidemiology, anatomy, diagnosis, and management of osteoarthritis in the joints of the shoulder, elbow, and hand with the intent of providing accessible and relevant information to the range of medical professionals involved in patient care.
骨关节炎是日益老龄化人口中发病率较高的常见原因。尽管腿部和脚部的负重关节经常受到骨关节炎的影响,但上肢关节的退行性变化同样常见,并且可能对受影响的个体造成特别的身体残疾,对管理该病的医疗保健提供者来说也是极具挑战性。本综述旨在概述肩部、肘部和手部关节骨关节炎的流行病学、解剖结构、诊断和治疗,旨在为参与患者护理的各类医疗专业人员提供易于理解和相关的信息。