CLINICAL AND SUBCLINICAL CHARACTERISTICS OF KNEE OSTEOARTHRITIS PATIENTS AT ME LINH GENERAL HOSPITAL

Trần Thái Hà1,, Bùi Trí Thuật2
1 National Hospital of Traditional Medicine
2 Vietnam University of Traditional Medicine

Main Article Content

Abstract

Objectives: Describe clinical and subclinical characteristics of patients with knee osteoarthritis at Me Linh General Hospital. Subjects and methods: A randomized clinical intervention study on 60 patients over 40 years of age with a definitive diagnosis of stage I and II knee osteoarthritis at Me Linh General Hospital from January 2021 to October 2021. Results: The age of patients with osteoarthritis in the study was mainly over 60 years old (75%), with the higher percentage of women (75% compared with 25%), most of them are workers and farmers (28.3% and 31.7%). Most of the study patients had normal BMI (83.4%). The most common clinical symptom is knee pain (100%), followed by morning stiffness (65%) and crepitus (55%). X-ray images show that grade II knee osteoarthritis is predominant in the studied patients and both knees (50% of the left knee and 43.3% of the right knee). The ultrasound image showed that there was a joint effusion on ultrasound in 35% in the left knee and 26.7% in the right knee. Conclusion: Osteoarthritis patients are usually female, over 60 years old, have normal BMI, common symptoms are knee pain, morning stiffness, and crepitus. Subclinical often has X-ray image of knee osteoarthritis grade II, with knee effusion on ultrasound.

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References

1. Trần Ngọc Ân (2004), Hư khớp, Bệnh học nội khoa tập II, NXB Y học, 327-342
2. Altman RD (1991), Criteria for classification of clinical osteoarthritis, JRheumatol Suppl. 27, 10-2
3. Hoàng Bảo Châu (2006), Chứng tý, Nội khoa Y học cổ truyền, NXB Y học, 528-538
4. Hawamdeh M.Z, Al-Ajlouni M.J (2013). The clinical pattern of knee osteoarthritis in Jordan A hospital based study. International Journal of medical sciences, 10(6), 790-795.
5. Zhang, W., Doherty, M., Peat, G., Bierma-Zeinstra, M. A., Arden, N. K., Bresnihan, B., ... & Bijlsma, J. W. (2010). EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Annals of the rheumatic diseases, 69(3), 483-489.
6. Lan T.H.P, Thai Q.L, Linh D.M (2014). Prevalence of radiographic osteoarthritis of the knee and its relationship to self-reported pain. Plot One, 9, e94563
7. Muraki S, Oka H, Akune T et al (2019). Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: the ROAD study. Osteoarthritis Cartilage, 17(9), 1137-43
8. Sowers M, Jacobson, J.A, Jiang Y et al (2011). Associations of anatomical measures from MRI with radiographically defined knee osteoarthritis score, pain, and physical functioning. J Bone Joint Surg Am, 93(3), 241-51
9. Trần Thị Minh Hoa và cộng sự (2002), Tình hình bệnh xương khớp trong cộng đồng ở hai quần thể dân cư Trung Liệt (Hà Nội) và Tân Trường (Hải Dương), Công trình nghiên cứu khoa học tập 1, NXB Y học, 368-374.