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Primary Osteoarthrosis of the Knee or HipPrevalence of Heberden Nodes in Relation to Age and Sex
Hasan Yazici, MD;
Paul D. Saville, MD;
Eduardo A. Salvati, MD;
Walter H. O. Bohne, MD;
Philip D. Wilson, Jr., MD
JAMA. 1975;231(12):1256-1260.
Abstract
One hundred twenty probands with primary osteoarthrosis of the hip or knee were examined prospectively; there were 194 controls. In addition, 193 patients with hip or knee arthrosis were examined retrospectively. Restriction of rotation on physical examination accurately differentiated arthrotic hips from normal ones. Among women, 38% of the controls and 49% of the probands had Heberden nodes (P>.1). Their prevalence increased with age. Individuals with multiple arthrosis joints were not older than those with single joint involvement, and they had a similar prevalence of nodes. Of the probands, 14% had arthrosis of both the knee and hip. Of those with bilateral hip arthrosis, 33% had knee arthrosis as well.
Heberden nodes are unrelated to osteoarthrosis of the knee or hip. Knee and hip arthroses frequently occur together and remain confined to the initially affected joints. They may have a common cause.
(JAMA 231:1256-1260, 1975)
Author Affiliations
From the Rheumatology Section, Creighton University School of Medicine, Omaha (Drs. Yazici and Saville), and the Hospital for Special Surgery affiliated with the New York Hospital, Cornell University Medical College, New York (Drs. Salvati, Bohne, and Wilson). Dr. Saville is now with the West Virginia University Medical Center, Morgantown, WVa.
Footnotes
Reprint requests to Department of Medicine, West Virginia University Medical Center, Morgantown, WV 26506 (Dr. Saville).
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