Osteoarthritis - histopathologic diagnosis

被引:0
|
作者
Zustin, J. [2 ]
Aigner, T. [1 ]
机构
[1] Univ Leipzig, Inst Pathol, D-04103 Leipzig, Germany
[2] UKE Hamburg, Inst Pathol, Hamburg, Germany
来源
ORTHOPADE | 2009年 / 38卷 / 06期
关键词
Osteoarthritis; Cartilage matrix; Chondrocytes; Synovitis; CARTILAGE DEGENERATION; ARTICULAR-CARTILAGE; CELL-DEATH; EXPRESSION; CHONDROCYTES; APOPTOSIS; COLLAGEN; BIOLOGY;
D O I
10.1007/s00132-008-1399-x
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Osteoarthritis is one of the most common diseases in modern western societies, particularly in the elderly, but it is occurring more and more often in the younger and middle-aged population, especially after traumatic injuries. The classification and grading of changes during cartilage degeneration is difficult due to the notoriously high heterogeneity of the disease process and is only partly clinically relevant. Overall, the process of joint destruction can always be evaluated for the pathogenesis (typing), its extent (staging), and the degree of the most extensive focal damage (grading). However, in the clinical routine, description and reporting of the basic findings might be best restricted to specimens obtained from endoprosthetic surgery. Only the identification of previously unknown underlying conditions such as rheumatoid disease, gout, or extensive osteonecrosis is of particular clinical interest.
引用
收藏
页码:491 / +
页数:8
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