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Allgemeines zur Arthrose

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Rheumatologie B

Part of the book series: Handbuch der inneren Medizin ((INNEREN 6,volume 6 / 2 / B))

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Zusammenfassung

Die Arthrose ist ohne Zweifel so alt wie die Menschheit, sie hinterließ ihre Unauslöschlichen Spuren an den Skelettfunden der Vor- und Frühmenschen (McCARTY 1979). Aber erst 1877 wies der Wiener Pathologe Weichselbaum erstmals darauf hin, daß degenerative Gelenkleiden - er nannte sie Arthritis deformans — als ein krankmachendes morphologisches Geschehen eigengesetzlicher Art zu deuten sei und erst 1913, im selben Jahr, da Nils Bohr sein Atommodell entwarf, hielt der große Internist Friedrich Von Müller am 17. Internationalen Internistenkongreß in London einen Vortrag mit dem Titel: „Differenzierung der unter der Bezeichnung chronische Arthritis zusammengefaßten Krankheiten“. Ihm fällt das große Verdienst zu, erstmals einen klaren klinischen Trennstrich zwischen entzündlichen und degenerativen Gelenkerkrankungen gezogen zu haben. Trotzdem spielte in der Schulmedizin die Arthrose noch bis vor relativ kurzer Zeit die Rolle eines Aschenbrödels. Glücklicherweise haben die moderne pathologische Anatomie und Patho-Physiologie mit ihren verfeinerten morphologischen und vor allem biochemischen Methoden neues Licht auf das düstere Gebiet der Arthrosen-Pathogenese geworfen und damit ein ganz neues Interesse am Arthrosenproblem geweckt. Der Aufschwung der modernen Orthopädie und Rheumatologie brachte zudem neue therapeutische Möglichkeiten mit sich. Grundlagen- und klinische Forschung wurden in den letzten Jahren zunehmend intensiviert, woraus auch eine kaum mehr übersehbare Flut von entsprechender Literatur resultierte.

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Wagenhäuser, F.J. (1984). Allgemeines zur Arthrose. In: Bach, G.L., et al. Rheumatologie B. Handbuch der inneren Medizin, vol 6 / 2 / B. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68782-2_21

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