Skip to main content

Arthrose

  • Living reference work entry
  • First Online:
Orthopädie und Unfallchirurgie

Part of the book series: Springer Reference Medizin ((SRM))

  • 863 Accesses

Zusammenfassung

Die Entstehung der Arthrose im Knie ist ein komplexer multifaktorieller Vorgang, bei dem die Bedeutung und die Wertigkeit vieler Faktoren noch unzureichend geklärt sind. Dabei spielt die irreversibel fortschreitende Gelenkknorpeldestruktion unter Mitbeteiligung der anderen Gelenkstrukturen, wie Knochen, Synovia, Gelenkkapsel und gelenksumgebende Muskulatur, die maßgebliche Rolle. Diskutiert wird neben lokalen und systemischen Risikofaktoren auch eine genetische Komponente. Die Arthrose ist eine nicht entzündliche, degenerative, fortschreitende Erkrankung des Gelenkknorpels, die im späteren Stadium auch die periartikulären Gelenkstrukturen, wie z. B. den Knochen, die Menisken, die Seitenbänder und die Kreuzbänder, beeinträchtigt und zu Folgeschäden führt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Literatur

  • Apprich S, Welsch GH, Mamisch TC et al (2010) Detections of degenerative cartilage disease: comparioson of high-resolution morphological MR and quantitative T2 mapping at 3.0 Tesla. Oseoarthitis Cartilage 18:1211–1217

    Article  CAS  Google Scholar 

  • Buckwalter JA, Lappin DR (2000) The disproportionate impact of chronic arthralgia and arthritis among women. Clin Orthop Relat Res 372:159–168

    Article  Google Scholar 

  • Buckwalter JA, Mankin HJ (1998) Articular cartilage: degeneration and osteoarthritis, repair, regeneration, and transplantation. Instr Course Lect 47:487–504

    CAS  PubMed  Google Scholar 

  • Cooper CR (1998) Osteoarthritis and related disorders: introduction and history. In: Klippel JH, Dieppe PA (Hrsg) Rheumatology. Mosby, London

    Google Scholar 

  • Cooper C, Dennison E (1998) The natural history and prognosis of osteoarthritis. In: Brandt KD, Doherty M, Lohmander LS (Hrsg) Osteoarthritis. Oxford University Press, Oxford

    Google Scholar 

  • Debrunner AM (2002) Orthopädie, Orthopädische Chirurgie. Patientenorientierte Diagnostik und Therapie des Bewegungsapparates, 4. Aufl. Hans Huber, Bern

    Google Scholar 

  • Dennison E, Cooper CL (2003) Osteoarthritis: epidemiology and classification. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH (Hrsg) Rheumatology. Mosby, Toronto

    Google Scholar 

  • Engelhardt P (1985) Late prognosis of Perthes’ disease: which factors determine arthritis risk? Z Orthop Ihre Grenzgeb 123(2):168–181

    Article  CAS  Google Scholar 

  • Felson D (1995) The epidemiology of osteoarthritis: prevalence and risk factors. In: Kuettner KE, Goldberg VM (Hrsg) Osteoarthritic disorders. American Academy of Orthopaedic Surgeons, Rosemont

    Google Scholar 

  • Felson DT (2004) An update on the pathogenesis and epidemiology of osteoarthritis. Radiol Clin N Am 42(1):1–9

    Article  Google Scholar 

  • Guidelines for the diagnosis, investigation and management of osteoarthritis of the hip and knee. Report of a Joint Working Group of the British Society for Rheumatology and the Research Unit of the Royal College of Physicians (1993) J R Coll Physicians Lond 27(4):391–396

    Google Scholar 

  • Günther K, Puhl W, Brenner H, Sturmer T (2002) Clinical epidemiology of hip and knee joint arthroses: an overview of the results of the „Ulm Osteoarthrosis Study“. Z Rheumatol 61(3):244–249

    Article  Google Scholar 

  • Hackenbroch MH Jr, Bruns H, Widenmayer W (1979) Contribution to the etiology of coxarthrosis. Radiographic and clinical evaluation of 976 arthrotic hip joints. Arch Orthop Trauma Surg 95(4):275–278

    Article  Google Scholar 

  • Hauselmann HJ, Muff L, Stucki G (1996) Gonarthrosis – assessment and conservative therapy. Ther Umsch 53(10):732–737

    CAS  PubMed  Google Scholar 

  • Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, Moskowitz RW, Schnitzer TJ (1995) Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee. American College of Rheumatology. Arthritis Rheum 38(11):1541–1546

    Article  CAS  Google Scholar 

  • Lohmander LS, Roos EM (2007) Clinical update: treating osteoarthritis. Lancet 370: 2082–2084.

    Article  Google Scholar 

  • Maheu E, Bannuru RR, Herrero-Beaumont G, Allali F, Bard H, Migliore A (2019) Why we should definitely include intra-articular hyaluronic acid as a therapeutic option in the management of knee osteoarthritis: results of an extensive critical literature review. Semin Arthritis Rheum 48(4): 563–572

    Article  Google Scholar 

  • Mainil-Varlet P, Aigner T, Brittberg M, Bullough P, Hollander A, Hunziker E, Kandel R, Nehrer S, Pritzker K, Roberts S, Stauffer E, International Cartilage Repair Society (2003) Histological assessment of cartilage repair: a report by the Histology Endpoint Committee of the International Cartilage Repair Society (ICRS). J Bone Joint Surg Am 85-A(Suppl 2):45–57

    Article  Google Scholar 

  • Mannoni A, Briganti MP, Di Bari M, Ferrucci L, Costanzo S, Serni U, Masotti G, Marchionni N (2003) Epidemiological profile of symptomatic osteoarthritis in older adults: a population based study in Dicomano, Italy. Ann Rheum Dis 62(6):576–578

    Article  CAS  Google Scholar 

  • Mutter K, Schlegel KF (1975) The causes of arthrosis of the hip-joint. A radiologic study. Z Orthop Ihre Grenzgeb 113(3):402–405

    CAS  PubMed  Google Scholar 

  • OECD (2012) Health at a glance: Europe 2012. OECD Publishing. Zugegriffen am 02.05.2013. https://doi.org/10.1787/9789264183896-en

  • Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg Br 43-B:752–757

    Article  CAS  Google Scholar 

  • Patienten-Information.de. Ein Service der Budnesärztekammer und der Kassenärztlichen Bundesvereinigung. http://www.patienten-information.de/. Zugegriffen am 16.07.2019

  • Praemer AP, Furner S, Rice DP (1999) Musculoskeletal conditions in the United States. American Academy of Orthopaedic Surgeons, Rosemont

    Google Scholar 

  • Puhl W, Bernau A, Bohle E, Brune K, Gerhardt P, Greitemann B, Gunther KP, Heber F, Hof N, Holfelder G, Noack W, Zeilhofer HU (2000) Ambulatory diagnosis and therapy of gonarthrosis. Z Orthop Ihre Grenzgeb 138(1):85–92

    Article  CAS  Google Scholar 

  • Radin EL, Rose RM (1986) Role of subchondral bone in the initiation and progression of cartilage damage. Clin Orthop Relat Res 213:34–40

    Google Scholar 

  • Rupprecht TN, Oczipka F, Lüring C, Pennekamp PH, Grifka J (2007) Is there a correlation between the clinical, radiological and intrasurgical findings of osteoarthritis of the knee? A prospective study on 103 patients. Z Orthop Unfall 145(4):430-435

    Article  CAS  Google Scholar 

  • Scharf HP (2003) Arthrose. In: Wirth CJ, Zichner L, Kohn D (Hrsg) Orthopädie und Orthopädische Chirurgie: Knie. Thieme, Stuttgart

    Google Scholar 

  • Schulitz KP, Schöning B, Kull W (1976) Deformity and arthrosis in slipped upper femoral epiphysis. Arch Orthop Unfallchir 86(3):303–315

    Article  CAS  Google Scholar 

  • Shen D, Chen M, Chen K, Wang T, Lu L, Yang X (2018) Efficacy of hyaluronic acid after knee arthroscopy: a systematic review and meta-analysis. J Rehabil Med 50(10):860–865

    Article  Google Scholar 

  • Spector TD, Cicuttini F, Baker J, Loughlin J, Hart D (1996) Genetic influences on osteoarthritis in women: a twin study. BMJ 312(7036):940–943

    Article  CAS  Google Scholar 

  • Symmons D, Mathers C, Pfleger B (2006) Global burden of osteoarthritis in the year 2000. http://www.who.int/healthinfo/statistics/bod_osteoarthritis.pdf. Zugegriffen am 16.07.2019

  • WHO (2003) The burden of musculoskeletal conditions at the start of the new millennium: report of a WHO scientific group. http://www.boneandjointdecade.de/downloads/who_burden_musculoskeletalconditions.pdf. Zugegriffen am 02.05.2013

  • WHO (2012) WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses, S 166, Ref. 128. ISBN : 9789241548120

    Google Scholar 

  • WHO (2013) Chronic diseases and health promotion. Chronic rheumatic conditions. http://www.who.int/chp/topics/rheumatic/en/. Zugegriffen am 02.05.2013

  • Wirth CJ (2001) Konservative Orthopädie, 3. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Zacher J, Gursche A (2001) Diagnosis of arthrosis. Orthopäde 30(11):841–847

    Article  CAS  Google Scholar 

  • Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P (2008) OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthr Cartil 16(2):137–162

    Article  CAS  Google Scholar 

  • Zhang Q, Yue J, Golianu B, Sun Z, Lu Y (2017) Updated systematic review and meta-analysis of acupuncture for chronic knee pain. Acupunct Med 35(6):392–403

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christian Lüring .

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Lüring, C. (2019). Arthrose . In: Orthopädie und Unfallchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54673-0_80-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54673-0_80-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54673-0

  • Online ISBN: 978-3-642-54673-0

  • eBook Packages: Springer Referenz Medizin

Publish with us

Policies and ethics