Print ISSN: 0027-1446

Online ISSN: 2309-6217

Keywords : Osteoarthritis

Risk factors in an association with the osteoarthritis of the knee in Mosul city

Yakdhan Z. Alsaleem

Annals of the College of Medicine, Mosul, 2013, Volume 39, Issue 1, Pages 84-88
DOI: 10.33899/mmed.2013.75971

Background: Osteoarthritis of knee is a common cause of pain and disability. It is becoming increasingly prevalent worldwide due to its association with an aging and obesity.
Objective: The aim of this study was to examine the associations between body mass index, gender, Islamic praying, praying in sitting position, usage of stairs, history of traumas, diabetes, hypertension, and hypothyroidism as risk factors for knee osteoarthritis in population of Mosul city.
Patients and methods: This study is a case - control design, it was conducted through the period from Jan 2010 - Jan 2011 in the orthopedic outpatient clinic of Aljumhoori Teaching Hospital in Mosul. The target population of this study consisted of 213, 71 cases (61 females, 10 males), their ages mean 51.77 years, and 142 as controls.
Results: The body mass index was higher in cases and shows highly significant difference between cases and control (p ≤ 0.000). Sex distribution in knee osteoarthritis revealed that there was significant difference between females and males as cases of osteoarthritis, (P ≤ 0.0001). Normal Islamic praying, Praying in sitting position, usage of stairs, appeared to be an associated risk factors, history of trauma was significantly higher in cases, while diabetes, hypertension, and hypothyroidism was not associated with the development of osteoarthritis of the knee.
Conclusion: Females as a gender, obesity, Islamic praying in sitting position and history of trauma to the knee are important risk factors of osteoarthritis of the knee, while diabetes, hypertension and hypothyroidism are not associated with knee osteoarthritis.

Keywords: Osteoarthritis, knee, risk factors.

Significance of crystals in patients with osteoarthritis of the knee joint

Mohammed-Taher Rasool; Saad M Al-Hasani

Annals of the College of Medicine, Mosul, 2005, Volume 31, Issue 2, Pages 66-69
DOI: 10.33899/mmed.2005.8860

To identify the relation between the presence of calcium pyrophosphate dihydrate crystals (CPPD) and clinical, laboratory, and radiographic findings in patients with osteoarthritis of the knee joint, an analytical study was done in 2001, which included 100 patients with osteoarthritis of the knee joint. Synovial fluid analysis with the examination of a wet preparation under polarized microscopy was conducted for each patient. The study included a comparison between CPPD positive patients and those who are negative for these crystals. CPPD crystals were identified in 48% of the patients. The study shows a significant association of CPPD crystals with genu-valgum deformity, limited flexion and extension, elevated erythrocyte sedimentation rate (ESR) and cloudy inflammatory synovial fluid with poor viscosity. We concluded that CPPD deposition is associated with more disabling and deforming arthritis of the knee joint. Clinical criteria are needed to identify patients with occult CPPD deposition disease.