Osteophytes and joint space narrowing are independently associated with pain in finger joints in hand osteoarthritis.

Abstract:

OBJECTIVE:To study the associations between structural abnormalities on ultrasound (US) or conventional x-rays (CR) and pain in hand osteoarthritis (HOA). METHODS:In 55 consecutive patients with HOA (mean age 61 years, 86% women) fulfilling the American College of Rheumatology criteria, pain in 30 separate hand joints was assessed upon palpation; osteophytes were assessed by US and CR and joint space narrowing (JSN) by CR. Associations between structural abnormalities and pain per joint were analysed using generalised estimated equations to account for patient effects and adjusted for age, sex, body mass index, US inflammatory features and other remaining structural abnormalities. RESULTS:In 1649 joints, 69% and 46% had osteophytes on US and CR, respectively and 47% had JSN. Osteophytes and JSN showed independent associations with pain per joint adjusted: OR for osteophytes: 4.8 (95% CI 3.1 to 7.5) for US and 4.1 (95% CI 2.4 to 7.1) for CR; for JSN: 4.2 (95% CI 2.0 to 9.0). CONCLUSIONS:Osteophytes and JSN are independently associated with pain in individual HOA joints, taking into account patient effects.

journal_name

Ann Rheum Dis

authors

Kortekaas MC,Kwok WY,Reijnierse M,Huizinga TW,Kloppenburg M

doi

10.1136/ard.2010.147553

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1835-7

issue

10

eissn

0003-4967

issn

1468-2060

pii

ard.2010.147553

journal_volume

70

pub_type

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