RESUMO
Background and objective: Wear and tear of joint cartilage is regarded as one of the main causes of osteoarthritis hence recurrent minor traumas due to some of lifelong daily activities can correlate with the development of osteoarthritis especially in weight bearing large joints. This study was designed to evaluate the association between 10 specified lifelong daily activities with knee and hip osteoarthritis
Methods: A cross-sectional study was carried out in the outpatient clinic of Rizgary Teaching Hospital over a period of six months starting from November 2009. The study sample constituted 101 subjects with knee and/or hip osteoarthritis and 100 subjects of normal joints. Subjects fulfilling the inclusion criteria underwent clinical evaluation and radiology of their knee and hip joints. Differences between comparable subdivisions of the studied subjects in relation to the duration of each of the 10 specified lifelong daily activities was tested by the Chi-square test concerning the association of each daily activity with knee and hip osteoarthritis
Results: Five of the 10 specified lifelong daily activities showed association with knee osteoarthritis, and these were; squatting, sitting on the floor, knee bending and crossed leg sitting postures, cycling, and less time sitting on chair or sofa. The same applied for osteoarthritis of hip except for cycling
Conclusion: Lifestyle has an important role in the pathogenesis of knee and hip osteoarthritis
RESUMO
Hand deformity is a typical feature of the RA. Therefore it is crucial to find out the prevalence of hand deformity in RA and to identify factors associated with its presence. A group of 100 patients with RA fulfilling the 1987 revised ACR criteria, were attending routine out patient clinics and physiotherapy unit in Rizgary Teaching hospital in Erbil, between 1[st] Oct. 2008 to 31[st] June 2009, are included, Patients who had congenital anomaly, history of trauma, patients below 16 years and other rheumatologic disease had been excluded. Hand deformity was recorded in [57%] of cases The frequency of deformities was as follow; ulnar deviation of the MCP joints [41%], palmer subluxation of the MCP joint [38%] Z deformity[13%], jDoutonniere deformity [27%], swan neck deformity[35%], radial deviation of the wrist [24%] and subluxation of the wrist joint [16%]. Female to male ratio was 5:1, 55% Of patients were between 40-59 years of age. X-ray of both hand shows 60% of patients had bone erosion, RF was positive in 73% of patients, CRP was positive in 75%. Family history was positive in 30%. There was a significant correlation between development of deformities and disease duration, No. of joints involved, RF[Rheumatoid Factor], CRP[C-reactive protein] and ESR[Erythrocyte sedimentation rate], other factors that had been studied but had no significant correlation with development of deformities which were age, gender, occupation, residence, type of treatment, Rheumatoid arthritis is a chronic rheumatologic disease that affects the hand and causes deformities, which mainly depend on the duration of disease, so early treatment and suppression of inflammation is necessary to delay or arrest the development of deformities