[Is gonarthrosis with varus deformity a clinical entity].

Abstract

Studies were conducted in a group of patients with varose deformity. The present paper gives the results of indicidual bone metabolism studies conducted on 663 healthy controls and patients with articular disease without genu varum or with varose deformity. In subjects with genu varum intravenous administration of calcium causes the urinary elimination of hydroxyproline and nitrogen to fall. Among the groups under investigation this group of patients excretes the least amount of urine, has a relatively low calciuria and shows the highest retention rate of intravenously administered calcium. Patients with gonarthrosis associated to varose deformity excrete, a day after intravenous administration of calcium, the relatively least amounts of phosphorus, as compared to the healthy controls and other degenerative joint diseases without genu varum. Although the retention of intravenous calcium in the studied group resembles that seen in the process of generalized osteomalacia, no coinciding signs of osteomalacia c ould be found in subjects with gonarthrosis and varose deformity. X-ray examination of patients with genu varum revealed more marked changes in the bone structure, namely sclerosis, necrosis and osteophytes of shapes and sizes other than in gonarthrosis without varose deformity. Epidemiological analysis of 30 patients showed 83.3% of patients to have overweight type I to III according to the Broca formula. Pains in the knee joints started appearing at the mean age of 50 years. A large part of the patients showed the presence of serious varicose syndrome and relapsing phlebitis of the lower limbs. Although the clinical and X-ray pictures make it possible to conisder a larger amount of disease types, we assume that gonarthrosis with varose deformity may be regarded as an isolated clinical entity which refers primarily to a localized bone process.

• Authors: J Stĕpán, K Kranková, A Streda, Susta
• Journal: Zeitschrift fur Rheumatologie (Z Rheumatol) 1975 Mar-Apr Vol. 34 Issue 3-4 Pg. 123-34 ISSN: 0340-1855 [Print] Germany
• Vernacular Title: Ist Gonarthrose mit varöser Deformität eine klinische Einheit
• PMID: 1136597 (Publication Type: Journal Article)

Chemical References

• Phosphorus
• Proline
• Calcium

Topics

• Aged
• Calcium (administration & dosage, metabolism)
• Female
• Humans
• Injections, Intravenous
• Knee Joint (diagnostic imaging)
• Male
• Middle Aged
• Osteoarthritis (complications, diagnostic imaging, metabolism)
• Osteosclerosis (complications)
• Phlebitis (complications)
• Phosphorus (urine)
• Proline (analogs & derivatives, urine)
• Tomography, X-Ray
• Varicose Veins (complications)