Osteoarthritis causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Causes

Osteoarthritis often affects multiple members of the same family, suggesting that there is hereditary susceptibility to this condition. A number of studies have shown that there is a greater prevalence of the disease between siblings and especially identical twins, indicating a hereditary basis. Up to 60% of OA cases are thought to result from genetic factors. Researchers are also investigating the possibility of allergies, infections, or fungi as a cause. There is some evidence that allergies, whether fungal, infectious or systemically induced, may be a significant contributing factor to the appearance of osteoarthritis in a synovial sac. Randomized, controlled studies have shown a 40% reduction in joint degeneration if Tetracycline derivative antibiotics are taken consistently over time.

Obesity may contribute to osteoarthritis of the knee.[1][2][3]

Leg-length inequality > 1 cm is associated with osteoarthritis of the knee.[4]

References

  1. Nguyen US, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT (2011). "Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data". Ann Intern Med. 155 (11): 725–32. doi:10.1059/0003-4819-155-11-201112060-00004. PMC 3408027. PMID 22147711.
  2. McAlindon TE, Wilson PW, Aliabadi P, Weissman B, Felson DT (1999). "Level of physical activity and the risk of radiographic and symptomatic knee osteoarthritis in the elderly: the Framingham study". Am J Med. 106 (2): 151–7. PMID 10230743.
  3. Hart DJ, Doyle DV, Spector TD (1999). "Incidence and risk factors for radiographic knee osteoarthritis in middle-aged women: the Chingford Study". Arthritis Rheum. 42 (1): 17–24. doi:10.1002/1529-0131(199901)42:1<17::AID-ANR2>3.0.CO;2-E. PMID 9920009.
  4. Harvey WF, Yang M, Cooke TD, Segal NA, Lane N, Lewis CE; et al. (2010). "Association of leg-length inequality with knee osteoarthritis: a cohort study". Ann Intern Med. 152 (5): 287–95. doi:10.1059/0003-4819-152-5-201003020-00006. PMID 20194234.

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