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The development of juxta-articular osteoporosis after synovectomy of the knee

A prospective study by double photon absorptiometry

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Summary

In a prospective study 9 patients, who were going to have a synovectomy for rheumatoid arthritis of the knee, underwent dual photon absorptiometry before, and at intervals after, operation. This determined the degree of juxta-articular osteoporosis quantitatively. The density was compared to a control group with normal knees. The follow up measurements showed an improvement in the juxta-articular bone mineral content after the 6th month. This demonstrates that bone densitometry is an objective indicator of the development of juxta-articular osteoporosis in inflammatory joint disease.

Résumé

Dans une étude prospective on a effectué chez 9 malades atteints d'arthrite rhumatoïde une double photo-absorptiométrie avant une synovectomie du genou, ainsi que 3, 6, 12 et 24 mois après l'opération. Cet examen a permis d'évaluer quantitativement le degré d'ostéoporose juxta-articulaire. La densité osseuse a ensuite été comparée à un groupe de contrôle sans lésions du genou. Les mesures faites après synovectomie montrent une augmentation de la minéralisation osseuse à partir du sixième mois post-opératoire. Ceci prouve que la densitométrie de l'os constitue un indicateur objectif de l'évolution de l'ostéoporose juxta-articulaire dans les rhumatismes inflammatoires.

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References

  1. Albrecht HJ, Sänger L (1985) Knochenveränderungen bei rheumatischen Krankheiten im Kindes- und Erwachsenenalter. Colloquia rheumatologica. Banaschewski, pp 9–17

  2. Checovich MM, Kiratli BJ, Smith EL (1989) Dual-photonen-absorptiometry of the proximal tibia. Calciv tissue Int 45: 281–284

    Google Scholar 

  3. Christiansen C (1989) Bone mineral measurement with special reference to precision, accuracy, normal values, and clinical relevance. In: Dequeker J, Johnston CC (eds) Noninvasive bone measurements: methodological problems. University Press, Leuven, pp 95–105

    Google Scholar 

  4. Dihlmann W (1985) Röntgenatlas rheumatischer Krankheiten. Thieme, Stuttgart New York, pp 12–14

    Google Scholar 

  5. Heuck A, Glüer C, Steiger P, Block J, Genandt H (1989) Knochendichtemessungen in der Osteoporosediagnostik. Röntgenproaxis 42: 155–165

    Google Scholar 

  6. Kapp S (1986) Messungen des Knochenmineralgehaltes mit der Zweitstrahl-Photonenabsorptionsmethode zur Quantifizierung der Osteoporose. Ärzteblatt Rheinland-Pfalz 11: 585–594

    Google Scholar 

  7. Kuhlencordt F (1985) Primäre und sekundäre Osteoporose und ihre Therapie. Colloquia rheumatologia, E Banaschewski, pp 27–43

  8. Mazess RB, Peppler W, Chesney RW, Lange TA, Lindgren U, Smith E jr (1984) Does bone-measurement on the radius indicate skeletal status? Concise communication. J Nucl Med 25: 281–288

    Google Scholar 

  9. Müller W, Schilling F (1982) Differentialdiagnose rheumatischer Erkrankungen. Aesopus, Basel Wiesbaden, pp 29–32

    Google Scholar 

  10. Nilas L, Borg J, Goldfredsen A, Christiansen C (1985) Comparison of single- and dual-photon-absorptiometry in postmenopausal bone mineral loss. J Nucl Med 26: 1257–1262

    Google Scholar 

  11. Reed GW (1966) The assessment of bone mineralization from the relative transmission of 241 AM and 137-Cs radiations. Phys Med Biol 11: 174

    Google Scholar 

  12. Reiners C (1991) Nicht-invative quantitative Knochendichtebestimmung. In: ID Ringe (ed) Osteoporose. De Gruyter, Berlin New York

    Google Scholar 

  13. Roos B, Rosengren B, Skoldborn H (1970) Determination of bone mineral content in lumbar vertebrae by a double gamma ray technic. In: JR Camerum (ed) Proceedings of bone measurements conference. US Atomic energy commission, pp 243–253

  14. Tillmann K (1989) Operative Therapie, Rheumatologie in Praxis und Klinik. In: K Fehr, W Miehle, M Schattenkirchner, K Tillmann (Hrsg) Bd 6, Thieme, Stuttgart New York, pp 90–105

    Google Scholar 

  15. Wahner HW (1984) Bone mineral measurement: a new clinical tool. J Nucl Med 25: 383–384

    Google Scholar 

  16. Wittenborg A, Nicksch E, Degner F (1988) Systemische Osteoporose bei chronischer Polyarthritis. Z Rheumatol 47: 309

    Google Scholar 

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Authors and Affiliations

  1. Orthopädische Klinik der Universität Ulm, Orthopädische Abteilung des Rehabilitationskrankenhauses Ulm, Oberer Eselsberg 45, W-7900, Ulm, Germany

    R. Wetzel & W. Puhl

  2. Abteilung Nuklearmedizin, Radiologie III, Universität Ulm, Robert-Koch-Strasse 8, W-7900, Ulm, Germany

    D. Brecht-Kraus

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  1. R. Wetzel
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  2. W. Puhl
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  3. D. Brecht-Kraus
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Wetzel, R., Puhl, W. & Brecht-Kraus, D. The development of juxta-articular osteoporosis after synovectomy of the knee. International Orthopaedics 17, 188–192 (1993). https://doi.org/10.1007/BF00186384

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