Staging System in Rapidly Destructive Coxarthrosis from Viewpoint of Synovial Osteoclast Activity

  • Fujibayashi Isao
    Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
  • Ogawa Kenji
    Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
  • Kitajima Masaru
    Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
  • Shigematsu Masamori
    Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
  • Komine Mitsunori
    Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
  • Mawatari Masaaki
    Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
  • Hotokebuchi Takao
    Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan

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Other Title
  • 急速破壊型股関節症の検討;第7報―病期分類と関節滑膜内破骨細胞数の関係について―
  • ―病期分類と関節滑膜内破骨細胞数の関係について―

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Abstract

To study the etiology and progress mechanisms of rapidly destructive coxarthrosis (RDC), we conducted a trial on type and staging system of RDC, taking into account the characteristics of radiographic and histological findings, and the activity of osteoclasts in synovial membrane.<BR>In this study, we investigated the association between the number of synovial osteoclasts and each stage in collapse type RDC.<BR>Fourteen hips with collapse type RDC and 33 hips with slowly progressive osteoarthritis as the control were analyzed.<BR>There was a significantly large number of synovial osteoclasts in stages II and III of collapse type RDC as compared to slowly progressive osteoarthritis.<BR>However, it was difficult to obtain the synovial tissues in stages I and IV of RDC.<BR>Our results suggest that osteoclasts may play a critical role in joint destruction, particularly in stages II and III of collapse type RDC.<BR>When investigating the etiology or pathologic mechanism of RDC, classifying the radiological and pathological findings according to type and staging should be cousidered.

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