Etiology of Ankle Osteoarthritis

The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of pain...

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Published in	Clinical orthopaedics and related research Vol. 467; no. 7; pp. 1800 - 1806
Main Authors	Valderrabano, Victor, Horisberger, Monika, Russell, Iain, Dougall, Hugh, Hintermann, Beat
Format	Journal Article
Language	English
Published	New York Springer-Verlag 01.07.2009 Springer Lippincott Williams & Wilkins Ovid Technologies
Subjects	Adult Age Distribution Aged Aged, 80 and over Ankle Joint - diagnostic imaging Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - epidemiology Biological and medical sciences Clubfoot - complications Clubfoot - epidemiology Cohort Studies Conservative Orthopedics Diseases of the osteoarticular system Female Fractures, Bone - complications Fractures, Bone - epidemiology Hematologic Diseases - complications Hematologic Diseases - epidemiology Humans Male Medical sciences Medicine Medicine & Public Health Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Original Original Article Orthopedics Osteoarthritis Osteoarthritis - diagnostic imaging Osteoarthritis - epidemiology Osteoarthritis - etiology Osteochondrosis - complications Osteochondrosis - epidemiology Radiography Risk Factors Sports Medicine Surgery Surgical Orthopedics Young Adult Ankle Sprain Ankle Fracture Tibial Shaft Fracture Osteochondritis Dissecans Total Ankle Arthroplasty Ankle Ankle joint Etiology Orthopedics Diseases of the osteoarticular system Arthropathy Degenerative disease Osteoarthritis
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Abstract	The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of painful end-stage ankle osteoarthritis (OA) by using medical history, physical examination, and radiography. Posttraumatic ankle OA was seen in 78% of the cases (n = 318), secondary arthritis in 13% (n = 52), and primary OA in 9% (n = 36). The average American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 38 points (range, 0–74 points), range of motion was 22° (range, 0°−65°), and visual analog scale for pain was 6.8 (range, 2–10). Patients with posttraumatic end-stage ankle OA were younger than patients with primary OA. The average tibiotalar alignment was 88° (range, 51°–116°) and did not differ between the etiologic groups. Our study showed trauma is the main cause of ankle OA and primary OA is rare. In the majority of patients with ankle OA the average tibiotalar alignment is varus regardless of the underlying etiology. Level of Evidence: Level IV, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
AbstractList	The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of painful end-stage ankle osteoarthritis (OA) by using medical history, physical examination, and radiography. Posttraumatic ankle OA was seen in 78% of the cases (n = 318), secondary arthritis in 13% (n = 52), and primary OA in 9% (n = 36). The average American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 38 points (range, 0-74 points), range of motion was 22 degrees (range, 0 degrees-65 degrees), and visual analog scale for pain was 6.8 (range, 2-10). Patients with posttraumatic end-stage ankle OA were younger than patients with primary OA. The average tibiotalar alignment was 88 degrees (range, 51 degrees-116 degrees) and did not differ between the etiologic groups. Our study showed trauma is the main cause of ankle OA and primary OA is rare. In the majority of patients with ankle OA the average tibiotalar alignment is varus regardless of the underlying etiology. Level IV, prognostic study. The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of painful end-stage ankle osteoarthritis (OA) by using medical history, physical examination, and radiography. Posttraumatic ankle OA was seen in 78% of the cases (n = 318), secondary arthritis in 13% (n = 52), and primary OA in 9% (n = 36). The average American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 38 points (range, 0–74 points), range of motion was 22° (range, 0°−65°), and visual analog scale for pain was 6.8 (range, 2–10). Patients with posttraumatic end-stage ankle OA were younger than patients with primary OA. The average tibiotalar alignment was 88° (range, 51°–116°) and did not differ between the etiologic groups. Our study showed trauma is the main cause of ankle OA and primary OA is rare. In the majority of patients with ankle OA the average tibiotalar alignment is varus regardless of the underlying etiology. Level of Evidence: Level IV, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence. UNLABELLEDThe purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of painful end-stage ankle osteoarthritis (OA) by using medical history, physical examination, and radiography. Posttraumatic ankle OA was seen in 78% of the cases (n = 318), secondary arthritis in 13% (n = 52), and primary OA in 9% (n = 36). The average American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 38 points (range, 0-74 points), range of motion was 22 degrees (range, 0 degrees-65 degrees), and visual analog scale for pain was 6.8 (range, 2-10). Patients with posttraumatic end-stage ankle OA were younger than patients with primary OA. The average tibiotalar alignment was 88 degrees (range, 51 degrees-116 degrees) and did not differ between the etiologic groups. Our study showed trauma is the main cause of ankle OA and primary OA is rare. In the majority of patients with ankle OA the average tibiotalar alignment is varus regardless of the underlying etiology.LEVEL OF EVIDENCELevel IV, prognostic study. The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of painful end-stage ankle osteoarthritis (OA) by using medical history, physical examination, and radiography. Posttraumatic ankle OA was seen in 78% of the cases (n = 318), secondary arthritis in 13% (n = 52), and primary OA in 9% (n = 36). The average American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 38 points (range, 0-74 points), range of motion was 22° (range, 0°-65°), and visual analog scale for pain was 6.8 (range, 2-10). Patients with posttraumatic end-stage ankle OA were younger than patients with primary OA. The average tibiotalar alignment was 88° (range, 51°-116°) and did not differ between the etiologic groups. Our study showed trauma is the main cause of ankle OA and primary OA is rare. In the majority of patients with ankle OA the average tibiotalar alignment is varus regardless of the underlying etiology. Level of Evidence: Level IV, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.[PUBLICATION ABSTRACT]
Author	Horisberger, Monika Dougall, Hugh Hintermann, Beat Valderrabano, Victor Russell, Iain
Author_xml	– sequence: 1 givenname: Victor surname: Valderrabano fullname: Valderrabano, Victor email: vvalderrabano@uhbs.ch organization: Department of Orthopaedics, University of Basel, University Hospital of Basel, Human Performance Laboratory, University of Calgary, Department of Orthopaedics, University of Calgary – sequence: 2 givenname: Monika surname: Horisberger fullname: Horisberger, Monika organization: Department of Orthopaedics, University of Basel, University Hospital of Basel – sequence: 3 givenname: Iain surname: Russell fullname: Russell, Iain organization: Department of Orthopaedics, University of Calgary – sequence: 4 givenname: Hugh surname: Dougall fullname: Dougall, Hugh organization: Department of Orthopaedics, University of Calgary – sequence: 5 givenname: Beat surname: Hintermann fullname: Hintermann, Beat organization: Department of Orthopaedics, Cantonal Hospital Liestal
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21712954$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/18830791$$D View this record in MEDLINE/PubMed
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ParticipantIDs	pubmedcentral_primary_oai_pubmedcentral_nih_gov_2690733 proquest_miscellaneous_67331261 proquest_journals_233668946 crossref_primary_10_1007_s11999_008_0543_6 pubmed_primary_18830791 pascalfrancis_primary_21712954 springer_journals_10_1007_s11999_008_0543_6
PublicationCentury	2000
PublicationDate	2009-07-01
PublicationDateYYYYMMDD	2009-07-01
PublicationDate_xml	– month: 07 year: 2009 text: 2009-07-01 day: 01
PublicationDecade	2000
PublicationPlace	New York
PublicationPlace_xml	– name: New York – name: Heidelberg – name: United States – name: Park Ridge
PublicationTitle	Clinical orthopaedics and related research
PublicationTitleAbbrev	Clin Orthop Relat Res
PublicationTitleAlternate	Clin Orthop Relat Res
PublicationYear	2009
Publisher	Springer-Verlag Springer Lippincott Williams & Wilkins Ovid Technologies
Publisher_xml	– name: Springer-Verlag – name: Springer – name: Lippincott Williams & Wilkins Ovid Technologies
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Snippet	The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and... UNLABELLEDThe purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important...
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SubjectTerms	Adult Age Distribution Aged Aged, 80 and over Ankle Joint - diagnostic imaging Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - epidemiology Biological and medical sciences Clubfoot - complications Clubfoot - epidemiology Cohort Studies Conservative Orthopedics Diseases of the osteoarticular system Female Fractures, Bone - complications Fractures, Bone - epidemiology Hematologic Diseases - complications Hematologic Diseases - epidemiology Humans Male Medical sciences Medicine Medicine & Public Health Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Original Original Article Orthopedics Osteoarthritis Osteoarthritis - diagnostic imaging Osteoarthritis - epidemiology Osteoarthritis - etiology Osteochondrosis - complications Osteochondrosis - epidemiology Radiography Risk Factors Sports Medicine Surgery Surgical Orthopedics Young Adult
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Title	Etiology of Ankle Osteoarthritis
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