Osteoarthritis historical perspective
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Osteoarthritis / Osteoarthrosis (OA, also known as degenerative joint disease, degenerative arthritis, arthrosis or in more colloquial terms "wear and tear") is the most common form of arthritis, caused by wearing of the cartilage that covers and cushions joint spaces. As the cartilage wears away, the patient experiences pain with weight bearing, including walking and standing. This word is derived from the Greek word "osteo", meaning "of the bone", "arthro", meaning "joint", and "itis", meaning inflammation, meanwhile, inflammation is not a common finding in this regard. OA possesses a great degree of variability in disease onset, progression, and severity. The earliest descriptions of OA were provided by Heberden and Haygarth in the 19th century. [3] [4] In the 1930s and 1940s, Dr. Stecher showed that there were two forms of OA, idiopathic and post-traumatic. [5] And, in the 1950s the links between Heberden’s nodes and large joint OA were revealed by Kellgren and Moore. In this regard, the first x-ray grading system for OA was developed by Jonas Kellgren and John Lawrence in the 1950s. Surgical management of OA was developed in the 1960s by Drs. Charnley and McKee
Historical Perspective
The historical view of osteoarthritis from antiquity to the present year has interestingly conventional perspective which can be found among: paleopathological findings about skeletal discoveries, plenty of historical literature's, visual representations found among artworks. Considering the historical findings about the osteoarthritis (such as evidences revealed in dinosaurs skeletons for example in a 200 million year old Dimetrodon Permian reptile recovered in Texas, USA there was an interesting evidence of a compound fracture in its spine which was infected with pus formation), osteoarthritis can be called as the oldest known disease on earth. According to the available evidences, osteoarthritis (OA) has been called by different terminologies: arthrosis deformans, osteoarthrosis-osteoarthritis, degenerative joint disease, morbus (malum) coxae seniles; Meanwhile, loss of cartilage associated with it bone features (such as osteophytes and subchondral bone sclerosis) is common among all types of OA. As mentioned before this illness has been called by many names over the years but None of them was entirely satisfactory for this condition. Despise of this fact that the word "Osteoarthritis" is a misnomer because it implies a definite existence of an inflammatory process, It has been used for many decades in the English language and will probably continue to do so because it has a well known appeal comparing with other more accurate terms of degenerative joint disease. But, totally, Osteoarthritis is considered as a non-inflammatory disease of movable joints characterized by possible formation of new bone at the articular surface and subchondral bone involvement with the abrasion and deterioration of involved articular cartilages.
Osteoarthritis is a common nding in Egyptian mummies (Braunstein et al., 1988) and in ancient skeletons in England (Rogers et al., 1981; Thould and Thould, 1983). The case of rheumatoid arthritis in an Egyptian mummy described by May (1897) is clearly a classical example of osteoarthritis. There is some evidence that osteoarthritis of the shoulders and degenerative changes in the lumbar spine were more common in ancient skeletons, while the knee joints were less frequently affected. Similarly osteoporosis in females over 65 was a less evident (Jurmain, 1977; Rogers et al., 1981). This probably re ects differences in life style with more physical labour being necessary in olden times (Chalmers and Ho, 1970; Kelly et al., 1990), resulting in less obesity and decreased frequency of knee osteoarthritis (Hartz et al., 1986; Anderson and Felson, 1988; Felson et al., 1988; Hochberg, 1991). There is also evidence that degenerative changes in the cervical spine were less frequent than today, again probably the consequence of life style. It is strange that, despite its widespread occurrence in ancient skeletons, clinicians did not recognise osteoarthritis until the 18th century.
Historical evidences revealed that all forms of arthritis were considered to be clinical presentations of gout.
In 1802, William Heberden in his book named "Commentaries on the History and Cure of Diseases" has described a disease which had no connection with gout. He also described the small nodes which later we know those nodes with his name.
In 1793, Sandifort of Leiden described osteoarthrosis of the hip.
In 1805, John Haygarth described polyarticular disease influencing the distal interphalangeal and other joints, resembling almost perfectly OA as seen in our present modern society.5
In 1824, Bell, similar to Sandifort in 1793, have described osteoarthrosis of the hip.
In 1829, Benjamin C Brodie revealed a non-inflammatory erosion of articular cartilage peculiar to the elderly.
In 1831, Robert Adams distinguished osteoarthritis from polyarticular rheumatoid arthritis considering its localized character (also he even tried to use “partial” rheumatic arthritis name for osteoarthritis). This big step in differentiating OA from rheumatic arthritis had a huge acceptance in many parts of European scientist.
In 1835, J V Cruveilhier and Cruveilhier’s mentor Laennec (inventor of the stethoscope) were used the term "usure" for defects in the articular cartilage of involved joints.
In 1835, Robert Smith named the degenerative joint disease as: "sui generis" and after that he came with the description of "malum coxae senilis" related to the osteoarthritis of the hip.
In 1857, Schöman made monographs affirming Adams’ great work (in 1831) and published them were published 1857.
In 1869, Charcot and Virchow, known as the fathers of cellular pathology, used the term “arthritis deformans” for both osteoarthritis and rheumatic arthritis
In 1890, A E Garrod was granted the current title of “osteoarthritis"
In 1895, (Soon after the introduction of X-rays as a great step in medicine by Wilhelm Konrad Röntgen), Goldthwaite and other scientists were able to differentiate two main forms of arthritis: a) the “atrophic” type, which was found as polyarticular, in young population, and b) the “hypertrophic” type, non-polyarticular form occurred in fewer joints in young population. Then, the hypertrophic arthritis and Atrophic arthritis were considered as osteoarthritis and rheumatic arthritis, respectively.
In 1907, Albutt and Rolleston in a book named Albutt and Rolleston's System of Medicine describes both osteoarthritis and rheumatic arthritis separately with their own different special pathological specifications.
In 1952, Kellgren and Moore connected the Heberden noduli to osteoarthritis, considering it as a primary generalised OA in order to differentiate it primary generalised OA from secondary OA.
In 1950s and 1960s, Kellgren and Lawrence introduced a radiographic scoring system in grading OA
In 1953, Collins described the possible association of age with the prognosis of trauma in pathological evaluations.
In 1989, Hans Valkenburg’s team worked on the descriptive epidemiology of osteoarthritis
In 1890,
In 1890,