Primary osteoarthritis of hip, knee, and hand in relation to occupational exposure

Rossignol, M.; Leclerc, A.; Allaert, F. A.; Rozenberg, S.; Valat, J. P.; Avouac, B.; Coste, P.; Litvak, E.; Hilliquin, P.
November 2005
Occupational & Environmental Medicine;Nov2005, Vol. 62 Issue 11, p772
Academic Journal
Aim: To identify occupations with excess prevalence of osteoarthritis of the knee, hip, and hand in a nationwide survey and to compare occupations with and without excess prevalence with regard to biomechanical stresses and severity of osteoarthritis. Methods: Patients presenting with osteoarthritis of the knee, hip, or hand were recruited throughout France by their treating physician who collected information on history, including age at onset, occupation, and occupational stresses to joints. Severity was assessed using joint specific functional status questionnaires: Lequesne for the hip and knee and Dreiser for the hand. The distribution of osteoarthritis patients by occupation was compared with the distribution of occupations in all workers in France to obtain prevalence rate ratios. Results: Occupations with the greatest prevalence rate ratio were female cleaners (6.2, 95% Cl 4.6 to 8.0), women in the clothing industry (5.0, 95% Cl 3.9 to 6.3), male masons and other construction workers (2.9, 95% Cl 2.6 to 3.3), and agriculture male and female workers (2.8, 95% Cl 2.5 to 3.2). A twofold greater prevalence rate was observed within certain occupations between self-employed and salaried workers. Early onset of osteoarthritis was seen in the more heavy labour lobs with almost 40% of patients reporting their first symptoms before the age of 50. Conclusion: The early onset and severity of osteoarthritis in certain occupations warrants an urgent need for occupation specific studies for the development and evaluation of preventive strategies in this leading cause of disability in Western countries.


Related Articles

  • The burden of musculoskeletal disease—a global perspective. Brooks, Peter M. // Clinical Rheumatology;Dec2006, Vol. 25 Issue 6, p778 

    Musculoskeletal diseases are one of the major causes of disability around the world and have been a significant reason for the development of the Bone and Joint Decade. Rheumatoid arthritis, osteoarthritis and back pain are important causes of disability-adjusted-life years in both the developed...

  • Commentary: Patients' view. Corbett, Nancy; Deschambault, Diane; Santesso, Nancy // BMJ: British Medical Journal (International Edition);7/3/2004, Vol. 329 Issue 7456, p40 

    Presents comments on an article about osteoarthritis. How a decision aid for patients' is needed in order to help them understand their health problems and treatment.

  • Exercise poses no risk to knee joint.  // Pulse;10/3/2007, Vol. 67 Issue 35, p8 

    The article reports that general practitioners (GP) in Great Britain can reassure healthy patients that running and other forms of vigorous physical activity do not usually damage the knee joints. It is stated that vigorous physical activity in adults with no history of knee injury has...

  • Magnetic pain relief only works if you believe in it. Davis, Katharine // New Scientist;12/25/2004, Vol. 184 Issue 2479/2480, p9 

    This article reports that magnetic bracelets which appear to give people with conditions like osteoarthritis just one more example of the placebo effect. Studying this issue systematically is difficult because blinded trials depend on patients not knowing whether they have been given the real...

  • Too fit and too fat, both can lead to osteoarthritis.  // Asian Pacific Post;8/19/2010, p5 

    The article discusses research which found that people who are either too thin or too fat could suffer from osteoarthritis.

  • Joint pain and stiffness an indicator of osteoarthritis. Pinette, Gilles // Saskatchewan Sage;Mar2003, Vol. 7 Issue 6, p10 

    Discusses the disease of joints osteoarthritis. Symptoms of osteoarthritis; Causes of the disease; Measures for prevention of the disease; Methods for the treatment of osteoarthritis.

  • Osteoarthritis: Time to shift the paradigm. Dieppe, Paul // BMJ: British Medical Journal (International Edition);05/15/99, Vol. 318 Issue 7194, p1299 

    Provides information on osteoarthritis in Great Britain. Risk factors; Pathological feature of the disease; Changes on the medical approach to the disease.

  • Osteoarthritis I: Epidemiological risk factors and historical considerations. Buchanan, W. Watson; Kean, Walter F. // Inflammopharmacology;2002, Vol. 10 Issue 1/2, p5 

    Presents information on osteoarthritis. Causes of the disease; Risk factor associated with the joint disease; Genetic factors associated with osteoarthritis.

  • Joint Injury in Young Adults and Risk for Subsequent Knee and Hip Osteoarthritis. Gelber, Allan C.; Hochberg, Marc C.; Mead, Lucy A.; Wang, Nae-Yuh; Wigley, Fedrick M.; Klag, Michael J. // Annals of Internal Medicine;9/5/2000, Vol. 133 Issue 5, p321 

    Background: Knee and hip injuries have been linked with osteoarthritis in cross-sectional and case-control studies, but few prospective studies have examined the relation between injuries in young adults and risk for later osteoarthritis. Objective: To prospectively examine the relation between...


Read the Article


Sign out of this library

Other Topics