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Annals of the Rheumatic Diseases 2006;65:1261-1264; doi:10.1136/ard.2006.058347
Copyright © 2006 BMJ Publishing Group Ltd & European League Against Rheumatism.

EDITORIAL

Osteoarthritis is not a cartilage disease

Yet more evidence that osteoarthritis is not a cartilage disease

K D Brandt1, E L Radin2, P A Dieppe3, L van de Putte4

1 Indiana University School of Medicine, Indianapolis, USA
2 Tufts University School of Medicine, Boston, USA
3 University of Bristol, Bristol, UK
4 University of Nijmegen, Nijmegen, The Netherlands

Correspondence to:
Correspondence to:
K D Brandt
Indiana University School of Medicine, 8829 Rexford Road, IN 46260, USA; kenbrandt1@comcast.net

Accepted 17 July 2006


A better insight into the realities behind osteoarthritis

The first 150 words of the full text of this article appear below.

In this issue of the Annals of Rheumatic Diseases, Tan et al1 report the results of high-resolution magnetic resonance imaging (hrMRI) of interphalangeal joints of 20 subjects who had "clinically osteoarthritic" and painful finger joints for <l year. The MRI observations are supported by histological and radiographic examination of dissecting room specimens of apparently non-arthritic interphalangeal joints from three elderly people, and are an extension of earlier work by the same group of investigators.2 Their findings indicate that structural changes in the collateral ligaments of the interphalangeal joints were uniformly present even when the articular cartilage appeared normal. The authors concluded that " ... the role of ligaments as an initiating or perpetuating factor in the pathogenesis of non-traumatic knee and hip disease merits attention. The damage evident within the small joint collateral ligaments raises the possibility that this is the principal site . . . [Full text of this article]


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