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Table 1 Proposal for differentiation of clinical phenotypes of OA

From: Animal models of osteoarthritis: classification, update, and measurement of outcomes

 

Post-traumatic (acute or repetitive)

Metabolic

Aging

Genetic

Pain

Age

Young (<45 years)

Middle-aged (45–65 years)

Old (>65 years)

Variable

Variable

Main causative feature

Mechanical stress

Mechanical stress, adipokines, hyperglycemia, estrogen/progesterone imbalance

AGE, chondrocyte senescence

Gene related

Inflammation, bony changes, aberrant pain perception

Main site

Knee, thumb, ankle, shoulder

Knee, hand, generalized

Hip, knee, hand

Hand, hip, spine

Hip, knee, hand

Intervention

Joint protection, joint stabilization, prevention of falls, surgical interventions

Weight loss, glycaemia control, lipid control, hormone replacement therapy

No specific intervention, sRAGE/AGE breakers

No specific intervention, gene therapy

Pain medication, anti-inflammatory drugs

  1. Osteoarthritis is not one disease and might benefit from the recognition of its different phenotypes. Adapted with permission from Bijlsma et al. [6]