occurrence of degenerative joint disease in the radius: analysis
occurrence of degenerative joint disease in the radius: analysis
occurrence of degenerative joint disease in the radius: analysis
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<strong>of</strong> <strong>the</strong> test. When <strong>the</strong> degrees <strong>of</strong> freedom are greater than one,<br />
as <strong>in</strong> this <strong>analysis</strong>, typically <strong>the</strong> expected frequencies should<br />
be at least five (Kirk, 1990). However, <strong>the</strong> results are still<br />
reported and any error is assumed to be relatively m<strong>in</strong>or. The<br />
sample for <strong>the</strong> study <strong>of</strong> <strong>degenerative</strong> <strong>jo<strong>in</strong>t</strong> <strong>disease</strong> <strong>in</strong>cludes only<br />
adult specimens.<br />
Pitt<strong>in</strong>g<br />
In terms <strong>of</strong> <strong>the</strong> overall presence and absence <strong>of</strong> pitt<strong>in</strong>g <strong>in</strong><br />
this study, pitt<strong>in</strong>g usually appeared <strong>in</strong>dependently on its own<br />
and accompanied or preceded lipp<strong>in</strong>g <strong>in</strong> advanced stages <strong>of</strong> DJD.<br />
Slight pitt<strong>in</strong>g is <strong>of</strong>ten not categorized as cl<strong>in</strong>ical <strong>degenerative</strong><br />
<strong>jo<strong>in</strong>t</strong> <strong>disease</strong> due to <strong>the</strong> difficulty <strong>in</strong> dist<strong>in</strong>guish<strong>in</strong>g between<br />
pitt<strong>in</strong>g due to vascularization, which occurs <strong>in</strong> healthy bone,<br />
and pitt<strong>in</strong>g due to th<strong>in</strong>n<strong>in</strong>g <strong>of</strong> <strong>the</strong> bone surface as seen <strong>in</strong><br />
<strong>degenerative</strong> <strong>jo<strong>in</strong>t</strong> <strong>disease</strong> (Jurma<strong>in</strong>, 1999). Buikstra and<br />
Ubelaker (1994) have noted that natural variation <strong>in</strong> bone can<br />
produce pitt<strong>in</strong>g that is not directly related to <strong>degenerative</strong><br />
<strong>jo<strong>in</strong>t</strong> <strong>disease</strong> (Figures 3.3 and 3.4). In <strong>the</strong> Poole-Rose sample,<br />
about 62% <strong>of</strong> <strong>the</strong> specimens analyzed for pitt<strong>in</strong>g on both proximal<br />
and distal <strong>jo<strong>in</strong>t</strong> surfaces showed at least some degree <strong>of</strong> m<strong>in</strong>imal<br />
pitt<strong>in</strong>g, while about 20% showed moderate to severe pitt<strong>in</strong>g.<br />
Pitt<strong>in</strong>g appears to be <strong>the</strong> most prevalent characteristic <strong>of</strong> DJD<br />
<strong>in</strong> <strong>the</strong> radii, followed by lipp<strong>in</strong>g and eburnation.<br />
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