© 2003 BMJ Publishing Group Ltd
EDITORIAL
Osteoarthritis
Shoes and lower limb osteoarthritis
Rheumatology Section, Hospital General Universitario de Alicante, and Universidad Miguel Hernández, Alicante, Spain
Correspondence to:
Correspondence to:
Dr E Pascual
Sección de Reumatología, Hospital General Universitario de Alicante, Maestro Alonso 109, 03010 Alicante, Spain; pascual_eli@gva.es
Is there an association?
Keywords: hip osteoarthritis; knee osteoarthritis; shoes
| The first 150 words of the full text of this article appear below. |
Osteoarthritis (OA) is among the most common types of joint disease and a frequent cause of pain and physical disability. It is the fourth most frequent predictor of health problems worldwide in women, and the eighth in men1; in countries such as the United States, United Kingdom, or Canada its total economic costs have been estimated as 2% of the gross national income, second only to cardiovascular diseases.2 OA is now considered as a dynamic process in which what appears to be the consequences of the older idea of mechanical wear and tear of the joint coincides with remodelling of joint structures, increased cartilage turnover, incomplete repair and new bone formation, more marked in the joint margins.3,4 Joints at the lower extremity, mainly knees and hips, are frequently affected in primary OA, resulting in various degrees of walking pain and difficulty. Although the causes of primary OA remain
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