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. 2020 Nov;14(3):151-154.
doi: 10.5704/MOJ.2011.023.

Clinical and Radiological Study of Serum Fluoride in Relation to Knee Osteoarthritis

V K Singh  1 , K S Rathore  1 , G Khan  1 , A Rahim  1 , A Rashid  1 , S Chauhan  1
Affiliations

Clinical and Radiological Study of Serum Fluoride in Relation to Knee Osteoarthritis

V K Singh et al. Malays Orthop J. 2020 Nov.

Abstract

Introduction: Fluorosis has been associated with an increased risk of degenerative changes in the knee. Multiple studies have found an association between arthritis and elevated fluoride levels. We aim to delineate if elevated fluoride level has any direct correlation with the degree of radiological grading and clinical symptoms in knee arthritis.

Materials and methods: A cross-sectional study of 80 knee arthritis patients was conducted from February 2017 to April 2018. Serum fluoride levels were measured and patient's pain scores, WOMAC scores and radiological grading were correlated with the elevated fluoride levels.

Results: In our study, 30 out of 80 patients had increased serum fluoride level. Statistically significant differences were noted in VAS score, WOMAC score and Kellgren and Lawrence radiological grades between patients with normal serum fluoride level and those with elevated fluoride level.

Conclusion: There is an increased risk of knee arthritis in patients with elevated blood fluoride levels and patients with increased fluoride levels are associated with more severe symptoms and radiographic disease.

Keywords: arthritis; fluorosis; knee.

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References

    1. Bitton R. The economic burden of osteoarthritis. Am J Manag Care. 2009;15(8 Suppl):S230–5. - PubMed
    1. Loeser RF, Goldring SR, Scanzello CR, Goldring MB. Osteoarthritis: a disease of the joint as an organ. Arthritis Rheum. 2012;64(6):1697–707. doi: 10.1002/art.34453. - DOI - PMC - PubMed
    1. Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26(3):355–69. doi: 10.1016/j.cger.2010.03.001. - DOI - PMC - PubMed
    1. Reid CR, Bush PM, Cummings NH, McMullin DL, Durrani SK. A review of occupational knee disorders. J Occup Rehabil. 2010;20(4):489–501. doi: 10.1007/s10926-010-9242-8. - DOI - PubMed
    1. Zhang Y, Hunter DJ, Nevitt MC, Xu L, Niu J, Lui LY et al. Association of squatting with increased prevalence of radiographic tibiofemoral knee osteoarthritis: the Beijing Osteoarthritis Study. Arthritis Rheum. 2004;50(4):1187–92. doi: 10.1002/art.20127. - DOI - PubMed

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