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Rheumatology 2001; 40: 70-73
© 2001 British Society for Rheumatology

Prevalence of large-joint osteoarthritis in Asian and Caucasian skeletal populations

K. Inoue, S. Hukuda, P. Fardellon1, Z. Q. Yang2, M. Nakai3, K. Katayama3, T. Ushiyama, Y. Saruhashi, J. Huang, A. Mayeda4, I. Catteddu5 and C. Obry1

Department of Orthopaedic Surgery, Shiga University of Medical Science, Otsu, Japan,
1 Service de Rhumatology, Hôpital Nord, Amiens, France,
2 Henan Provincial Institute of Cultural Relics and Archaeology Research, Zhengzhou, China,
3 Primate Research Institute, Kyoto University, Inuyama,
4 Rheumatology Clinic, Yukioka Hospital, Osaka, Japan and
5 Association pour les Fouilles Archaeologiques Internationales, Paris, France

Objective. To determine ethnic variations of large-joint osteoarthritis (OA) in past populations.

Methods. One thousand two hundred and nine adult skeletons, excavated from archaeological sites in Japan, China and France were assessed for OA as defined by the presence of eburnation.

Results. Within Asian skeletal populations, elbow OA and patellofemoral joint OA were more common in hunter–gatherers than in agriculturalists. Compared with Caucasians, the Asian skeletal population had a higher prevalence of tibiofemoral joint OA.

Conclusion. The relative frequencies of OA within and between ethnic groups at certain joint sites have changed over time from the past to the present.

KEY WORDS: Osteoarthritis, Paleopathology, Epidemiology, Asian Caucasian, Tibiofemoral joint, Patellofemoral joint, Elbow.

Correspondence to: Dr K. Inoue, Department of Orthopaedic Surgery, Shiga University of Medical Science, Setatsukinowa-cho, Otsu, Shiga, 520-2192, Japan


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