変形性膝関節症

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"膝が痛くて歩くことが嫌になる"中高年になるとこんな悩みを抱える人が増えてきます。その原因の多くが変形性膝関節症です。変形性膝関節症の患者は高齢化とともに増加しています。では、なぜ膝に痛みがでるのか説明します。

膝の関節は大腿骨(ももの骨)と脛骨(すねの骨)と膝蓋骨(お皿)からなっています。それぞれの骨の接合部表面は潤滑油のような役割をする関節軟骨で覆われています。さらに、半月板というクッションがあることにより滑らかな動きをすることができます。変形性膝関節症はこの関節軟骨や半月板がすりへり、歩行運動時の関節への衝撃を吸収できずに変形や痛みが生じます。

患者の年齢は60歳から70歳が多く、女性に多い。女性に多いのはホルモンとの関係があると言われている。それ以外には、体重の重い方や若い頃にケガによる関節軟骨の損傷がある方などは比較的早い時期に変形性膝関節症が進行してきます。

ちなみに、日本人はO脚が多く、膝の内側に長期間の負荷がかかるために先に膝の内側の関節軟骨が変形しやすい。

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