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Risk factors:
Age (65 years old)
Obesity of the Patient Polymorphism of GDF5 Joint
vt Genetics (gout of Paternal gene vulnerability
grandfather)
Joint deformities (genu
varum )
Injury to the cartilage of
the joints
Joint matrix remodeling Exposure of the bone Increased production of Abnormal accumulation
surface inflammatory cytokines of chondrocyte Macro and
Microtrauma
Chondrocyte
Increase bone-to-bone Increased destruction of Abnormal bone formation
proliferation
contact during movement joint matrix Subchondral &
Articular Remodeling
Clustering of the
Synovitis Osteophyte formation in
proliferated Production of fracture the joint Microscopic structural
chondrocyte gaps due to friction
changes (bone &
cartilage)
Activation of pain
nociceptors Thickening of the
Thickening of the joint Synovial fluid subchondral plate
matrix accumulation between
friction gaps Altered gene
Joint pain, redness expression
and heat Ossification of the
cartilage
Joint swelling
Stiffness of
the joints Crepitus