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DOCTOR OF MEDICAL SCIENCE DANISH MEDICAL JOURNAL
DANISH MEDICAL JOURNAL 1
T ee a bee acceed a a e gee ee e bed
ae b Te Fac f Hea Scece, Aa Ue, Jaa 3, 2012 ad
defeded Feba 24, 2012.
Offca e:
Pfe Se Oegaad, Odee & Pfe Ja E Made, O
Ue eeeae: Acae fe, Bee L. Lagda, Aa
Cedece: Deae f Oaedc, Hde Ha, Keegd A 30,
2650 Hde, Dea
Da Med J 2012;59: (6)B4450
Te dca e baed e fg ae, efeed
e e b Ra ea (IVII):
I. Tee A, Re L, Kg S, Eegaad B, Sbae K. Ae
e f daa ad ea: Vaab f dffee
ed. Aca Rad 2010;51:187193.
II. Tee A, Jacbe S, Re L, Sbae K. Wegbeag
aee ec adga ae eceded DDH
aee. C O Rea Re 2008;466:813819.
III. Tee A, Re L, Jacbe S, Laded S, Sbae K. Caa
aceaba ee c DDH e egbeag
. Aca O 2010;81(4):436441.
IV. Tee A, Jacbe S, Bg L, Geec J, Re L, Sbae K.
Uad e MR aga aceaba aba ea
dagc. Aca Rad 2007;48:10041010.
V. Tee A, Mecebg I, Geec J, Bg L, Jacbe S,
Sbae K. Wa e e f cca e ad ad
aceaba aba ea dagc? Aca O 2009;80:314318.
VI. Tee A, Eegaad B, Sbae K. Mede ce
f eaceaba e ad edc f ce a
eacee. J Be J Sg A 2009;91:21692179.
VII.Mecebg I, Negaad JR, Geec J, Sbae K, Tee A
Caage ce e eaed b MRI ad ee
g befe ad afe eaceaba e. C O Rea
Re 2010;468:18841890.
H daa ad defe geea ae ecged
a be ec f eac deee. Ea ad
cec defca f daa a de
ffe e eeg eae. I e cea
eae, eea cee e, ad e f ee ee e
fc f dca e. Caeged bec, e a
fdg ad e be ace ae ed be.
A bee d afed e aab f dffee
ed f dagc aee f daa ad
ea ad eed geea eceda egadg
dagc aee f daa. Pec a
dffe gfca beee e e ad egbeag
ae dac . T a fdg a
add ce e aca f ea ec g
dg aee f defe becae ec affec
e aeaace f aceaba e. Wegbeag ae
e f aceaba e ed e eece f ee
33% f dac . Te eabe f ee a a
ae fee e dac cadc e
ca fdg a daa caaceed b ffce
ae ad aea ceage. I geea, e fdg ae
a ca f edc ge ad adg deag
dagc aee f af g ad, ad
f ge ag ad efg eeg e
aceaba ee.
Te e f ad ad cca e aceaba aba ea
dagc ee eabed. Afe ecg a a eagce, ad ega a g eabe dagg
aba ea, eea a e gee FABER e
a eabe defg a aba ea. I ee a ae
ad ad ad eaa efed b a eeeced
eae ca ea ae e ada dagc ag
c agec eace aga ea e gd
adad.
Ecagg a ad cca ce ee eed
a ede f afe eaceaba e. Te
a be f de eg e ce bed a 5ea
f ca e de aca f e eaceaba e. Te efed aa f edc f
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DANISH MEDICAL BULLETIN 2
ce a eacee fg eaceaba
e dceed e ace f dffee beca
ca ad degeeae fac. Kedge ab fac edcg
ea ce a eacee a e ea
efe ae eec ad e eae b eaceab
a e. Caage ce a dceed be eeed 2 ea afe eaceaba e. A b 1
ad aceaba aba ea, dcag a e
eece f aba ea de acceeae caage degeea
afe eaceaba e.
.
I 1939, Wbeg ed a e aadg f daa e
eac (1). He caed ae daa a a be e
c f eae eac deee. Ag e
a cb aadg e af ce a
fed ee Sbeg ad Ha, Cea e a., Haegaa
e a., ad M e a., a egaed e gge f
Wbeg e aca beee daa ad ea
(26).
Te deadg a ca def a cae
ea a a e fc f e a eeac f
e 1960. Ma, fed b S ad Ha, ggeed
a ca defe f e a fe (.e.
g defe) ee acaed eac dee
e (712). Te deadg a a fea ad
aceaba defe ge e dbed becac ad
ea degeea a bee addeed b Ga ad ceage
b dcg e cce f feaceaba gee
(FAI) (1314).
Cea eeac daa a fded b e
dc f e eaceaba e (PAO) f e
eae f ac daa ad b Ga adceage 1988 (15). Te eac deadg f e e
f e aceaba ab ad f e agca becac
caaceg e dac a aed b a dec
f e aceaba de b Kae e a. a fe ea
ae (35). Reeac eff ae bee gee, b e a
20 ea ae cee ad aeed e e.
Te a f e de eeed dca e ee
ed b ee cee, aeed e, ad
e e aed e cea eeac
daa. Dagc aee ad eae f ca
def ae a g adgac deadg a
a . I e fc a bee e cea c
ee f eab f adgac aee, a
g f e ae f ec adga ad aee, adaceaba ee daa ad e e eaed
e deedece f ee fac ec g (IIII). I
accdace e ee ee ee aba ag
f, e a f a f e eeac a bee acea e
be e f ad ad cca eaa aceaba
aba ea dagc (IVV). Baed a 20ea f f
eaceaba ee, ee a e cede ca
ccef eee eeced dac (73). Hee,
fe daa ab e ed ad ge effcac f PAO ae
bee fcg, ad edge ab edc f ce
fg a gca cede ea ae. Tee
bec ad e e f aceaba aba ea f e ce f
eae f daa ae bee egaed dca
e (VIVII).
Fge 2.1.
A ec f a aee ec adga g e
g . H daa ee, ad e ceeedge age f
Wbeg ≤20.
.
H daa caaceed b a ee ad a aceab
ad ffce aceaba ceage f e fea ead (Fge
2.1). Becae f e deceaed aea f aceaba ad feaead cac, ad fce e ceae. Aceaba c
a cage fe aed da dg deee,
ad ecee fea ec aee ad ag degee f
ca aga ca e (3034,3840). T fe ccae e 3
dea aaa f daa, a bee dc
eed a ag degee f aceaba ee ce
a a a 40% f e (4142).
F decade a bee ecaed a def
cd cae ea (212). Dg e a decade,
edge f e agca aeed becac caed b
defe ad c ead ea f e a
g eea. Te becaca cce f FAI a bee
dced, ad c acceed a eeaed
c beee e aceaba ad e fea ead fea eadec c e cae eag f e ab
ad bee deea (13,14,1728). H daa
e f e defe fd be acaed FAI ad
eac deee. Geea ab ad a ea
g d f gee a cae eeaed, cc ead f
e aceaba , be eag f e ab ad b
ee dec f adace caage. I caca cae, e
ac f ceage a a aeaea ca, ad e
fee ca f aba ea dac (3537).
Fe abaed eaece eae f def
e cdg daa e (4547,52). Gg e a. ad
Jacbe e a. e abaed eaece eae f daa b dg e Ceage Oea Sbd
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4151 cded dda (47,52). Sadaded egbea
g aee (AP) ec adga ee baed, ad
g a ceeedge (CE) age f ≤ 20 a adgac cff
Gg e a. eed daa 4.3 % f ae ad 3.6 % f
feae (52). Tee eaece f daa ae g
a a e eed b ee (4546).Te edece a daa ca cae eac de
ee g agca aeed becac eg
aba eag a deed f cca bea
a, g eeced c (16,3437,5658). I a d f 96
ac dac , Jee e a. defed e e
ece f a aceaba aba ea a a deede edc f
baa ea (62). A fe abaed e
ae f eac deee dac e.
Rea e a. (60) ad Lae e a. (61) efed ece
abaed c de. Lae e a. (61) caed
ceaed (OR: 3.3) f cde ea ede (a >
65 ea) e e d daa (CEage < 30). I
e d daa a defed a a CE age
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DANISH MEDICAL BULLETIN 4
We aeg cea AP ec adga f e
eece f daa ad ea, a eae a aee f e c ed aaee a
ee a ad ebee aab (7579, II). T a
ca f e a ad abee eea f e
dag f daa ad e degee f daa ad
ea. Becae f ee aa, e dca
f eeg ge a a.
Tee e a. (I) cdced a bded, 4bee d
eac bee efg 2 aee b ad 2 ae
e b age cc 50 . A eae ee
caed e ade CT ca. Te a ad e
bee aab f age aee a e e age
ee cced caed aee b . Ia
bee aab a cfed aae 10 f
aee b ad aae 5 7 faee b age cc. Iebee aee
ed g ge aab, ad a a dffeece be
ee aee b ad b age cc. Te
bee ab dage daa ee geea
ed e age ee cced caed aee
b . Aee f ea geea ed
ageee fdg CT ca, aee f a JSW
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Fge 3.1.
A ec f a aee ec adga g b
. Te e aead a e dace f e
e accccgea .
aceaba e (8286). Cea, e aca f eaec g eagf f ec affeced
gfca b dffeg ae g e g
ca age f (.e. eg f e egbea
g ). Hee, e eae, ee a bee c
e egadg e effec f cage f f e
egbeag ec (8793). Tada, AP ec ad
ga ae bee ecded ae e e .
Tee e a. aeed AP adgac dce f da
a, ec , ad aceaba e 31 e f e ad
egbeag ec adga (II). Sa ea edc
e CE age (1.3 1.6) ad a ea ceae e AI age
(1.6 2.3) ee beed e eg f e e
e egbeag . Hee, e cage age
eae ee caed e ee abeeaab (III). FcWea e a. (94) aeed 61 e f
e ad egbeag adga, ad eed a aga
bgge, gfca edc e CE age (3.6) e e
g a dd Tee e a. Ia ad ebee aab
eae ee, ee, eeed b Pea cea
ceffce, eag b ae e aca agde
f e aab. FcWea e a. beed a gfca
ea edc JSW f 0.49 afe eg (94). Te
e e a. beed a gfca edc ae ef f 0.67
eg (II). S, e eae b de
cfed e beed abee aab f e JSW
(II). Oea ad feae, Tee e a. dd bee gf
ca cage eg, ad ed b fdg
e de (95,96, II). Tee e a. dd fd a eeafea ead aa afe eg f e e
e egbeag (II).
Seea de ae eaaed e effec f eg (.e.
f e egbeag) cage ec (Tabe
3.2). Ug ag ed f aee f cage ec
, e de e gfca cage (87,90,92) ad
e a gfca ee (bacad a eca)
f e e f aae 4 8 (88,89,91,93). T
e a ec b ae ecee dg e
g, Naa e a. ad Babc e a. fd a ec dd
eceed a cage f 10 90% ad 83% f e cae, eec
e (87,90,93). Ug a dec eae f cage ec
, Tee e a. eed a gfca cage ec f
13 14 feae ad 6 7 ae afe eg (II).
A deae g cea beee e dace f e
e accccgea (ed b Tee e a. (II))
ad e degee f ec a bee eed (97) (Fge 3.1).
Oea, e de agee a a ee f e e ae
ace eg (8793, II). Ca f de
be becae a de ae f ed ae ed ad d
a b a ad ed eegee (Tabe
3.2). I ee, ee, a d a a b ec daa ae acaed e e f gfca
cage f ec dg eg (88,89,91,93, II). A
ea ae daa, e fe geeaed ab
ad ceage defcec cd cbe ceaed ec
ba dg eg.
I cea a e ae degg, b dee ce,
ee ae de e e a ee ae
gfca eeded e eed f e eg
beag (88,89,91,93, II). I e g f , e aca f
adaded, caed ea ec g (.e. ag
dffeece ec beee e ad egbeag
) cea (82). T fe afed b Te
e e a. eed a 32% f ae e eg
beag ee cfed e f ea ecg ggeed b Sebec e a. (82, II). A e
f e ae a fd affec e aeaace f
aceaba e becae 11 ae ed g f ee
e e e 4 ae e egbeag
(II). T eaed b e ee f e e
cec eg.
I a, ec adga f aee f de
fe ae a ecded e ae e, ad e
a ec g a bee adcaed (82). Hee, baed
e ee eae, a gfca ec ee a ae
ace afe eg f e e e egbeag
(88,89,91,93, II). Fe, a gag f e
ac ca defe fe aeaed ee
dg fc. I g a egbeag adga
ece e be ceece beee , fca a
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DANISH MEDICAL BULLETIN 6
eaace, ad defe. Fa, AP adgac dce f
daa, fea ead aa, ad e JSW
dffeece beee e e ad egbeag
(94, II). Tee e a. eced egbeag AP ec
adga f aee f defe (II).
Aceaba ee a bee ecged a a be ec
f eac deee ad a a ce f a
(43,44,86,98). Te e a bee fd be acaed
e eece f aba ea, ad caed e b
ecaca cce f FAI a a fca eceage cag ce
gee (14,56,57). Te f aee f aceaba e
e ade a AP ec adga b defca f
a cg f e ae ad e aceaba . Red
e a. decbed caed ce g aae a
decade ag (98) (Fge 3.2). Jaa e a. fd e ce g
be g ad aee f aceaba ee AP
ec adga (99). Sebec e a. eed a aceaba
ee ge e ced ceag ec fe(ca fad a) (82).
Hca, daa a bee decbed a a cd
acaed aea ad ae aceaba defcec ad
aceaba aee (30,31,33,34,37,100). I eefe
ea g a dg e a 5 10 ea, eeca
e a 2 ea, aceaba ee a bee eed
ce daa a cdeabe f dac
(41,42,8386,101,102, III). Te eed eaece f
aceaba ee dac age f 15% 42%
(Tabe 3.3). Te cg f aceaba fee
ee e caa d f e dac aceab (86,101, III).
Te degee f daa, afed b e CE age, de
ee dffe beee eeed aceab ad a
eed aceab (42,84,86, III).
A aead ed (ee ec 3.2), cea
ee defe d be aeed AP ec ad
ga e e ea ed e egbea
g . Te aeaace f aceaba e ad ee
deed e degee f ec , ad e eaece
eae f aceaba ee deed e ad
gac ed aed (82, II, III). M de eg e
eaece f aceaba ee dac cde
adga f e ee cea adaded cea
eec ec (Tabe 3.3). I g f e beeed dffeece
ec afe eg ad e ceece beee de
fe ad fca aeaace e eg beag
, Tee e a. aeed e eaece f ee
egbeag AP ec adga (III). Tee e a. fd
aceaba ee 33% f dac , c ge
a e eae f aae 15% 20% eed e
a f de (8386,101, III). T dffeece eaed b
e ec f ee ecee fe (ca
fad a). Ta , e ee ae ecde a b
ae ae ecee feed ad eefe ae e ae a
e ced aeaace f ee. I geea, de
e a afg gd a ad e bee aab
e aee f e ce g (99,103,104, III). Aee
f e aceaba ad e ce g dead gd
a adga. A a aeae, e ca e g a
bee dced a a ad dca f aceaba ee
(103).
Te cca ace f aceaba ee d
aa ad ca f eface f a edece PAO
Fge 3.2.
A ec f a aee ec adga g e ef
. Te daed e a e ae aceaba ad e
d e e e aceaba . A ce g e
e a e daed ad d e eec.
ae e f ded. Rece, daa aceab
a ee a fd be acaed a eae e
f a (86). A, ece de ae eed e ace f
ecgg aceaba ee dg eeae ag
ad eface f edece PAO (84,85,102). Fae d
e ced ee aggaaed ee a
deceaed age f ad a eae FAI c
ed deea. Aceaba ee a bee e
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DANISH MEDICAL BULLETIN 7
ed e 10% 62% f dac fg ed
ece cede. (84,85,102).
I a, e defca f aceaba ee
dac ea a a cca ad gca
ca a eed fe ega. Reeed
aceab ae g fee dac (15%42%)(41,42,8386,101,102, III). Becae e aeaace f aceaba
ee deed e ec (82, II, III), e f
e ae dg adgac ecdg a ea
a fac a eed fe ea.
.
Dg e a decade, e deadg f e ea
beee defe ad eac deee a
ceaed gfca. Teag f e aceaba ab e
adace caage ecged a e e deea
a cae f becaca dced ea (14). Te de
c f aceaba aba ea acaed daa
e, b e aca becaca ee f e aceab
a ab ad e a f degeea ae
bee dceed (16,3537,107110). Te ab e
ed ae a adag e, a ea daa, ad
ac a a ea g e ee f bca
(108,111). Fee, e ab a a abg fc a
ec aga cca becaca aea e
(112).
Te becaca cage dced b e e def
e daa, gee e ab f e , ae
g ae e aceaba ab cebe ead
ad eag. Tee eeca ad cca edece a aeag d f gee, eeaed c aa
e ab, bee degeea, ad fa a ea de
ace f e ab e cdaba a e,
dee e becaca cce (16,3537,113,114).
Aceaba aba ea daa ae fee fd
e ae eg f e aceab, c a be eaed
b e deadg becac, ceaed ad ad a
eae ecaca ce f e ab aca
eg (109,110,115,116, IV,V). Ae caacec feae f
e ab fe ec ae dac
(35,115).
Teag f e aceaba ab a fee fdg
ac dac . I 170 daa, McCa
ad Lee fd a aba ea ac 72% (113).Sde g agec eace aga (MRA) ea
ae e ab ac dac fd aba
eag aae 80% (115, IV). Te fdg gge a
ead ad aba eag a a a e e
deee ae daa. Caca
f daa ae a g a ad ccg
cg f e , a f c ced e a aba ea
ad c ead.
Te defca f a aceaba aba ea a a cae f a
ad a ec f degeea a fced ae
eabe dagc aee. MRA a bee eabed ae adgac gd adad ed f e dagc ae
e f aceaba aba ea (Fge 4.1). Rece de ae
eed a gd ab f MRA dage aba ea (117119).
Taa e a. efed MRA 30 ad fd a e
f 92% ad ecfc f 100% e MRA fdg ee c
aed e baed dg ac (117). Ca e
a. eed a e f 100% ad a accac f 94% ( 18 degg bee ac) (118). Feeda e
a. eed a 22 (96%) f 23 aba ea daged
ac ad bee fd MRA age (119). Zege e a.
fd a deec ae f aba ea f 97.2% MRA 144
e ea a ac (120). Ce e a. bed
e f e f d 1996 (=22 MRA) ad fd a
e f 90% ad a accac f 91% f MRA caed
acc fdg (121). I a ae d, Ce e a. ed
a MRA ca be ed cec age aba ea (122);
ee, e agg ee f e gc ae (119). Te
aeade eab f MRA eadg a bee eed be
ecee (119,121, IV, V). I ca ee ecagg e
, Keee e a. (=104 ) ad Leg e a. (=23 )
eed ee ad ecfce f aae 40% 70% f MRA aba ea deec (123,124). I d be ac
edged a e de eg e dagc ab f
MRA fe ffe edgca be, c a, a eec
e deg, ac f a cea ece c f age
eadg; ba dced b ac f bdg f adg e
acc fdg; eecdced ba becae a a
ae bee cded e eece d de e fdg
f a aba ea ac; ad ebee aa
becae eea adg acc ge ad a
eed e eece f e aba ea.
I e eae MRA, a bee eabed a e ad
gac gd adad aba ea dagc. Hee, e
ed ecg ad cfabe f e ae.
Uad de ed ceea dagc adg,
ad a bee eed a a ae e ab dag
e aceaba aba ea eab (IV, V) (Fge 4.2). Fe d
e ae egaed e ab f ad eaa.
Mce e a. eed e e f 8 ad eaa
a ad acc aee f ag: 1
f 8 eaa ad daged e ag ee.
Ge e edgca fa f d, cc ca
be da, ad e a ae e f ad
e ggeed dagc aac a (125). Sfa e a.
eed a bece ee aa f aba a
g b ad dg aaca ed ec
21 . Magec eace agg (MRI) ca
a efed 14 f e 21 , ad ee, ae aba
ea ee fd 13 b MRI ad ad eaa
. Te a dd af e dagc ab f a
d. Te d g eee a f e ea cce
f ad dage aba ag, b a cc
ae ade ad b e eece deg a ea ee f
cae a e fdg f aba ag dg a
d eaa (126). A ece ca f ad
MRA aba ea dagc a efed b Tee e
a. (IV). Eaa ee efed 20 cece da
c eeg a. Te ece c
cded edefed cea f dec f aba ea ad
bdg f e MRA adg ad e ad adg
e fdg f e e eae. Te cedg fdg
ad ad MRA ae eeed Tabe 4.1. Te eg
e a 44% ad e ecfc a 75%. I a bee
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DANISH MEDICAL BULLETIN 8
Fge 4.1.
Ca e f MR aga ag a aceaba
aba ea (a). Ca ed ee g g e
bae f e ab.
Fge 4.2.
Uad eaa ae a aceaba aba ea. Tee
a ecc cef g g e bae f e ab
(c a), ad a cc fa be e e
ab ( a). Te ce a e f e ab.
d b Tee e a. (V), e a eaed e ab f
ad deec aba ea, ag a c f e
eface f eaa a e e ed e e
d b Tee e a. (IV). Te f 18 ae
e ad ad eaceaba ee ee ea
ed. Te fdg MRA ad ad ae eeed Tabe
4.2. T, e e f ad aba ea dagc
a 94%. Te de (IV, V) ee egeed b e ec
e c ed f e eface f e eaa, b
ed b e eae a e f e d c, ad b
e fac a e adgac fdg ee efed b
ac. Hee, MRA e eabed a e ad
gac gd adad aceaba aba ea dagc,
a ecee cea acc fdg ece de
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DANISH MEDICAL BULLETIN 9
(117119). Te a ad ebee aab f ad
aba ea dagc ea egaed.
A g ae ad a cca eaa d
be abe ae c f a aba ea a e cae f a.
B eabe ae c ed cca e e ae
e f aceaba aba ea? Edece fed ed.Naa e a. (51) cdced a d eag 18 b a
ea a, fe, aa ce e ad g MRA
a dagc efeece. Te e a 75% ad e ecfc
a 43%. I a d b Ma e a. (127) 6 edc
ge, ecag a, efed cca eaa
8 ae. Te cca eaa ee efed a efeed
b eac eca. Baed e cca eaa, e
edc ge ageed 63% f e e e fdg f a aba
ea e fg ac. Tee e a. (V) e
gaed e ab f e gee e, e FABER e, ad e
eed ag eg ae e dage aba ea. Te cca
fdg 18 ee caed MRA fdg f aba ea,
ad e dagc ab f e e a cacaed (Tabe 4.3).
Of e cca e, e gee e ed e be dagc ab, a e f 59% ad a ecfc f 100%.
Ma ad Sea egaed e eae eab f e
gee e ad e FABER e ad fd a deae
ageee beee bee (aa: 0.58) f e gee
e ad a baa ageee beee bee (aa:
0.63) f e FABER e (128). Te fe de egag e
dagc ab f cca e ae geea ed b a
d a (51,127, V). Fee, e d b Tee
e a. (V) ed b e fee eece f a aba ea e
eeced d a. Te dagc ab f e ge
e e ae a a ab dffc
ae. Te ece c f eaa ad bdg f
b e cca, ad, ad MRA eae eac e
fdg a edgca eg, ad e d bea
d a ae eeg a ae cc deag
ecfca be ae g eeced.
I cc, MRA a bee eabed a e dagc
gd adad aceaba aba ea dagc. Te e f
de e dagc ab f MRA ae bee cfcg. I
e ece bed de, ee, MRA a bee
eed ae ecee dagc ee (117119). Ua
d a e ad g aba ea dagc. Te
ee e dagc ab f ad deaed
b a ca f e e f e de b Tee e
a. (IV, V) gge a a eag ce acaed e e
f ad aba ea dagc. Ee e ad f a
eeeced ad eae, a e de b Tee e
a., e f ceag a aa ad eea f
fdg eeeed edgca dffce a ad be
ece dg e f d (IV). Cca eaa de
ec aba ea e eeda f e edc
ge, ad ee e de ed e (gee ad
FABER e) ae e eabe aba ea dagc
(51,127, V). T e eae e eed f eabe ad
gac aee. Te edge bae egadg e e f
ad ad cca e aceaba aba ea dagc
ed, ad e e f e e eeced c ea
egaed.
Pae eeg eaed a, eeca a g
a, ad e a f ccg cg f e
Fge 4.3.
Sggeed aeg f dagc aee f aceaba aba
ea ().
d be eced ae a ea f e aceaba ab
(Fge 4.3) (129,130). A egbeag AP ec adga ad
a aea e f e ae eed dage ceg
defe ad/ ea (129,130, II, III).
T fe ae e c f a aba ea ee e
eced ae, a gee e ad ea e FABER e
d be caed , becae e e f ee e ed
b e eae (51,127,128, V). B e ae bee eed
ae a e edce ae f 100%, eag a
edc f a g a, e ae e e ae
a aba ea (V). Pe de ae eed ≥95% f
gee e be e ae gca efed
aba ea (19,49,50). O e e ad, a aba ea ae
daged b e gee FABER e (ee f
59% 75% ad 41%, eece), ad a egae ce f
e e eabe (51, V). I cae, fe adgac
aee aaed.
If a eeeced ad eae ee dee
e f aba ea dagc aaabe, a
d eaa ca be efed ae a ea ea f
e ab (IV, V). I e ad f a eae a e
ce e eag ce egadg e eea f e e
aa, e ed ee (94%) dagg aceab
a aba ea (V). A fdg f aba eag ad ae
e e a e ae aca a a ea (e edc
e ae: 94% (V)). Te ee eae cce egad
g e eab f fdg a aba ea ad ad ee
fe d be cdeed eabe a. (IV, V).
Fe adgac aee e aaed.
MRA e eabed gd adad adgac ae
e f aba ea. Te a be eaed cca e
ad ad e ac f eab f fdg ae egae (51,
IV,V). T, MRA d be efed ae f g a
dced b e gee FABER e ad a aba ea
ca be aed ad eaa, ad e aece ae ecfc eaed a (V). I e ece
eeece MRA, e dagc ab a bee eed
be ecee, e, ecfc, ad accac eae
e age f 92% 100% (117119). Hee, fae dag
e a aba ea ca be ed , ad ced
c, ac d be efed.
.
Sce dc e a 20 ea ag, PAO a bee
aded a e efeed cea eeg gcaeae f ac daa ad (15,72
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DANISH MEDICAL BULLETIN 10
Fge 5.1.
A eae aee ec adga g b
. Te g a bee eaed a edece
eeg eaceaba e. A ceeedge age fWbeg f 35 a bee aceed. H daa ed e ef
.
74,102,131147). Te cca a ae eee a,
e fc ad ea eaed a f fe, ad ee
eac deee eceag ce THR. Te
gca a a 3dea eea f e aceab
a e fea ead ceage, deceae ad
fce, ad eee e ead f e aceaba ab ad
adace caage ad f e (15,72,148150) (Fge 5.1).
Weea e de decbe e e ce
fg PAO (132144), a fe de e e ce
a ed ad ge f (.e. e a a
f f 5 ea) (7274,131, VI). T ac f de ege ce a ed ad ge f dee c
aed b e de acceace ad dde aca f
a gca cede. I e de egag e e
d ad ge ce fg PAO, e a ed
dcag fae ce THR (7274,131, VI).
Tee e a. eed e ede cca ad ad
gac ce 116 eaceaba ee 5.2 9.2
ea eae. Seeee ee ceed THR,
ad e KaaMee a ae ce
THR a ed a 90.5% (95% CI: 83.594.6) a 5 ea, ad
81.6% (95% CI: 69.789.3) a 9.2 ea [VI]. Oe a e
g e ed ge ae
caabe ee be (7274) (Tabe 5.1). Fe, a
ed Tabe 5.1, e d g ae g caabe.Se a ae (.e. e a a f
f 5 ea) ae fee eed be >90% (132
144).
Te eee f f PAO ae b Tee e a.
ced a ee, a cca eaa, a adgac
eaa (egbeag aee ec adga),
ad S F (SF)36 (151) ad Wee Oa ad McMae
Uee Oea Ide (WOMAC) (152) eae
(VI). Te e f e f eaa ae eeed
Tabe 5.2. Ke feae f e ee ad cca eaa
ee a f: Meda a ce e a aag cae
ee 0 a e ad 1 afe 15 e f a ag. Te
g a e fee ca f eaed a d
cf. Ccg cg f e a ee 25% f , ad a e gee e a fd 18%. H
ea ad be ceg aaca be
a ea ee fdg. Seace e a. ed e ge
e e a e 24% f a 10ea eaa
f ae degg PAO ge (73). Tee e a. eed
age f a eda fe f 100 a
e 10ea f e fd b Seace e a. (73, VI).
Rea f ce a efed 18% f e eaed a
e e f ede f, ag a ae f
ace dg e a eeae ae fa e(VI). Tee e a. ed e cecc g e b
ec f PAO ge becae 19% ad cage b afe
ge de be (VI).
Te Ha H Sce e Mee dAbg & Pe Sce
ae bee e efeed ecfc fca ce e
de eg e ce f PAO ge
(72,73,102,132,133,135137). I dbf ee ee ce
de a afg aee eeg PAO ge
g ad. Tee e a. aeed e ce a ed
e f afe PAO ge g e cea SF36
ad WOMAC ce (Tabe 5.2) (VI). Ca e fe e
de g e SF36 ad WOMAC ce ced b
dffee da f f ad dffeg aege f daa
afa (72,144,145). Ca f e SF36 ceeed a ede f b Tee e a.
ae daa f Da ce f a eea age g ed,
g, a e ca ce ce a e
e ae ad a e ea ce ce ee
caabe. (151, VI). T, ee a ea ea
egae feced b e deea ca ea
ae afe PAO ge a ede f. I add
, e eda a WOMAC ce f 84.4 fd a ed
e f afac. Of de eg e ce
f PAO ge a ed ge f, e de b
Ka e a. (72) (g e WOMAC ce) ad Seace e a.
(73) (g e Mee dAbg & Pe Sce) e b e
ad eae ce, eea e de b Maee e a.
(74) (g e WOMAC a bcae) ad Tee e a. (VI) aeed b eg e eae f ce.
Fa, a ecfc aeeaed ce eae eca
cced f g ae degg eeg
ge, c a e PAO, ea be deeed.
Ee g de acceed, e e f ce THR a
a ed e a beac. A e e f f
, e ae a ae deeed edage
ea fca cg a. Te
a a af f a THR e ea fe, ad e e
fae ae a be deeaed. Tee c ac
ceed def f c ecda ed cde.
Maee e a. cdeed a ce f ≥10 (f 20) e WOMAC
a bcae a e e f f be a cca fae.
Cee, a adda 12% (16 f 135) f e d g
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DANISH MEDICAL BULLETIN 11
afed a cca fae (74). Ka e a. eed a 8 (31%)
f 26
ad edage ea (T gade 3) a deea f
e WOMAC a ce f >20 ed ge f
afe PAO. T g a eaaed f e g f ae
a aae afg cca ce ad ae
ad ad a THR (72). Seace e a. e ce e
ae c a e d b Sebec e a. (131) ad fd
a edage ea (T gade 3) ad deeed 5
(7%) f 68 . T ee gaded a ag a e
accdg e Mee dAbg & Pe Sce a a f,
b ee e a ad edage ea cea
(73). Tee e a. fd a edage ea (T
gade 3) ad deeed 6 (6%) f 93 (VI). Pae
f ce ae be eaed e e f c
e THR a a ed . H a f ee ae ae
ad e PAO ceed a THR a ae ? I e
d b Maee e a. 23 (15%) f e a 158 egbe d
ac ee f, ace f e be
d e f ea afe ge (74). Ka e a. ac f 20
(36%) f 55 cece ae dg e f. Te a
ecded 9 f 35 ede, f c 2 ad a THR efed
(72). Seace e a. ac f 5 (7%) f 75 . Hee, 3
f ee ee ee a f 10 12 ea eae
ad ed gd ecee cca e ad ce
THR (73). I e d b Tee e a. 12 (10%) f 116
ee f (VI). Hee, d bea e
adaage a e Da H Aa Rege
(63,153) a ade egadg ce THR a 116 , g e ceee f e f. Ne
f e f ad ad a THR.
Pae f, e acced f b a
aa aa ege, add cea e e
ed a ae, ad eaag a cca ad/
adgac ed e a ce THR a add
gfca e fae ae. Ied dffeece cceg
ee e ca ea ea ee gfca dffeece e
eed ae. Te ac f ce egadg e
e f ce beac, ad ae a f, a
ae ad ffce a f de eg e ce
fg PAO ge, e fg cea ae ggeed: 1)
Ce THR d be eed. 2) Deee f ed
age ea ad/ a ce f ≥10 (f 20) e WOMACa bcae d be eed. 3) I aa a
a ege, f be, egadg ee deeced c
e THR d be ade. Oee, e a 10%
15% d be f. 4) F d be e
fed g cea WOMAC ad/ SF36 e
ae.
Te edgca eaee f e de eg e
d ge ce fg PAO ge ca geea
be abed e eece deg (7274,131, VI). F
e, e e cea adga dage e e
ece ad degee f ea, ad eefe fca geea
ed caage deea a g deeced. Fe de
eg e ce f PAO ge d f a c
ece c, g cea cg e, ad
agec eace agg caf e aaca c
f e . Fa, e cc, e g age
a e ge ad eeace e fed f PAO edc
ae fge ef a aded d a d dee
e ee ae ba ffce beef b degg a
PAO caed , f eae, ceae eae. O e
e ad, adg g ae ceac da
a, ea, ad adag a ceae ea
e THR d ee eca e de ae a
PAO ge eee f 2 decade ad ed
gd cca e eeced ae (7274,131, VI).
Iceaed edge egadg ae eec cea ad
fe fc aec f aceaba eea ae e
facae fe ee e ce f PAO ge.
Ug a dece ad caae aca aace,
e de ae ggeed a adaced eeae
ea (T gade 2 3) a a edc f
fae ad ce THR (72,131133,154). Fe
de ae dced aca eae. Seace e a.
fd a aca gfca aad a f 3.39 e T
gade ge (73). M e a. eed a aca gfca
aad a f 2.19 f a eeae T gade f 2
(142). Tee e a. fd a aca gfca aad a
f 5.54 f eeae T ea gade 2 3 ee
ee (VI). I add e de g cea adg
a dage e T gade f ea, Cga
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DANISH MEDICAL BULLETIN 12
e a. fd e dGEMRIC (deaed gadeaced ag
ec eace agg f caage) de, ed a a ea
eae
f ea, be e a edc f fae f
PAO ge (143). A ceffecee d e abe
fdg cca de becae a THR a be
e ceffece a PAO T gade 3 ea,
ad T gade 2 ea; ee, PAO dd becae
e ceffece f ae ed e a aae
18 ea (155). Ve fe deae adaced
ea ca be eeced a e a 18 ea (73).
I e aa f edc f ce THR fg
PAO ge, Tee e a. eee aaed degac
ad adgac (cea ad ced gac (CT))
e ad eae aaee (1,35,68,156,157, II, VI). Ug
e C a aad de ad adg f e e
eae gade f ea, e fg 7 aca gf
ca edc (1 5 aeed cea adga, 6
7 eeae CTca) ee defed: 1) a eeae CE
age f
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DANISH MEDICAL BULLETIN 13
aaed e aadg f cca de eaag PAO
ge, ad e ffe gdace f fe, age de.
I cc, PAO ge d a be efed
g g f ea (T
gade 01). Pefg a PAO adaced
ea d be eced eca dca, c ag age f e ae. I add, e eecg ae f
PAO ge, eca fc d be fac egae f
ecg e becaca ee b ead ea
e.
Te e f aceaba aba ea e aagee f
daa ea a dced ad cea e PAO
ge. I geea acceed a defe f e ,
cdg daa, ca cae FAI eeaed aa e
aceaba ab, bee aba eag, ad caage de
geea (13,14,1728,3537,107110,113,114). Sde ae
defed e eece f aba eag 80% f ac dac , dcag a aba eag a
a fac e deee f a ad e f
deea daa (115, IV).
Te eface f a adde aba ea dg
PAO ge ce decbed e eae. A
e eeae gee e a bee ggeed b Se
ace e a. a a gfca edc f fae fg PAO
ge (73). Te eed a e eece f a eea
e aba ea e ea f e eed g ad
fe ggeed a efg PAO adda a
ad aaca ee a e ce (73).
Hee, dag cc baed ce f e
gee e , a e ed, dbf (V). Pee e
a. eed e ce f PAO 83 , a ea f
f 46 , ad 11 aba ea, e e
ed a aeage Ha H ce f 90 ad g gee
ea a e ece f (102). Fe,
Maee e a. ee abe fd a e eece f a aba
ea edced fae f e PAO e aae ege
aa (74). Te a ae eed de
c e ad ab ee ef ced ae ecagg
(140,141, VI). Acc eae f aba eag
addeg e daa b ea f a PAO cea.
Teae a cae a adee ce (acceeaed
ea), ad e bed e f ae
(158).
Mecebg e a. (VII) eaed caage ce e
26 ae b g agec eace agg ad
aca f a eegc ed (159) befe ad 2
ea afe PAO ge. Tac a aed e eg deg
g agec eace agg eaae aceaba f
fea caage. I add, 18 ae dee MRA f e
eaed dage aceaba aba ea. I a fd
a eeae aceaba ad fea caage cee
ee a eaee 2 ea afe ge. A ea
ee 1 ea eae, e aceaba caage a
gfca, ee aga, ce a a 2 ea
eae (1.47 . 1.35 ). Seeee f 18 ae
degg MRA ad a aceaba aba ea.
Se edgca a d be acedged
(VII). Te eg ac aac ed dg agec eace
agg a ae ed a deea f ea caage
ce de dffc eaag caage e ce
cea a f e . De e ada f eae
e ed eegca ed, a ca aea
g e e a g deeced, a aga
effec ea caage ce. T a be a be
cae deea a a be caaceed b ca
caage daage adace a aba ea. Tee a ef e ad eae fca ce eae dc
e e cca effec f e PAO efed f e cea
f ce e fdg f caage ce ad
aba ea. Hee, e e f e ad eae a
aag cae a ce dceed e a eef f a.
Magec eace agae ee efed e
eae ad eefe ca be dceed ee aba
ea ee ee eeae. Hee, ea f e ab
ae bee dceed 80% f dac (115,
IV).
If e acedge a a ca aea caage
daage a g deeced, aea a caage ce
eeed 2 ea fg PAO ge. Ne f e
e d ad a a ad aba ee dgPAO ge, ad g a 17 f 18 agae deeced
a aba ea, ee a dg e f e e
ece f a aba ea de acceeae caage dec.
I cc, de f ffce edgca ae
ae e aaabe defe caf ee a ad
aba ee d be efed . Accdg
eg de, b aace ca be ce. Te edb
ad deceae ad fce gee e eg eef
f ead e aceaba g be caed b e
PAO (15,54,72,148150) a ea a eeed def
ace f e eece f a aba ea ad caage dec
eeg eeed. Fe ece de
g eeae agec eacebaed dagc f
aba eag ad ca f cca ad adgac
ce ae aaed.
.
Aaee f e a ad cee f dagc
aee f defe ad ea ae
a becae cec dag a gea ca f cad
dae f eeg ge. A eee afca f
e aab f dffee ed f e aee f
daa ad ea a caed (I). Te gge
ade egadg aee f daa ae ca f
a edc ge ad adg deag af
g ad. Edece a ge a ae daa, ec a dffe beee e e ad eg
beag (II). Sed b e de (88,89,91,93),
fdg e e e f adaded ea ec
g dg aee f defe becae e AP
adgac aeaace f aceaba e affeced b e
degee f ec . I a eaa f aceaba e
dac egbeag AP ec adga,
aceaba ee a ee 33% f (III). Aaee
f e be ace f ae g ad f e fe
e fdg f aceaba ee dac
aca a dg aee f daa ad e
ag ad eface f a eeg PAO. Lage cae
de ecdg b aea ad AP ec adga f b
a ced ad defe ae eeded ed fe g e ace f ae g.
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DANISH MEDICAL BULLETIN 14
Teag f e aceaba ab a bee defed a a e
feae e a f ea eac deee
ca defe (13,14,1728,3537,107
110,113,114). Te e f ad ad a cca e
dage aceaba aba ea a eabed (IV, V). Afe
ecg a a eag ce, ad a ed be g eabe dagg aba ea, eea a
e fdg e gee FABER e a eabe
defg a aba ea. Ve e a e ab
e ab f ee dae dage aba ea. I ee
a ae ad ad ad eaa efed b
e eeeced eae ca ea ae e ada
dagc ag c MRA ea e gd adad.
Hee, fe ega ae eeded ee e f
ea f ad. A eeeced b edc ge
f ad e d, cca eaa ea eabe
dagg aba ea, ee e ad f eca (127).
Becae a a ee e, eea ad
gac eaa eeded.
I e e fe e de (7274,131) eg eed ad ge f e afe PAO f e
eae f daa, ecagg a ad
cca ce ee eed (VI). Te a be f
e e ce bed 5ea f caed b
e de aca f e PAO. Sge ad ae ae aa
g fe cda f e fa ecagg
eeg abe f PAO, ad a aec, eeca e
eceed b e ae be a, ae degg e
ga ea egaed. Te a d be e ef
ace f ece f de. Te efed aa
f edc f ce THR afe PAO dceed e
ace f a becaca ad degeeae fac
(VI). Kedge ab fac edcg ea ce THR
a e ea efe ae eec ad e e
ea f PAO. Te e dcea f c fac,
bed e egae fece f eeg ea
, a e ed. Caage ce a dceed be
eeed 2 ea afe PAO (VII). A b e ad
aceaba aba ea, dcag a e eece f aba
ea de acceeae caage degeea afe PAO. H
ee, e e f aba ee dg PAO ea g
cea. Becae fa cc ca be da f
e ee ffce edge bae, a ece, MRA
baed, f d aeg ce f PAO beg c
dced.
1 Wbeg G. Sde dac aceaba ad cgea ba f
e . W eca efeece e cca f ea.
Aca C Scad 1939;83( 58):5135.
2 Sbeg, S. D. Aceaba daa ad deee f ea
f . Ha, W. H. Te . Pceedg f e ecd e cefc
eeg f e ce. 8293. 1974. S.L, C.V.Mb.
3 Sbeg, S. D. Uecged cdd deae: a a cae f d
ac ea f e . Cde, LD, Ha, WH, Rae, PL,
ad MacEe, GD. Pceedg f e d e cefc eeg f
e ce , 212228. 1975. S.L, C.V.Mb.
4 Cea DR, Waee R, Sbeg SD. Aceaba daa e
ad. C O Rea Re 1983;175:7985.
5 Haegaa Y, Iaa H, M M, Geda E, Sa S, Ma T: Te aa
ce f ea f e de ba aceaba d
aa. Ac O Taa Sg 1992;111:187191.
6 M SB, Ga R, Me ME: Te g eaed daa f
e . A d f adgac fac a edc e ce. J BeJ Sg A 1995;77:985989.
7 Ma RO. Te aeg f a ea f e . B J Rad
1965;38:81024.
8 S L. Pae f ea f e . J Be J Sg B
1976;58:17683.
9 S L, Sce CM, Be JP. Oea f e : e a
e bed e deae. A Re D 1982;41:11825.
10
S L. Gegaca ad aaca ae f ea. B JRea 1984;23:17780.
11 Ha WH. Pa ea f e : a ag dag. J
Rea 1983;S 9:64.
12 Ha WH. Eg f ea f e . C O Rea Re
1986;(213):2033.
13 Ga R, Pa J, Bec M, Leg M, N H, Sebec KA.
Feaceaba gee: a cae f ea f e .
C O Rea Re 2003;(417):11220.
14 Ga R, Leg M, LegGa K, Ha WH. Te eg f
ea f e : a egaed ecaca cce. C O
Rea Re 2008;466:26472.
15 Ga R, Kae K, V TS, Ma JW. A e eaceaba e f
e eae f daa. Tece ad ea e. C
O Rea Re 1988;232:2636.
16 P RP, Kae K, Ga R, Ceae S. Aceaba ag ec
da cgea daa e ad. A adgac d. C
Oga M. 1995;80:361368.
17
Ga R, G TJ, Gae E, Ga K, Kge N, Beea U. Sgca dca f e ad a ece f acce e fea ead
ad aceab e f aaca ec. J Be J Sg
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