Background: Non traumatic gonalgia is the second most common reason for rheumatology
consultations and accounted for 15.6% of rheumatological disorders in Abidjan. Objective: The aim of this work was to study the epidemiological and diagnostic features
of non-traumatic gonalgia (NTG) in a black adult population from sub-Saharan Africa. Patients and Methods: This was a five-year retrospective descriptive study
(January 2014 to December 2018) of black sub-Saharan African adult patients with
non traumatic gonalgia seen in the rheumatology department of the Bouake University
Hospital in Côte d’Ivoire. Results:Of 2198 patients seen for rheumatological conditions,
140 had non traumatic gonalgia (6.4%). The mean age of patients was 56.13 ± 13.3
years (extremes 20 and 87 years), and the sex ratio was 0.43 (42 men and 98 women).
Gonalgia without swelling was observed in 33.6% of cases. Symptoms were predominantly
progressive (97.1%), chronic (82.1%) and bilateral (50%). The causes of TNM were
gonarthrosis (85%), septic arthritis (7.1%), reactive arthritis (2.9%), gout (2.9%),
rheumatoid arthritis (1.4%) and chondrocalcinosis (0.7%). Gonarthrosis (119/140)
was bilateral in 65 patients, bi- or tri-compartmental in 83, radiographic stage
(Kellgren and Lawrence) III in 80 and IV in 15. A germ was isolated in two cases
of septic arthritis (methicillin-sensitive Staphylococcus aureus and Streptococcus
pneumoniae). Conclusion: GNT is common in rheumatology practice in Bouake,
and mainly affects women in their fifties. It is most often a chronic bilateral
gonalgia, with gonarthrosis as the main etiology.
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