{"id":5204,"date":"2025-09-01T06:38:15","date_gmt":"2025-08-31T21:38:15","guid":{"rendered":"https:\/\/imedica.jp\/?p=5204"},"modified":"2025-09-13T03:55:51","modified_gmt":"2025-09-12T18:55:51","slug":"%e3%80%90%e8%a8%ba%e7%99%82tips%e3%80%91%e6%89%8b%e6%8c%87%e3%81%ae%e5%a4%89%e5%bd%a2%e6%80%a7%e9%96%a2%e7%af%80%e7%97%87%e3%81%a8%e7%97%85%e6%9c%9f%e5%88%86%e9%a1%9e%e3%83%bbx%e7%b7%9a%e5%88%86","status":"publish","type":"post","link":"https:\/\/imedica.jp\/en\/hand-oa-classification\/","title":{"rendered":"\u3010\u8a3a\u7642Tips\u3011\u624b\u6307\u306e\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u3068\u75c5\u671f\u5206\u985e\u30fbX\u7dda\u5206\u985e"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#%E3%81%AF%E3%81%98%E3%82%81%E3%81%AB\" >\u306f\u3058\u3081\u306b<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#%E8%87%A8%E5%BA%8A%E7%97%85%E6%9C%9F%E5%88%86%E9%A1%9E%EF%BC%88Clinical_Staging%EF%BC%89\" >\u81e8\u5e8a\u75c5\u671f\u5206\u985e\uff08Clinical Staging\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#%E5%88%9D%E6%9C%9F\" >\u521d\u671f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#%E9%80%B2%E8%A1%8C%E6%9C%9F\" >\u9032\u884c\u671f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#%E6%9C%AB%E6%9C%9F\" >\u672b\u671f<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#X%E7%B7%9A%E5%88%86%E9%A1%9E%EF%BC%9AKellgren-Lawrence%EF%BC%88K-L%E5%88%86%E9%A1%9E%EF%BC%89\" >X\u7dda\u5206\u985e\uff1aKellgren-Lawrence\uff08K-L\u5206\u985e\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#%E6%89%8B%E6%8C%87OA%E3%81%AB%E7%89%B9%E5%BE%B4%E7%9A%84%E3%81%AA%E8%87%A8%E5%BA%8A%E6%89%80%E8%A6%8B\" >\u624b\u6307OA\u306b\u7279\u5fb4\u7684\u306a\u81e8\u5e8a\u6240\u898b<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/imedica.jp\/en\/hand-oa-classification\/#%E8%87%A8%E5%BA%8A%E7%9A%84%E6%84%8F%E7%BE%A9\" >\u81e8\u5e8a\u7684\u610f\u7fa9<\/a><\/li><\/ul><\/nav><\/div>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E3%81%AF%E3%81%98%E3%82%81%E3%81%AB\"><\/span>\u306f\u3058\u3081\u306b<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li>\u624b\u6307\u306e\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\uff08Hand Osteoarthritis, Hand OA\uff09\u306f\u3001\u4e2d\u9ad8\u5e74\u5973\u6027\u306b\u591a\u304f\u307f\u3089\u308c\u3001\u7279\u306b\u9589\u7d4c\u5f8c\u306e\u5973\u6027\u30db\u30eb\u30e2\u30f3\u4f4e\u4e0b\u304c\u75c5\u614b\u9032\u884c\u306b\u95a2\u4e0e\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<li>\u81e8\u5e8a\u7d4c\u904e\u306b\u57fa\u3065\u304f\u75c5\u671f\u5206\u985e\u3068\u3001X\u7dda\u6240\u898b\u306b\u3088\u308b\u8a55\u4fa1\uff08<span class=\"bmarker\">Kellgren-Lawrence\u5206\u985e<\/span>\uff09\u306f\u3001\u75c5\u614b\u7406\u89e3\u3068\u6cbb\u7642\u65b9\u91dd\u6c7a\u5b9a\u306b\u304a\u3044\u3066\u91cd\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n<div class=\"st-kaiwa-box kaiwaicon1 clearfix\"><div class=\"st-kaiwa-face\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.29.01\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name\">resident<\/div><\/div><div class=\"st-kaiwa-area\"><div class=\"st-kaiwa-hukidashi\">Kellgren-Lawrence\u306f\u4f55\u3068\u8aad\u3080\u306e\u3067\u3059\u304b\uff1f<\/div><\/div><\/div>\n<div class=\"st-kaiwa-box kaiwaicon2 clearfix\"><div class=\"st-kaiwa-area2\"><div class=\"st-kaiwa-hukidashi2\">\u30b1\u30eb\u30b0\u30ec\u30f3\u30fb\u30ed\u30fc\u30ec\u30f3\u30b9\u3060\u3088\u3002<\/div><\/div><div class=\"st-kaiwa-face2\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.28.51\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name2\">medical advisor<\/div><\/div><\/div>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E8%87%A8%E5%BA%8A%E7%97%85%E6%9C%9F%E5%88%86%E9%A1%9E%EF%BC%88Clinical_Staging%EF%BC%89\"><\/span>\u81e8\u5e8a\u75c5\u671f\u5206\u985e\uff08Clinical Staging\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4 data-start=\"293\" data-end=\"299\"><span class=\"ez-toc-section\" id=\"%E5%88%9D%E6%9C%9F\"><\/span>\u521d\u671f<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul data-start=\"300\" data-end=\"363\">\n<li data-start=\"300\" data-end=\"312\">\n<p data-start=\"302\" data-end=\"312\">\u52d5\u4f5c\u6642\u306e\u8efd\u3044\u75db\u307f<\/p>\n<\/li>\n<li data-start=\"313\" data-end=\"329\">\n<p data-start=\"315\" data-end=\"329\">\u671d\u306e\u3053\u308f\u3070\u308a\uff08\u6570\u5206\u4ee5\u5185\uff09<\/p>\n<\/li>\n<li data-start=\"330\" data-end=\"346\">\n<p data-start=\"332\" data-end=\"346\">\u95a2\u7bc0\u53ef\u52d5\u57df\u306f\u4fdd\u305f\u308c\u3066\u3044\u308b<\/p>\n<\/li>\n<li data-start=\"347\" data-end=\"363\">\n<p data-start=\"349\" data-end=\"363\">X\u7dda\u306f\u6b63\u5e38\u307e\u305f\u306f\u8efd\u5ea6\u5909\u5316<\/p>\n<\/li>\n<\/ul>\n<h4 data-start=\"365\" data-end=\"372\"><span class=\"ez-toc-section\" id=\"%E9%80%B2%E8%A1%8C%E6%9C%9F\"><\/span>\u9032\u884c\u671f<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul data-start=\"373\" data-end=\"440\">\n<li data-start=\"373\" data-end=\"388\">\n<p data-start=\"375\" data-end=\"388\">\u95a2\u7bc0\u306e\u816b\u8139\u3084\u5727\u75db\u304c\u660e\u77ad<\/p>\n<\/li>\n<li data-start=\"389\" data-end=\"406\">\n<p data-start=\"391\" data-end=\"406\">\u95a2\u7bc0\u53ef\u52d5\u57df\u304c\u5236\u9650\u3055\u308c\u59cb\u3081\u308b<\/p>\n<\/li>\n<li data-start=\"407\" data-end=\"418\">\n<p data-start=\"409\" data-end=\"418\">\u6307\u306e\u5909\u5f62\u304c\u9032\u884c<\/p>\n<\/li>\n<li data-start=\"419\" data-end=\"440\">\n<p data-start=\"421\" data-end=\"440\">\u65e5\u5e38\u751f\u6d3b\u52d5\u4f5c\uff08ADL\uff09\u306b\u652f\u969c\u304c\u51fa\u308b<\/p>\n<\/li>\n<\/ul>\n<h4 data-start=\"442\" data-end=\"448\"><span class=\"ez-toc-section\" id=\"%E6%9C%AB%E6%9C%9F\"><\/span>\u672b\u671f<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul data-start=\"449\" data-end=\"509\">\n<li data-start=\"449\" data-end=\"464\">\n<p data-start=\"451\" data-end=\"464\">\u5b89\u9759\u6642\u75db\u3084\u591c\u9593\u75db\u306e\u51fa\u73fe<\/p>\n<\/li>\n<li data-start=\"465\" data-end=\"476\">\n<p data-start=\"467\" data-end=\"476\">\u95a2\u7bc0\u88c2\u9699\u306e\u6d88\u5931<\/p>\n<\/li>\n<li data-start=\"477\" data-end=\"488\">\n<p data-start=\"479\" data-end=\"488\">\u8457\u660e\u306a\u95a2\u7bc0\u5909\u5f62<\/p>\n<\/li>\n<li data-start=\"489\" data-end=\"509\">\n<p data-start=\"491\" data-end=\"509\">\u63e1\u308b\u30fb\u3064\u307e\u3080\u306a\u3069\u306e\u57fa\u672c\u52d5\u4f5c\u306b\u969c\u5bb3<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"X%E7%B7%9A%E5%88%86%E9%A1%9E%EF%BC%9AKellgren-Lawrence%EF%BC%88K-L%E5%88%86%E9%A1%9E%EF%BC%89\"><\/span>X\u7dda\u5206\u985e\uff1aKellgren-Lawrence\uff08K-L\u5206\u985e\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li data-start=\"550\" data-end=\"574\">\n<p data-start=\"552\" data-end=\"574\"><strong data-start=\"552\" data-end=\"563\">Grade 0<\/strong>\uff1a\u7570\u5e38\u306a\u3057\uff08\u6b63\u5e38\uff09<\/p>\n<\/li>\n<li data-start=\"575\" data-end=\"613\">\n<p data-start=\"577\" data-end=\"613\"><strong data-start=\"577\" data-end=\"588\">Grade 1<\/strong>\uff1a\u3054\u304f\u8efd\u5ea6\u3001\u9aa8\u68d8\u7591\u3044\u307e\u305f\u306f\u8efd\u5ea6\u306e\u95a2\u7bc0\u88c2\u9699\u72ed\u5c0f\u5316<\/p>\n<\/li>\n<li data-start=\"614\" data-end=\"645\">\n<p data-start=\"616\" data-end=\"645\"><strong data-start=\"616\" data-end=\"627\">Grade 2<\/strong>\uff1a\u660e\u3089\u304b\u306a\u9aa8\u68d8\u3001\u8efd\u5ea6\u306e\u88c2\u9699\u72ed\u5c0f\u5316<\/p>\n<\/li>\n<li data-start=\"646\" data-end=\"688\">\n<p data-start=\"648\" data-end=\"688\"><strong data-start=\"648\" data-end=\"659\">Grade 3<\/strong>\uff1a\u4e2d\u7b49\u5ea6\u306e\u9aa8\u68d8\u5f62\u6210\u3001\u95a2\u7bc0\u88c2\u9699\u306e\u660e\u78ba\u306a\u72ed\u5c0f\u5316\u3001\u9aa8\u786c\u5316\u3042\u308a<\/p>\n<\/li>\n<li data-start=\"689\" data-end=\"729\">\n<p data-start=\"691\" data-end=\"729\"><strong data-start=\"691\" data-end=\"702\">Grade 4<\/strong>\uff1a\u9ad8\u5ea6\u306e\u9aa8\u68d8\u5f62\u6210\u3001\u95a2\u7bc0\u88c2\u9699\u6d88\u5931\u3001\u9aa8\u786c\u5316\u30fb\u5909\u5f62\u304c\u8457\u660e<\/p>\n<\/li>\n<\/ul>\n<div class=\"st-kaiwa-box kaiwaicon2 clearfix\"><div class=\"st-kaiwa-area2\"><div class=\"st-kaiwa-hukidashi2\">\u30ec\u30f3\u30c8\u30b2\u30f3\u6240\u898b\u3068\u75db\u307f\u306f\u5fc5\u305a\u3057\u3082\u76f8\u95a2\u3057\u306a\u3044\u3088\u3002<\/div><\/div><div class=\"st-kaiwa-face2\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.28.51\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name2\">medical advisor<\/div><\/div><\/div>\n<div id=\"attachment_5200\" style=\"width: 692px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-5200\" class=\"wp-image-5200 size-large\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/P1450268-682x1024.jpg\" alt=\"\u624b\u6307\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\uff1aKellgren-Lawrence grade III \u306b\u76f8\u5f53\u3059\u308bDIP\u95a2\u7bc0\u306e\u5909\u5316\" width=\"682\" height=\"1024\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/P1450268-682x1024.jpg 682w, https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/P1450268-200x300.jpg 200w, https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/P1450268-768x1152.jpg 768w, https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/P1450268.jpg 785w\" sizes=\"(max-width: 682px) 100vw, 682px\" \/><p id=\"caption-attachment-5200\" class=\"wp-caption-text\">\u624b\u6307\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\uff1aKellgren-Lawrence grade III \u306b\u76f8\u5f53\u3059\u308bDIP\u95a2\u7bc0\u306e\u5909\u5316<\/p><\/div>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E6%89%8B%E6%8C%87OA%E3%81%AB%E7%89%B9%E5%BE%B4%E7%9A%84%E3%81%AA%E8%87%A8%E5%BA%8A%E6%89%80%E8%A6%8B\"><\/span>\u624b\u6307OA\u306b\u7279\u5fb4\u7684\u306a\u81e8\u5e8a\u6240\u898b<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li data-start=\"753\" data-end=\"777\">\n<p data-start=\"755\" data-end=\"777\"><strong data-start=\"755\" data-end=\"764\">DIP\u95a2\u7bc0<\/strong>\uff1aHeberden\u7d50\u7bc0<\/p>\n<\/li>\n<li data-start=\"778\" data-end=\"802\">\n<p data-start=\"780\" data-end=\"802\"><strong data-start=\"780\" data-end=\"789\">PIP\u95a2\u7bc0<\/strong>\uff1aBouchard\u7d50\u7bc0<\/p>\n<\/li>\n<li data-start=\"803\" data-end=\"825\">\n<p data-start=\"805\" data-end=\"825\"><strong data-start=\"805\" data-end=\"815\">\u6bcd\u6307CM\u95a2\u7bc0<\/strong>\uff1a\u6bcd\u6307CM\u95a2\u7bc0\u75c7<\/p>\n<\/li>\n<\/ul>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E8%87%A8%E5%BA%8A%E7%9A%84%E6%84%8F%E7%BE%A9\"><\/span>\u81e8\u5e8a\u7684\u610f\u7fa9<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li data-start=\"841\" data-end=\"883\">\n<p data-start=\"843\" data-end=\"883\">\u75c5\u671f\u5206\u985e\u3068X\u7dda\u5206\u985e\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3067\u3001\u9032\u884c\u5ea6\u306e\u628a\u63e1\u3068\u6cbb\u7642\u65b9\u91dd\u6c7a\u5b9a\u306b\u5f79\u7acb\u3064\u3002<\/p>\n<\/li>\n<li data-start=\"884\" data-end=\"929\">\n<p data-start=\"886\" data-end=\"929\">\u521d\u671f\u3067\u306f\u4fdd\u5b58\u7684\u6cbb\u7642\uff08\u5916\u7528\u85ac\u30fb\u88c5\u5177\u30fb\u30ea\u30cf\u30d3\u30ea\uff09\u3092\u4e3b\u4f53\u306b\u3001\u9032\u884c\u4f8b\u3067\u306f\u5916\u79d1\u7684\u6cbb\u7642\u3092\u691c\u8a0e\u3002<\/p>\n<\/li>\n<li data-start=\"930\" data-end=\"997\">\n<p data-start=\"932\" data-end=\"997\">\u7279\u306b\u4e2d\u9ad8\u5e74\u5973\u6027\u3067\u306f\u3001\u5973\u6027\u30db\u30eb\u30e2\u30f3\u306e\u4f4e\u4e0b\u306b\u3088\u308b\u6ed1\u819c\u708e\u306e\u52a9\u9577\uff08\u66f4\u5e74\u671f\u624b, 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