Advertisement

Clinical Features and Diagnosis of Osteoarthritis

  • Daichi Hayashi
  • Frank W. Roemer
  • Ali Guermazi
Chapter

Abstract

Clinical criteria will continue to play an important role in the diagnosis of osteoarthritis until a diagnostic method that integrates clinical findings with aetiological, biochemical and histological abnormalities is developed [1]. One of the most enduring clinical criteria for osteoarthritis of the knee is the classification system developed for the American Rheumatism Association in 1986 [1]. The aim was to standardise and clarify the clinical definition of idiopathic osteoarthritis, using commonly available diagnostic techniques.

Keywords

Knee Osteoarthritis Joint Space Narrowing Complex Regional Pain Syndrome Calcium Pyrophosphate Hand Osteoarthritis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Altman R, Asch E, Bloch D, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986;29:1039-1049.Google Scholar
  2. 2.
    Zhang W, Doherty M, Peat G, et al. EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Ann Rheum Dis. 2010;69:483-489.Google Scholar
  3. 3.
    Altman RD. Osteoarthritis in the elderly population. In: Nakasato Y, Yung RL, eds. Geriatric Rheumatology: A Comprehensive Approach. New York, NY: Springer Science + Business Media, LLC; 2011:187-196.Google Scholar
  4. 4.
    Bijlsma JWJ, Berenbaum F, Lafeber FPJG. Osteoarthritis: an update with relevance for clinical practice. Lancet. 2011;377:2115-2126.Google Scholar
  5. 5.
    Myers SL. Osteoarthritis and crystal-associated synovitis. In: Hunder GG, ed. Atlas of Rheumatology. 4th ed. Philadelphia, PA: Current Medicine LLC; 2005:54-81.Google Scholar
  6. 6.
    Bal BS, Lavernia CJ. Surgical treatment of lateral compartment arthritis. Available at: emedicine. medscape.com/article/1251688-overview. Accessed December 5, 2012.Google Scholar
  7. 7.
    Engh GA. The difficult knee: severe varus and valgus. Clin Orthop Relat Res. 2003;416:58-63.Google Scholar
  8. 8.
    Vince KG, Abdeen A, Sugimori T. The unstable total knee arthroplasty: causes and cures. J Arthroplasty. 2006;21(4 suppl 1):44-49.Google Scholar
  9. 9.
    Yildiz N, Topuz O, Gungen GO, Deniz S, Alkan H, Ardic F. Health-related quality of life (Nottingham Health Profile) in knee osteoarthritis: correlation with clinical variables and self-reported disability. Rheumatol Int. 2010;30:1595-1600.Google Scholar
  10. 10.
    Horváth G, Koroknai G, Ács B, Than P, Bellyei Á, Illés T. Prevalence of radiographic primary hip and knee osteoarthritis in a representative central European population. Int Orthop. 2011;35:971-975.Google Scholar
  11. 11.
    Hochberg MC. Mortality in osteoarthritis. Clin Exp Rheumatol. 2008;26(suppl 51):S120-S124.Google Scholar
  12. 12.
    Nüesch E, Dieppe P, Reichenbach S, Williams S, Iff S, Jüni P. All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study. BMJ. 2011;342:d1165.Google Scholar
  13. 13.
    Michael JW-P, Schlüter-Brust KU, Eysel P. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int. 2010;107:152-162.Google Scholar
  14. 14.
    Dieppe P. Osteoarthritis. A. Clinical features In: Klippel JH, Stone JH, Crofford LJ, White PH, eds. Primer on the Rheumatic Diseases. 13th ed. New York, NY: Springer Science + Business Media, LLC; 2008:224-228.Google Scholar
  15. 15.
    Griffith CJ, LaPrade RF. Medial plica irritation: diagnosis and treatment. Curr Rev Musculoskelet Med. 2008;1:53-60.Google Scholar
  16. 16.
    Cho HJ, Chang CB, Yoo JH, Kim SJ, Kim TK. Gender differences in the correlation between symptom and radiographic severity in patients with knee osteoarthritis. Clin Orthop Relat Res. 2010;468:1749-1758.Google Scholar
  17. 17.
    Barker K, Lamb SE, Toye F, Jackson S, Barrington S. Association between radiographic joint space narrowing, function, pain and muscle power in severe osteoarthritis of the knee. Clin Rehabil. 2004;18:793-800.Google Scholar
  18. 18.
    Bruyere O, Honore A, Rovati LC, et al. Radiologic features poorly predict clinical outcomes in knee osteoarthritis. Scand J Rheumatol. 2002;31:13-16.Google Scholar
  19. 19.
    Cicuttini FM, Baker J, Hart DJ, Spector TD. Association of pain with radiological changes in different compartments and views of the knee joint. Osteoarthritis Cartilage. 1996;4:143-147.Google Scholar
  20. 20.
    Dieppe PA, Cushnaghan J, Shepstone L. The Bristol ‘OA500’ study: progression of osteoarthritis (OA) over 3 years and the relationship between clinical and radiographic changes at the knee joint. Osteoarthritis Cartilage. 1997;5:87-97.Google Scholar
  21. 21.
    Lanyon P, O’Reilly S, Jones A, Doherty M. Radiographic assessment of symptomatic knee osteoarthritis in the community: definitions and normal joint space. Ann Rheum Dis. 1998;57:595-601.Google Scholar
  22. 22.
    Link TM, Steinbach LS, Ghosh S, et al. Osteoarthritis: MR imaging findings in different stages of disease and correlation with clinical findings. Radiology. 2003;226:373-381.Google Scholar
  23. 23.
    McAlindon TE, Cooper C, Kirwan JR, Dieppe PA. Determinants of disability in osteoarthritis of the knee. Ann Rheum Dis. 1993;52:258-262.Google Scholar
  24. 24.
    Ozdemir F, Tukenmez O, Kokino S, Turan FN. How do marginal osteophytes, joint space narrowing and range of motion affect each other in patients with knee osteoarthritis. Rheumatol Int. 2006;26:516-522.Google Scholar
  25. 25.
    Szebenyi B, Hollander AP, Dieppe P, et al. Associations between pain, function, and radiographic features in osteoarthritis of the knee. Arthritis Rheum. 2006;54:230-235.Google Scholar
  26. 26.
    Zhai G, Blizzard L, Srikanth V, et al. Correlates of knee pain in older adults: Tasmanian Older Adult Cohort Study. Arthritis Rheum. 2006;55:264-271.Google Scholar
  27. 27.
    af Klint E, Catrina AI, Matt P, et al. Evaluation of arthroscopy and macroscopic scoring. Arthritis Res Ther. 2009;11:R81.Google Scholar
  28. 28.
    Ayral X, Pickering EH, Woodworth TG, Mackillop N, Dougados M. Synovitis: a potential predictive factor of structural progression of medial tibiofemoral knee osteoarthritis – results of a 1 year longitudinal arthroscopic study in 422 patients. Osteoarthritis Cartilage. 2005;13:361-367.Google Scholar
  29. 29.
    Ayral X. Efficacy and role of topical treatment of gonarthrosis. Presse Med. 1999;28:1195-1200.Google Scholar
  30. 30.
    Ayral X, Mayoux-Benhamou A, Dougados M. Proposed scoring system for assessing synovial membrane abnormalities at arthroscopy in knee osteoarthritis. Br J Rheumatol. 1996;35 (suppl 3):14-17.Google Scholar
  31. 31.
    Sellam J, Berenbaum F. The role of synovitis in pathophysiology and clinical symptoms of osteoarthritis. Nat Rev Rheumatol. 2010;6:625-635.Google Scholar
  32. 32.
    Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16:494-502.Google Scholar
  33. 33.
    Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15:1833-1840.Google Scholar
  34. 34.
    Bellamy N. WOMAC Osteoarthritis Index. WOMAC® 3.1 Index. Available at: www.womac.com. Accessed March 5, 2013.
  35. 35.
    American College of Rheumatology. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Available at: www.rheumatology.org/practice/clinical/clinicianresearchers/outcomesinstrumentation/WOMAC.asp. Accessed December 4, 2012.
  36. 36.
    Altman R, Alarcón G, Appelrouth D, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum. 1991;34:505-514.Google Scholar
  37. 37.
    Arnold CM, Faulkner RA. The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr. 2007;7:17.Google Scholar
  38. 38.
    Zhang W, Doherty M, Leeb BF, et al. EULAR evidence-based recommendations for the diagnosis of hand osteoarthritis: report of a task force of ESCISIT. Ann Rheum Dis. 2009;68:8-17.Google Scholar
  39. 39.
    Altman R, Alarcón G, Appelrouth D, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheum. 1990;33:1601-1610.Google Scholar

Copyright information

© Springer Healthcare 2014

Authors and Affiliations

  • Daichi Hayashi
    • 1
  • Frank W. Roemer
    • 1
    • 2
  • Ali Guermazi
    • 1
  1. 1.Quantitative Imaging CenterBoston University School of MedicineMassachusettsUSA
  2. 2.Department of RadiologyUniversity of Erlangen-NurembergErlangenGermany

Personalised recommendations