Osteoarthritis Diagnosis: Avoiding the Pitfalls
نویسنده
چکیده
A common pitfall in the diagnosis of OA is misinterpretation of the patient's symptoms and signs. Pain is the predominant symptom in patients with OA, and OA pain has typical characteristics. However, pain may arise not only from intra-articular structures but also from periarticular muscle spasm or soft tissue rheumatism. Differentiation of articular pain from periarticular pain is important because the latter often may be managed successfully by local injection of a depot corticosteroid preparation and physical therapy, without systemic medication. In this 3-part article, I review the pathogenesis, diagnosis, and management of OA. The first part (“Defining osteoarthritis: What it is, and what it is not,” The Journal of Musculoskeletal Medicine, September 2010, page 338) offered a contemporary, operational, evidence-based definition of the disease that has evolved from growing knowledge of its cause. In this second part, I discuss the clinical aspects of OA, including diagnosis and the diagnostic pitfalls. The third part, to appear in an upcoming issue of this journal, will provide an overview of current approaches to treatment. THE CLINICAL PICTURE
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تاریخ انتشار 2017