knee osteoarthritis

[rana_sh]

can any body tell me who to difrentiate between knee osteoarthritis and other disease by physical examination??
thanks alot

[junior_physiotherapist]

Hi Rana

I think no accurate diagnosis could be done without all investagation procedures&tools inluding blood tests,x-ray,clinical assessments,past and presnt history,.... in order to be able to rollout other causes/diseases!!

any way u may have to note gait pattern(waddling gait),age, body weight,sex, knee click(crepitations),tenderness medially(as usually),nature of job,...

Regards

[shinydan]

there are various tests , musculoskeletal tsts available to differentiate.patellar grinding tests, waldron test.crepitus on palpation.gait assessment and genuvarum deformity.lot more check maggie assessment

[hamanndi]

hi guys

please what is the benefit aerobic exercise for osteoarthritis

please help me

[Hussam]

Hi,

clinical features:

1- pain around the knee joint referred down through the shin to the ankle
2- osteophytic nipping may be palpable
3- muscle spasm in the hamstrings
4- patellofemoral crepitus
5- flexion deformity
6- joint enlargement
7- quadriceps atrophy ( vastus medialis)
8- collateral ligaments become too long due to the loss of joint space
9- becouse of #8 they loss the control of varus and valgus movements.

[sdkashif]

A Osteoarthritis may present many features on clinical examination.

In hands you look for signs of inflammation the promimal and distal IP joints and look for Heberden Nodes and Bouchard Nodes. The pattern of involvement of joints is also different in OA as compared to RA. In hands there is involvement of promimal and distal IN joints. Moreover, OA mostly involvement of weight bearing joints Like Knees, Hips, Spine and rarely ankle. As it is the degenrative type of disease so there will be signs of effusion, elargement of bony ends due to osteophyte hypertrophy, muscles wasting in the afftected joint, loss of joint range of motion, functional disability, crepitus.

[SURESH BABU BODDU]

hi to all,
CAN ANY ONE EXPLAIN WHAT IS WALDRON TEST

[physioro]

the American College of Rheumatology Guidelines have very good reliability and specificity in diagnosing Knee OA.
Also, there is a current evidence base for treatment of knee OA with aerobic exercise, however, the evidence for the benefit of lower limb strengthening is far more established. Work by McCarthy et al in the area of knee OA rehabilittion through stength training is particularly good and clinically applicable.