Osteoarthritis diagnostic criteria
|
Osteoarthritis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Osteoarthritis diagnostic criteria On the Web |
|
American Roentgen Ray Society Images of Osteoarthritis diagnostic criteria |
|
Risk calculators and risk factors for Osteoarthritis diagnostic criteria |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Diagnostic Criteria
There is no specific signs and symptoms or even there is no specific for osteoarthritis (OA) diagnose. But the osteoarthritis is diagnosed based on several elements such as patients age, past medical history, and available symptoms. Osteoarthritis of the major joints is diagnosed using a combination of patients past medical history, physical examination, and variety of lab tests including imaging studies such as X-ray.
Classification Criteria for Osteoarthritis of the Hip
| Traditional format |
| Hip pain plus at least two of the following:
ESR of less than 20 mm per hour Femoral or acetabular osteophytes on radiographs Joint space narrowing on radiographs |
| Classification-tree format |
| Hip pain plus femoral or acetabular osteophytes on radiographs
OR Hip pain plus joint space narrowing on radiographs and an ESR of less than 20 mm per hour |
| ESR = erythrocyte sedimentation rate.
Adapted with permission from Altman R, Alarcon G, Appelrouth D, Bloch D, Borenstein D, Brandt K, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum 1991;34:505–14. |
Classification Criteria for Idiopathic Osteoarthritis of the Knee
| Traditional format |
| Knee pain plus osteophytes on radiographs and at least one of the following:
Patient age older than 50 years Morning stiffness lasting 30 minutes or less Crepitus on motion |
| Classification-tree format |
| Knee pain and osteophytes on radiographs
OR Knee pain plus patient age of 40 years or older, morning stiffness lasting 30 minutes or less and crepitus on motion |
| Adapted with permission from Altman R, Asch E, Bloch D, Bole D, Borenstein K, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Arthritis Rheum 1986;29:1039–49. |
Classification Criteria for Osteoarthritis of the Hand
| Hand pain, aching or stiffness
+ Hard tissue enlargement of two or more of 10 selected joints* + Fewer than three swollen metacarpophalangeal joints + Hard tissue enlargement of two or more distal interphalangeal joints OR Deformity of two or more of 10 selected joints* |
| * —The 10 selected joints are the second and third distal interphalangeal joints, the second and third proximal interphalangeal joints and the first carpometacarpal joints (of both hands).
Adapted with permission from Altman R, Alarcon G, Appelrouth D, Bloch D, Borenstein K, Brandt K, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheum 1990;33:1601–10. |