Osteoarthritis

Images

Osteoarthritis

Osteoarthritis treatment flowchart

Created by BMJ Knowledge Centre

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• Management Approach

Osteoarthritis

Managing osteoarthritis in primary care (key: PPI - proton pump inhibitor)

Adapted from NICE CG177 (2014) Osteoarthritis: care and management in adults

See this image in context in the following section/s:

• Management Approach

Osteoarthritis

BMJ Rapid Recommendations: arthroscopic surgery for degenerative knee arthritis and meniscal tears

Siemieniuk RAC, et al. BMJ.2017 May 10;357:j1982

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• Management Approach

Videos

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  Hip examination

  A consultant physician demonstrates hip examination techniques, including the Trendelenburg test, the modified Thomas test, and Ober's test. These tests inspect the lateral alignment, anterior and posterior alignment, gait, active and passive movement, and internal and external rotation of the hip.

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  Knee examination

  A consultant physician demonstrates knee examination techniques, inspecting the biomechanics of the knee and assessing for effusion, wasting, or hypertension. The physician performs tests for the integrity of the medial and lateral collateral ligaments, damage to the cruciate ligaments (Lackman's test, Drawer test, Pivot shift test), tests of the patella (patella apprehension test, Clarke's test), and tests of the iliotibial band (Ober's test).

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  Wrist examination

  A consultant physician demonstrates wrist examination techniques for assessing range of movement, inspecting for synovitis, wasting, squaring at the base of the thumb, and previous surgery for carpal or Guyon’s canal syndrome.

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  Osteoarthritis core treatments

  A primary care physician who leads research for Arthritis UK discusses core treatments for osteoarthritis, including education, advice and support, weight loss, and exercise.

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  Osteoarthritis: benefits of paracetamol

  A primary care physician who leads research for Arthritis UK discusses the benefits of paracetamol for patients with hip and knee pain due to osteoarthritis.

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  Osteoarthritis: referral for surgery

  A primary care physician who leads research for Arthritis UK discusses when joint replacement surgery should be offered to patients with osteoarthritis.

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  Aspiration and injection of the knee animated demonstration

  How to aspirate synovial fluid from the knee and administer intra-articular medication using a medial approach.

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  Aspiration and injection of the shoulder animated demonstration

  How to aspirate synovial fluid from the shoulder and administer intra-articular medication. Video demonstrates a posterior approach to the glenohumeral joint and a lateral approach to the subacromial space.

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  Osteoarthritis regular review

  A primary care physician who leads research for Arthritis UK discusses the benefits of ensuring regular reviews of patients with osteoarthritis.

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  Explaining osteoarthritis to patients

  A primary care physician who leads research for Arthritis UK describes how the language used to explain osteoarthritis to patients influences whether or not they seek help.