Abstract
A system for assessing symptoms (pain, stiffness, gelling) and signs (local temperature, effusion, tenderness, synovial swelling, popliteal cyst, crepitus) of osteoarthritis of the knee has been developed. The system has been assessed for intra- and interobserver variation using normal and osteoarthritic knees. Intraobserver variability is low for all indices but interobserver variability is high for physical signs. It is suggested that the components within this system, when applied by a single observer, may provide a reasonable framework for clinical assessment of osteoarthritis of the knee.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Altman R., Asch E., Bloch D., Bole G., Borenstein D., Brandt K., Christy W., Cooke T. D., Greenwald R., Hochberg M. 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 Aug;29(8):1039–1049. doi: 10.1002/art.1780290816. [DOI] [PubMed] [Google Scholar]
- Bellamy N., Buchanan W. W., Goldsmith C. H., Campbell J., Stitt L. W. 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 Dec;15(12):1833–1840. [PubMed] [Google Scholar]
- Cushnaghan J., Cooper C., Dieppe P., Kirwan J., McAlindon T., McCrae F. Clinical assessment of osteoarthritis of the knee. Ann Rheum Dis. 1990 Oct;49(10):768–770. doi: 10.1136/ard.49.10.768. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Doyle D. V., Dieppe P. A., Scott J., Huskisson E. C. An articular index for the assessment of osteoarthritis. Ann Rheum Dis. 1981 Feb;40(1):75–78. doi: 10.1136/ard.40.1.75. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fries J. F., Spitz P., Kraines R. G., Holman H. R. Measurement of patient outcome in arthritis. Arthritis Rheum. 1980 Feb;23(2):137–145. doi: 10.1002/art.1780230202. [DOI] [PubMed] [Google Scholar]
- Jette A. M. Functional Status Index: reliability of a chronic disease evaluation instrument. Arch Phys Med Rehabil. 1980 Sep;61(9):395–401. [PubMed] [Google Scholar]
- KELLGREN J. H., LAWRENCE J. S. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957 Dec;16(4):494–502. doi: 10.1136/ard.16.4.494. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lawrence J. S., Bremner J. M., Bier F. Osteo-arthrosis. Prevalence in the population and relationship between symptoms and x-ray changes. Ann Rheum Dis. 1966 Jan;25(1):1–24. [PMC free article] [PubMed] [Google Scholar]
- Marks J. S., Palmer M. K., Burke M. J., Smith P. Observer variation in examination of knee joints. Ann Rheum Dis. 1978 Aug;37(4):376–377. doi: 10.1136/ard.37.4.376. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McAlindon T., Dieppe P. Osteoarthritis: definitions and criteria. Ann Rheum Dis. 1989 Jul;48(7):531–532. doi: 10.1136/ard.48.7.531. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Meenan R. F., Gertman P. M., Mason J. H. Measuring health status in arthritis. The arthritis impact measurement scales. Arthritis Rheum. 1980 Feb;23(2):146–152. doi: 10.1002/art.1780230203. [DOI] [PubMed] [Google Scholar]
- Thomas R. H., Resnick D., Alazraki N. P., Daniel D., Greenfield R. Compartmental evaluation of osteoarthritis of the knee. A comparative study of available diagnostic modalities. Radiology. 1975 Sep;116(3):585–594. doi: 10.1148/116.3.585. [DOI] [PubMed] [Google Scholar]