History
- Middle age
- Pre existing early OA
- Minimal injury
- History of overuse eg DIY
- Limp
- Restricted work
- Localised joint line pain
- Possibly swelling
- Stiffness after sitting/first thing in morning
Signs
- Limp
- Effusion
- Joint line tenderness
- Possible painful block to extension
Secondary care referral
- No indication unless true, mechanical locking
Primary care investigations
- X-Ray – AP standing & lateral
- to confirm presence of OA
Primary care treatment
- Analgesia
- PRICE (Protection, Rest, Ice, Compression, Elevation)
- Physiotherapy
- Weight loss as appropriate
- Corticosteroid injection if swollen and no other contraindications to csi
