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Guidelines

Osteoarthritic Knee

History

  • Elderly/older patients
  • Younger post traumatic/post operative
  • Restricted activities of daily living
  • Reduced walking
  • Previous diagnosis/other OA joints
  • Persistent pain
Orthopaedics Osteoarthritic knee

Signs

  • Limp
  • Decreased range of movement
  • Deformity
  • Medial joint line pain. image copyright NHS Lothian
  • Possible effusion
  • Possible crepitus
  • Stiffness after sitting/in the morning
  • Unable to kneel or squat
  • Possible old surgery scars
  • Exclude hip joint as cause (groin pain, hip stiffness)

Medial joint line pain. image copyright NHS Lothian

Secondary care referral

  • If X-Rays show established OA changes, all primary care treatments have been exhausted and patient wishes an opinion on surgical options, refer to Arthroplasty service
  • If all primary care treatments have been exhausted, consider referral to Non Arthroplasty Knee Service
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