Chronic knee pain  

Oleh:

Mallen, Christian David ; Peat, George ; Porcheret, Mark

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: British Medical Journal (keterangan: ada di Proquest) vol. 335 no. 7614 (Aug. 2007), page 303.
Topik: Practice

Ketersediaan

Perpustakaan FK Nomor Panggil: B16.K.2007.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

A 57 year old self employed painter and decorator presents with a six month history of pain and stiffness in his left knee. The onset was insidious, and the pain has worsened over the past few weeks. What issues you should cover Chronic knee pain affects one in four people aged 55 years. Usually symptoms are mild to moderate. Osteoarthritis—presenting as activity related pain and limitation of movement, crepitus, and intermittent swelling in the absence of constitutional symptoms—is the commonest working diagnosis. Routine blood tests are not needed in these patients. Up to 70% of people with chronic knee pain will have radiographic evidence of osteoarthritis, but radiography results are only weakly related to symptoms. Plain radiography is not recommended for routine confirmation of the clinical diagnosis of osteoarthritis. Exclude "red flags" signs and symptoms that indicate immediate referral (significant trauma, evidence of severe local inflammation, sepsis). Do an initial investigation before specialist referral if . . .

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