Assessment + radiology

Objectives

Be able to conduct a routine clinical assessment of knee OA
Be able to conduct a routine radiological assessment of knee OA
Understand how to diagnosis knee and hip OA (clinically and radiology) including differential diagnosis
To be able to determine the severity of OA from a clinical and radiological perspective
Be able to communicate OA diagnosis to a patient
Understand radiology safety
Know what the common knee impairments and activity limitations are for Knee OA
Know how OA affects peoples overall lives
Know the clinical practice guidelines for clinical and radiological assessment
Understand the role of physical performance testing
Be able to understand and address beliefs and misinformation about OA

As summarized by the the objectives above, this section was created to ensure that you have a thorough understanding of clinical and radiological examination, differential diagnosis, understanding the impact of OA on individual’s lives and their beliefs, and understand the clinical practice guidelines for clinical and radiological assessment.

To begin, read through the infographic below that describes what good osteoarthritis management requires.

There are a few pre-readings that you should be familiar with prior to delving into the content of this section. Click on the black tabs below to take you to these pre-readings.

M.D. Kohn (BA), A.A. Sassoon (MD), N.D. Fernando (MD)
Clinical Orthopaedics and Related Research (2016)
Classifications in Brief: Kellgren – Lawrence Classification of Osteoarthritis.

Reference:

Kellgren and Lawrence Grading X-rays Kohn, M. D., Sassoon, A. A., & Fernando, N. D. (2016). Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clinical Orthopaedics and Related Research®, 474(8), 1886-1893. doi:10.1007/s11999-016-4732-4

D. J. Hunter, S. Bierma-Zeinstra
The Lancet (2019)
Osteoarthritis

Reference:

General Overview OA including assessment Hunter, D. J., & Bierma-Zeinstra, S. (2019). Osteoarthritis. The Lancet, 393(10182), 1745-1759. doi:https://doi.org/10.1016/S0140-6736(19)30417-9

Victorian Musculoskeletal Clinical Leadership Group
Victorian Model of Care for Osteoarthritis of the Hip and Knee (2018)

Reference:

Victorian Musculoskeletal Clinical Leadership Group. (2018). Victorian Model of Care for Osteoarthritis of the Hip and Knee. Retrieved from Melbourne: http://www.acsep.org.au/content/Document/MOVE_MoC_WebVersion_WithHyperlinks.pdf

R.S. Hinman, K.D. Allen, K.L Bennell, F. Berenbaum, N. Betteridge, A.M. briggs, P.K. Campbell, L.E. Dahlberg, K.S. Dziedzic, J.P. Eyles, D.J. Hunter, S.T. Skou, A. Woolf, S.P. Yu, M. van der Esch.
Osteoarthritis and Cartilage (2020)
Development of a core capability framework for qualified health professionals to optimise care for people with osteoarthritis: an OARSI initiative.

Reference:

Hinman, R. S., Allen, K. D., Bennell, K. L., Berenbaum, F., Betteridge, N., Briggs, A. M., . . . van der Esch, M. (2020). Development of a core capability framework for qualified health professionals to optimise care for people with osteoarthritis: an OARSI initiative. Osteoarthritis and Cartilage, 28(2), 154-166. doi:https://doi.org/10.1016/j.joca.2019.12.001

Joint Action Podcast “How to diagnose osteoarthritis and the role of imaging” with thanks to Professor David Hunter and Joint Action

Next- Clinical Assessment