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Related Experiment Videos

Radiographic assessment of osteoarthritis.

D L Swagerty1, D Hellinger

  • 1Department of Family Medicine, University of Kansas Medical Center, Kansas City 66160-7370, USA. dswagert@kumc.edu

American Family Physician
|July 31, 2001
PubMed
Summary

Osteoarthritis is a common, disabling condition, not a normal part of aging. Radiographs aid diagnosis and severity assessment when clinical evaluation is uncertain.

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Area of Science:

  • Gerontology
  • Rheumatology
  • Public Health

Background:

  • Osteoarthritis (OA) is a prevalent, disabling chronic condition impacting older adults and a public health concern for working-age adults.
  • OA prevalence is projected to increase with the aging U.S. population.
  • While OA incidence rises with age, it is not an inevitable part of aging.

Purpose of the Study:

  • To highlight the role of radiographic findings in diagnosing and assessing osteoarthritis severity.
  • To emphasize that clinical presentation may not always correlate with radiographic disease stage.

Main Methods:

  • Review of clinical and radiographic diagnostic criteria for osteoarthritis.
  • Analysis of the utility of joint roentgenograms in OA evaluation.

Main Results:

  • Radiographs can confirm OA diagnosis, gauge disease severity, reassure patients, and rule out other conditions.
  • Key radiographic findings include asymmetric joint space narrowing, subchondral sclerosis, osteophyte formation, and specific distribution patterns.

Conclusions:

  • Diagnosis of osteoarthritis primarily relies on patient history and physical examination.
  • Radiographic evidence is valuable for confirming diagnosis and assessing severity, especially when clinical findings are equivocal.

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