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2016 Acr Revised Criteria For Early Diagnosis of Knee Osteoarthritis

The document outlines revised 2016 criteria from the American College of Rheumatology (ACR) for diagnosing knee osteoarthritis. It presents three sets of classification criteria including: 1) clinical criteria involving factors like age, stiffness, and crepitus, 2) clinical/radiographic criteria adding osteophyte on x-ray, and 3) clinical/laboratory criteria adding tests like erythrocyte sedimentation rate and rheumatoid factor. The diagnosis requires knee pain and meeting criteria from several domains, while excluding other potential causes like significant synovitis.

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341 views6 pages

2016 Acr Revised Criteria For Early Diagnosis of Knee Osteoarthritis

The document outlines revised 2016 criteria from the American College of Rheumatology (ACR) for diagnosing knee osteoarthritis. It presents three sets of classification criteria including: 1) clinical criteria involving factors like age, stiffness, and crepitus, 2) clinical/radiographic criteria adding osteophyte on x-ray, and 3) clinical/laboratory criteria adding tests like erythrocyte sedimentation rate and rheumatoid factor. The diagnosis requires knee pain and meeting criteria from several domains, while excluding other potential causes like significant synovitis.

Uploaded by

annisaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2016 ACR REVISED CRITERIA FOR

EARLY DIAGNOSIS OF KNEE


OSTEOARTHRITIS
ACR CLINICAL CLASSIFICATION CRITERIA FOR KNEE
OA
• AGE> 50 YEARS OLD
• MORNING STIFFNESS < 30 MINUTES
• CREPITUS ON KNEE MOTION
• BONY TENDERNESS
• BONY ENLARGEMENT
• NO PALPABLE WARMTH
 AT LEAST THREE OF THE FOLLOWING SIX ITEMS
ACR CLINICAL/RADIOGRAPHIC CLASSIFICATION
CRITERIA
• PRESENCE OF KNEE PAIN WITH AT LEAST • THE MAJOR X-RAY FINDINGS OF OA ARE
ONE OF THE FOLLOWING THREE ITEMS INCLUDING:
ALONG WITH OSTEOPHYTE IN KNEE X-RAY 1. NARROWING OF THE JOINT SPACE
CAN CLASSIFY THE KNEE OA IN THE
PATIENTS: 2. EBURNATION OR SUBCHONDRAL
BONE SCLEROSIS
• AGE> 50 YEARS OLD
3. OSTEOPHYTES AND
• MORNING STIFFNESS < 30 MINUTES
4. SUBCHONDRAL BONE CYST
• CREPITUS ON KNEE MOTION
ACR CLINICAL/LABORATORY CLASSIFICATION
CRITERIA
• THE PRESENCE OF KNEE PAIN ALONG WITH AT LEAST 5 OF THE FOLLOWING 9 ITEMS CAN CLASSIFY
THE KNEE OA IN THE PATIENTS:
• AGE> 50 YEARS OLD
• MORNING STIFFNESS < 30 MINUTES
• CREPITUS ON KNEE MOTION
• BONY TENDERNESS
• BONY ENLARGEMENT
• NO PALPABLE WARMTH
• ESR <40 MM/HR
• RF < 140
• SYNOVIAL FLUID COMPATIBLE WITH OA
1. In the presence of 3 points out of 10 with at least 1 point from domain II along with all entry
criteria, the diagnosis of knee OA can be established
2. Exclusion criteria are including: 1) moderate to significant knee synovitis 2) hot or red knee 3)
history and/or physical examination findings compatible with the internal derangement of knee
3. Knee pain that is initiated or increased with knee activity/exercise and finished or decreased
with knee resting
4. Clear fluid with normal viscosity accompanied by WBC count less than 2000/mm3 with less than
25% PMN
5. It must be ignored in the presence of osteophyte in knee x-ray

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