Guidelines for diagnosis and treatment of osteoarthritis

  (1) Recurrent knee pain within the last 1 month.  (2) X-ray (standing or weight-bearing position) shows narrowing of joint space, subchondral bone sclerosis and/or cystic changes, and bone redundancy formation at the joint margin.  (3) Clear, viscous joint fluid (at least 2 times) with WBC <2000/ml. (4) Middle-aged and elderly patients (≥40 years old).  (5) Morning stiffness ≤ 3 min. (6) Bone rubbing sound (sensation) during activity.  The diagnosis of osteoarthritis of the knee can be made if 1+2 or 1+3+5+6, or 1+4+5+6 are satisfied.

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