BMJ  2006;332:639-642 (18 March), doi:10.1136/bmj.332.7542.639

Clinical review

Osteoarthritis

¹ Boston University Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, USA

The first 150 words of the full text of this article appear below.

Introduction

Osteoarthritis is the most prevalent form of arthritis, with an associated risk of mobility disability (defined as needing help walking or climbing stairs) for those with affected knees being greater than that due to any other medical condition in people aged ³ 65.^w1 The societal burden (both in terms of personal suffering and use of health resources) is expected to increase with the increasing prevalence of obesity and the ageing of the community.

Osteoarthritis is a multifactorial process in which mechanical factors have a central role and is characterised by changes in structure and function of the whole joint.¹ There is no cure, and current therapeutic strategies are primarily aimed at reducing pain and improving joint function. We searched Medline for relevant articles (1966 to January 2006) and the Cochrane library (to first quarter of 2006) and consulted experts in rheumatology to produce a narrative review with an update on management . . . [Full text of this article]

What is osteoarthritis?

Epidemiology of osteoarthritis

Diagnosis and investigation

Clinical investigation

Treatment

Pharmacological approach

Surgery

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