How is arthritis of the knee identified?

After a detailed discussion with our patients we here at the Schön Kliniken decide on a course of action if there is suspected arthritis of the knee. Then during an initial physical examination the knee is examined for swelling and its mobility tested. Movement-related pain can be clarified quickly by various hand grips and techniques to confirm any initial suspicions.

The examination is normally painless. During the examination our specialists look out for:

• Range of movement
• Capsular swelling
• Abnormal positions

An X-ray is the most important pointer.

An X-ray examination provides details information about arthritis of the knee. Ultrasound and MRI can also provide more information.

Imaging procedures are indispensible. An X-ray examination is the first and most important pointer. Change to the bony shape of the joint can be identified without problem in this way. The distance between the bones and a narrowed joint space allows conclusions to be made about the state of the joint cartilage. The smaller the joint space the less joint cartilage there is remaining in the joint to act as a protective layer. Therefore the smaller the joint space the more advanced the arthritis.

Ultrasound and Nuclear spin tomography [MRI] for further clarification.

„Additional to an X-ray, ultrasounds, magnetic resonance tomography (MRT/MRI) or computed tomography (CT) can follow on to diagnose arthritis of the knee“ says knee specialist Prof. Dr. Pavel Dufek  Consultant Orthopaedist at the Schön Klinik Neustadt. „With the the help of an  ultrasound examination soft tissues such as muscles or capsules can be clearly seen while the MRI images clearly depict ligaments, tendons and muscles.“

With suspected rheumatic or bacterial joint inflammation, a blood test may also be necessary or even a puncture of the joint.