Signs

• hard and bony swelling

• signs of inflammation (mild)

• restricted movements

• joint deformity

Note: There should be no systemic manifestations.

Crystal arthropathy can complicate OA, especially in the fingers of people on diuretics, e.g. nodular gout. Differentiation from an inflammatory arthropathy 9

Osteoarthritis does not exhibit the typical inflammatory pattern. The clinical diagnosis is based on:

• gradual onset of pain after activity (worse towards the end of the day)

• the pattern of joint involvement

• the lack of soft tissue swelling

• the transient nature of the joint stiffness or gelling

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