OrthopaedicsRheumatology
Osteoarthritis Hip / Knee Management
NICE NG226 — diagnose clinically, education + exercise + weight, analgesia stepwise, joint replacement for severe.
Source: NICE NG226 (2022)
Step 1 of ~2
info
Diagnosis + Workup
Diagnose clinically (NICE NG226 — imaging not required for typical):
• Age ≥45.
• Activity-related joint pain.
• Morning stiffness <30 min.
• Crepitus, ↓ ROM, possible bony enlargement, no warmth.
XR (selective): Kellgren-Lawrence grading; XR not required for diagnosis but useful for surgical planning.
• Joint space narrowing.
• Osteophytes.
• Subchondral sclerosis.
• Cysts.
Distinguish from inflammatory arthritis: warmth, swelling, prolonged morning stiffness >1h, ESR/CRP ↑ → rheumatology.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Sodium chloride · Saline IV fluid / replacement
- Hydrocortisone (Oral Replacement) · Glucocorticoid Replacement
- Testosterone (Replacement) · Androgen (Male Sex Hormone)
- Estradiol (HRT — Hormone Replacement Therapy) · Oestrogen Replacement Therapy
Pathways
- Hip Fracture Pathway · NICE CG124; BPT
- Cauda Equina Syndrome · Society of British Neurological Surgeons; BOA — Best Practice
- Knee Soft Tissue Injury (ACL / MCL / Meniscus) · BOA; Royal College of Surgeons
- Shoulder Dislocation · BOA; RCEM
- Scaphoid Fracture · BOA; BSSH
- Pelvic Fracture · BOA; ATLS; NICE NG39
Decision support only. Always apply local guidelines and clinical judgement.