title: [Knee joint pain with signs of arthrosis].
abstract: Chronic pain in the knee joint is most commonly caused by osteoarthritis, especially in elderly patients but can be due to other causes, such as rheumatoid arthritis. The diagnostics include an exact patient medical history and a clinical examination, which often already provide clear indications of the cause of the knee pain. Subsequently, further diagnostics can then be considered, such as radiological procedures and laboratory diagnostics. The treatment is determined by the cause and the individual patient and aims to reduce pain and to preserve the mobility of the joint. Generally, therapy consists of pain management and physiotherapy as well as alternative therapeutic procedures, mostly in combination. Proximal tibial opening wedge osteotomy can be useful; however, partial or total knee arthroplasty should only be considered when conservative treatment options have been exhausted.
authors.affiliation: Zentrum für seltene Erkrankungen Bonn, Universitätsklinikum Bonn, Bonn, Deutschland.
authors.forename: T T A
authors.initials: TTA
authors.lastname: Bender
authors.affiliation: Radiologische Klinik, Universitätsklinikum Bonn, Bonn, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Marinova
authors.affiliation: Zentrum für Palliativmedizin, Malteser Krankenhaus Seliger Gerhard Bonn/Rhein-Sieg, Bonn, Deutschland.|Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Radbruch
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Bonn, Bonn, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Conrad
authors.affiliation: Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Jobst
authors.affiliation: Zentrum für seltene Erkrankungen Bonn, Universitätsklinikum Bonn, Bonn, Deutschland. martin.muecke@ukb.uni-bonn.de.|Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland. martin.muecke@ukb.uni-bonn.de.|Klinik für Palliativmedizin, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland. martin.muecke@ukb.uni-bonn.de.
authors.forename: M
authors.initials: M
authors.lastname: Mücke
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D018771:Arthralgia / Q000209:etiology* / Q000628:therapy; D001172:Arthritis, Rheumatoid / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D019645:Arthroplasty, Replacement, Knee; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D007719:Knee Joint; D020370:Osteoarthritis, Knee / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D010027:Osteotomy; D059408:Pain Management / Q000379:methods; D026741:Physical Therapy Modalities; D057285:Precision Medicine / Q000379:methods; D013977:Tibia / Q000601:surgery
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Anti-inflammatory agents, non-steroidal; Arthritis; Arthroplasty, replacement, knee; Osteoarthritis, knee; Physical therapy modalities