Knee Pain Is the Malady—Not Osteoarthritis

Editorials1 April 1992Knee Pain Is the Malady—Not OsteoarthritisNortin M. Hadler, MDNortin M. Hadler, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-116-7-598 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOsteoarthritis is a well-defined pathoanatomic entity readily demonstrable by modern imaging techniques. For a century, the pathology that is this disease has been ingrained in the mind of every medical student: inexorable progression from subtle biochemical alterations in articular cartilage through cartilage loss and reactive bone formation to the end-stage of eburnated bone and exuberant osteophytosis. We all shudder at the image of the patient suffering with end-stage osteoarthritis, bedeviled by a deformed, unstable, incapacitating, and painful knee. What physician can listen to the complaint of knee pain without conjuring up the image of such an outcome? 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