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Investigations

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The most important diagnostic test for osteoarthritis is the x-ray of the affected joint.

Other investigations include:

  • FBC and ESR are both normal
  • RF is negative, unless osteoarthritis is secondary to rheumatoid arthritis
  • synovial fluid aspiration / microscopy
  • if gout is considered, check serum uric acid

Reference:

  • Osteoarthritis in over 16s: diagnosis and management. NICE guideline (October 2022)

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