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Osteoarthritis of the Hand, Hip, and Knee

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Figure 1 Footnotes Strongly and conditionally recommended approaches to management of hand, knee, and/or hip OA are shown. No hierarchy within categories is implied in the fig ure, with the recognition that the various options may be used (and reused) at various times during the course of a particular patient's disease. a Exercise for knee and hip OA could include walking, strengthening, neuromuscular training, and aquatic exercise, with no hierarchy of one over another. Exercise is associated with better outcomes when supervised. b Knee brace recommendations: tibiofemoral (TF) brace for TF OA (strongly recommended), patellofemoral (PF) brace for PF OA (conditionally recommended). c Hand orthosis recommendations: first carpometacarpal (CMC) joint neoprene or rigid orthoses for first CMC joint OA (strongly recommended), orthoses for joints of the hand other than the first CMC joint (conditionally recommended). ` Osteoarthritis (OA) is the most common form of arthritis, affecting an estimated 302 million people worldwide, and is a leading cause of disability among older adults. ` The knees, hips and hands are the most commonly affected appendicular joints. ` OA is characterized by pathology involving the whole joint, including cartilage degradation, bone remodeling, osteophyte formation, and synovial inflammation, leading to pain, stiffness, swelling, and loss of normal joint function. Key Points Tables 1-2 Legend Strongly recommended Conditionally recommended Strongly recommended against Conditionally recommended against No recommendation Figure 1 Legend Strongly recommended Conditionally recommended Treatment

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