All published articles of this journal are available on ScienceDirect.

REVIEW ARTICLE

Knee Arthritis Without Other Joint Symptoms in the Elderly With Seronegative Elderly Onset Rheumatoid Arthritis

The Open Orthopaedics Journal 30 December 2016 REVIEW ARTICLE DOI: 10.2174/1874325001610010793

Abstract

Elderly onset Rheumatoid arthritis (EORA) has important clinical distinctions when compared with younger onset RA (YORA). In knee arthritis of elderly patients, infection, crystal-induced arthritis or EORA should be suspected if elevation of CRP in the preoperative examination and turbid joint effusion in their knee joint are found. Furthermore, if joint swelling and effusion remain after performing total knee arthroplasty (TKA), the infection after TKA, implant debris-related arthritis and EORA should be considered. However, it is difficult to diagnose patients as EORA if Rheumatoid factor (RF) and anti-cyclic citrullinated peptide antibody (ACPA) are negative. The differential diagnosis is very important.

Keywords: Arthroscopy, Synovitis, Knee arthritis, Rheumatoid arthritis, Elderly person, Seronegative RA.
Fulltext HTML PDF ePub
1800
1801
1802
1803
1804