Review Question - QID 2994

Intra-articular hyaluronic acid is no longer recommended as an effective method of treatment for patients with symptomatic knee arthritis based on the revised AAOS clinical guidelines from 2013. The previous review from 2009 guidelines was reported as inconclusive.

Nonoperative treatment modalities whose use is supported by the literature include: activity modifications, weight loss, quadriceps strengthening, patellar taping, NSAIDs, tramadol, tylenol (Now 3000mg/24hr is recommended from 4000mg/24hr), and intra-articular steroids.

Treatment options that are NOT supported by the literature (or are considered inconclusive) include: intra-articular hyaluronic acid injections, lateral heel wedges for medial knee OA, glucosamine and chondroitin, needle lavage, and arthroscopy in patients with primary OA.

Incorrect Answers:
Answer 1: Weight loss is considered a moderate recommendation according to the AAOS clinical guidelines.
Answer 2: Activity modification is strongly recommended according to the AAOS clinical guidelines.
Answer 3: Quadriceps strengthening is strongly recommended according to the AAOS clinical guidelines.
Answer 5: The use of intra-articular corticosteroid injections cannot be recommended for or against according to the latest AAOS clinical guidelines.