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Osteoarthritis — SCE Rheumatology MCQ

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HardOsteoarthritis and soft tissue rheumatologyOsteoarthritisSCE Rheumatology

A 24-year-old runner has activity-related anterior knee pain, normal radiographs and pain on a single-leg squat without effusion or instability. What is the most appropriate management?

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Correct answer: C — Hip and quadriceps strengthening with load modification

The presentation is patellofemoral pain rather than radiographic osteoarthritis. Education, graded load modification and targeted hip and quadriceps exercise are first-line. Imaging or surgery is reserved for atypical features, trauma, mechanical locking or failure of appropriate rehabilitation.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/musculoskeletal-conditions