Main Article Content


Background: Osteoarthritis (OA) is a chronic condition characterized by the breakdown of joints cartilage. Approximately 25% of persons 55 years of age or older have knee pain on most days and about half of them have radiographic OA in the knee. Prevalence of knee OA increases with age and it is more common in women than men. It is not easy to establish the diagnosis of knee OA since other knee disorders have similar clinical
signs and symptoms.

Objective: The purpose of this study was to observe the diagnosis pattern of knee OA in rheumatology outpatient clinic at Dr. Sardjito Hospital based on clinical and radiographic criteria of American College of Rheumatology (ACR).

Method: The design of this study was cross-sectional. Data of the patients with knee OA were investigated from their medical records.

Results: There were 212 subjects diagnosed with knee OA during the year 2000–2010. Most of the subjects (90.56%) were more than 50 years old. Women were more frequent affected by OA than men. All of the subjects (100%) had knee pain. Crepitus was found in
98.11% subjects. Morning stiffness less than 30 minutes was found in 86.79% subjects. Osteophyte appearances were found in 79.72% subjects.

Conclusion: Knee pain, crepitus, and age more than 50 years old were the most frequent criteria used to diagnose knee OA. Morning stiffness less than 30 minutes and osteophyte appearances were also frequent in knee OA.

Article Details

How to Cite
Kertia, N., Wachid, D. N., & Krishnan, P. N. (2018). Diagnostic criteria of knee osteoarthritis in rheumatology outpatient clinic, Dr. Sardjito Hospital, Yogyakarta. Indonesian Journal of Rheumatology, 3(1).


  1. Bernard R. Management of osteoarthritic knee pain. J Am Osteopath Assoc 2005; 105(9) :523-528.
  2. Corti M, Rigon C. Epidemiology of osteoarthritis: Prevalence, risk factors and functional impact. Aging Clin Exp Res 2005;15(5):359-363.
  3. Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis and Rheumatism 2006;30(8):914-918.
  4. Iannone F, Lapadula G. The pathophysiology of osteoarthritis. Aging Clin Exp Res 2003;15(5):364-372.
  5. Altman R, Asch E, Bloch D. Development of criteria for the classifi cation and reporting of osteoarthritis. classifi cation of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum1986;29:1039-1049.
  6. Wojtys EM, BeamanDN, Glover RA, Janda D. Innervation of the human knee joint by substance-P fi bers. Arthroscopy 1990;6:254-263.
  7. Hoegh AP, Tanko LB, Andersen TL, Lundberg CV, Mo JA, Heegaard AM. Ovariectomized rats as a model of postmenopausal osteoarthritis: Validation and application. Arthritis Res Ther 2004;6:169-180.
  8. Peter M, van der Kraa WB, van den Berg WB. Review: Osteophytes relevance and biology. Osteoarthritis and Cartilage 2007;15: 237-244.
  9. Felson DT, Lawrence RC, Dieppe PA. Osteoarthritis: New Insights. Part 1. The disease and its risk factors. Ann Intern Med.2000;133:635-46.
  10. Dieppe PA. Osteoarthritis: Clinical Feature. In: Klippel JH, Stone JH, Crofford LJ, White PH, editors. Primer on the rheumatic diseases. 13th ed. Arthritis Foundation: New York; 2008. p. 224-228.