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Jess H. Lonner, MD, Discussant

JAMA. 2003;289:1016-1025.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR SHIP: Mr V is a 57-year-old man who has had knee pain for at least 30 years. He lives in Boston with his wife, with whom he owns and runs a business. He has managed care insurance and sees his primary care physician, Dr P, at Beth Israel Deaconess Medical Center.

Mr V dates the onset of his left knee problems to a soccer injury at age 26. He was diagnosed with rupture of 2 ligaments and underwent a course of physical therapy. His pain diminished over time, but he was aware that his left knee was never again at "100%." He continued his active athletic life, which included soccer, bicycle racing, and running at least 3 times per week. About 15 years ago, however, pain in his left knee recurred and became severe enough that he stopped running and moved largely . . . [Full Text of this Article]

MR V: HIS VIEW

DR P: HIS VIEW

AT THE CROSSROADS: QUESTIONS FOR DR LONNER

Epidemiology of OA of the Knee

Natural History

Causes

Presenting Symptoms

Physical Examination

Diagnostic Imaging

Nonsurgical Treatment Options

Medications

Surgical Options

Arthroplasty Options for Tibiofemoral Arthrosis

Recommendations for Mr V

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Lonner is attending orthopedic surgeon, Pennsylvania Hospital, Philadelphia.

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