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PLoS Medicine Issue Image | Vol. 22(2) March 2025

Knee osteoarthritis (OA) is a leading cause of pain worldwide. Although exercise can improve symptoms, joint replacement surgery is often used to treat OA. In this study, Belinda J Lawford and colleagues analyzed whether the use of X-ray imaging during diagnosis influences how OA is managed. In this randomized controlled trial, participants were asked to imagine that they went to a general practitioner with a painful knee. They then received an knee OA diagnosis either based on clinical symptoms or based on X-ray images. The use of X-rays during diagnosis increased the belief of participants that they needed joint replacement surgery. This study therefore suggests that the method of diagnosis could impact OA management practices.

Image Credit: Tung Lam, pixabay

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Knee osteoarthritis (OA) is a leading cause of pain worldwide. Although exercise can improve symptoms, joint replacement surgery is often used to treat OA. In this study, Belinda J Lawford and colleagues analyzed whether the use of X-ray imaging during diagnosis influences how OA is managed. In this randomized controlled trial, participants were asked to imagine that they went to a general practitioner with a painful knee. They then received an knee OA diagnosis either based on clinical symptoms or based on X-ray images. The use of X-rays during diagnosis increased the belief of participants that they needed joint replacement surgery. This study therefore suggests that the method of diagnosis could impact OA management practices.

Image Credit: Tung Lam, pixabay

https://doi.org/10.1371/image.pmed.v22.i02.g001