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CONTACT US
Reuben Gobezie, M.D.
Director, Cleveland Shoulder Institute University Hospitals of Cleveland
Fellowship Director, Cleveland Akron Shoulder & Elbow Fellowship (CASE)
Head, Cartilage Transplant Center of Cleveland
Phone Numbers
Appointments: (216) 844-7200
Office Number: (216) 844-7093
FAX Number: (216) 844-5970
Email: Reuben.Gobezie@UHhospitals.org
Office Locations
UHHS Chagrin Highlands Medical Center
3909 Orange Place
Orange Village, OH 44122
County: Cuyahoga-East
Phone Number: (216) 844-7093
Fax Number: (216) 844-5970
Directions To Our Office
University Suburban Health Center
1611 S. Green Road
South Euclid, OH 44121
Phone Number: (216) 844-7093
Fax Number: (216) 844-5970
Directions To Our Office
University Hospitals
Westlake Campus
960 Clague Road
Westlake, OH
Directions To Our Office
UHHS Bedford Medical Center
44 Blaine Ave
Cleveland, OH 44146
Phone Number:(216) 844-7093
Directions To Our Office
8819 Commons Boulevard
Twinsburg, OH 44087
Phone Number:(216) 844-7093
Directions To Our Office
University Hospitals Mentor
9000 Mentor Ave
Mentor, OH
Directions To Our Office
UH Richmond Medical Center
27100 Chardon Rd
Richmond Hts, OH 44143
Phone: (216) 844-7093
Fax: (216) 844-5970
Directions To Our Office
UH Concord Health Center
7500 Auburn Rd
Concord, OH 44077
Directions To Our Office
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History
Patients with knee arthritis usually describe a gradual onset of
knee pain, restricted motion and activities, and pain at rest.
The
physical examination
Findings of knee arthritis may include:
painful gait on the involved side which causes a limp.
a
a knock-kneed or bowlegged condition.
Most often there is a loss of complete extension (flexion
contracture), and the inability to fully bend the knee.
Very often there is swelling.
Frequently bone spurs may be felt
on the inside or outside of the joint.
When the knee is moved through
a range of motion, crepitus is present.
There is usually tenderness around
the inside and outside portions of the joint line.
It is important to distinguish knee arthritis from hip arthritis
or disc degeneration in the lumbar spine, since the symptoms are similar.
Diagnostic
test and imaging
Usually, plain X-rays will show the presence of arthritis and any
abnormalities in the alignment of the lower leg and changes in the
mechanical axis. MRI scanning is usually not necessary to diagnose
knee arthritis. There are four classic features of knee arthritis:
- Joint space narrowing
- Flattening of the femoral
condyle (the end of the femur)
- Subchondral sclerosis
(reactive bone thickening)
- Peripheral bone spur formation
 
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