Siegmeth W
Wien Med Wochenschr. 1982 Dec 31;132(23-24):577-80.
Inflammatory and degenerative joint diseases show a characteristic local picture. So it is recommended that a joint examination of the joint movement extent alone is not sufficient, all articular and periarticular structures must be included. In this way it is possible to differentiate on a clinical basis inflammatory and degenerative arthropathies and also to determine the stage of inflammation. Including the joint pattern, the findings of the general examination and the case history of arthropathy can be mostly diagnosed as a distinct type of rheumatism. The directed laboratory and X-ray examination confirms the diagnosis which already has been made clinically. Therefore the physical examination of the joints is of greatest importance in rheumatology.
炎性和退行性关节疾病呈现出特征性的局部表现。因此，建议仅对关节活动范围进行关节检查是不够的，必须涵盖所有关节内和关节周围结构。通过这种方式，在临床上有可能区分炎性和退行性关节病，并确定炎症阶段。结合关节模式、全身检查结果以及关节病病史，大多可诊断为某种特定类型的风湿病。针对性的实验室检查和X线检查可证实已做出的临床诊断。因此，关节的体格检查在风湿病学中至关重要。
