<p><strong>Swelling:<br /></strong>Using the unaffected contralateral joint for comparison (when possible), look at and palpate both joints in flexed and extended positions to determine the amount ( and location of swelling and clarity of bony landmarks). Bony overgrowth alone or tissue edema should NOT be classified as swelling.</p>
<p><strong>Duration of Swelling:<br /></strong>This item is to capture chronic synovitis. Ask the patient (or parent) how long the swelling has been present. If the patient or parent is unclear and previous musculoskeletal examinations are available, note whether swelling was observed at previous times. If still unsure, score 0 and note in comments.</p>