“…Degenerative disease is the most common manifestation, and crepitus on clinical examination the most common finding (Bluestone et al ., 1971; Kellgren et al ., 1952; Detenbeck et al ., 1973; Holt, 1981). The acromegalic arthropathy affects both axial and peripheral sites and is generally non‐inflammatory (Detenbeck et al ., 1973; Holt, 1981), although it frequently develops features of osteoarthritis in later stages of the disease (Waine et al ., 1945; Kellgren et al ., 1952; Bluestone et al ., 1971; Detenbeck et al ., 1973; Holt, 1981; Johanson et al ., 1983).…”