“…A tape measure and a goniometer are used in the examination of the knees, ankles, elbows, and hips for the presence of edema, atrophy, crepitus, flexion contractures, axial deformities, loss of range of motion and instability; points are assigned to each finding, according to severity and are summed. A score of zero denotes normal joints; 68 points corresponds to the worst level of arthropathy (17,18) . …”