Cryptic crossword clue
Ropey sore throat? It is what makes articulation difficult 14

The most common and most likely answer to this crossword clue is the 14 letter word OSTEOARTHRITIS

I've seen this crossword clue in Financial Times
O
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Buddy explains!

The straight part
We know that "what makes articulation difficult" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case what makes articulation difficult = osteoarthritis.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does OSTEOARTHRITIS mean?

OSTEOARTHRITIS noun
  1. A form of arthritis, affecting mainly older people, caused by chronic degeneration of the cartilage and synovial membrane of the joints, leading to pain and stiffness.

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