Flashcards in Osteoarthritis Deck (7):
Disorder of synovial joints characterised by:
-focal damage to articular cartilage
-remodelling of underlying bone and formation fo osteophytes at joint margins.
Progressive joint disease. Failed repair of damage. Intra articular stress initiated by eg abnormal, cartilage, subchondral bone, ligament, menisci, periarticular muscle, peripheral N, or synovium.
Results in breakdown of cartilage and bone.
Pain- worse on movement and at end of day. Background pain at rest.
Stiffness and instability at joints.
Generalised disease- heberdens nodes common at DIP, CMC, knee.
Reduced range movement
- XR (LOSS vs RA LESS)
Loss joint space
Primary or idiopathic.
Crystal arthropathies eg gout, pseudogout.
Joint protection, assistive, splint, thermal.
Steroid and hyaluronic acid joint injections
Joint replacement, arthroscopy, ostetomies, athrodesis, athroplasty.