20 - Osteoarthritis

Question 1

MDT involved in managing osteoarthritis?

Answer 1

GP, nurse, physoitherapist, orthopaedic surgeon, dietician, OT

Question 2

define osteoarthritis?

Answer 2

tear, flare, repair

Question 3

give 4 biomechanical factors to osteoarthritis?

Answer 3

abnormal anatomy, intra-articular fracture, occupation (farmers/footballers), meniscal injury

Question 4

3 RFs for osteoarthritis?

Answer 4

elite running, obesity, persistent heavy physical activity

Question 5

3 mechanisms of inflammation involved in osteoarthritis?

Answer 5

synovial hypertrophy, subchondral changes, joint effusion

Question 6

what factors are associated with osteoarthritis?

Answer 6

IL-1beta, TNF alpha, MMPs

Question 7

diagnosis criteria for osteoarthritis?

Answer 7

45+ years, activity-related joint pain PLUS either -

1 - has either no morning joint-related stiffness OR 2 - morning stiffness that lasts no longer than 30 minutes

Question 8

name 4 red flags of osteoarthritis?

Answer 8

trauma, prolonged morning-related stiffness, rapid deterioration of symptoms, hot, swollen joint

Question 9

name 4 differentials?

Answer 9

gout, other inflammatory arthritides, septic arthritis, malignancy

Question 10

lifestyle modifications?

Answer 10

weight loss, exercise, patient education

Question 11

name 4 non-pharmacological treatments?

Answer 11

thermotherapy, electrotherapy, aids and devices, manual therapy

Question 12

name 2 lines of pharmacological treatments for osteoarthritis?

Answer 12

1) oral analgesia - paracetamol, NSAIDs

2) topical treatments - NSAIDs, capsaicin

Question 13

benefit of surgical referral?

Answer 13

substantial impact on QoL

Question 14

what is involved in surgical treatment?

Answer 14

joint replacement surgery

Question 15

when should surgery be considered?

Answer 15

when other options have been exhausted/ when QoL is suffering