28: OA / DJD Flashcards
two major cytokines that drive synovial inflammation
IL-1B, TNF-a
Heberden vs Bouchard nodes
- Heberden: on DIP
2. Bouchard: PIP
ESR in OA
may be elevated with synovitis
normal joint fluid appearance
straw/clear colored with god viscocity
Erosive OA
MC in women, affects DIP and PIP with more pain than typical OA
radiograph of erosive OA
seagull appearance in finger joints
DISH: diffuse idiopathic skeletal hyperostosis
calcification and ossification of spinal ligaments + enthesis (tendon and ligs attach to bone)
sx of DISH
back pain and stiffness in T-spine, more in men
XR of DISH
ossifications in 4+ contiguous vertebal levels, usually on right side of spine
two intra-articular injections for OA
glucocorticoids, hyaluronic acid