Arthritis 2 - OA Flashcards
epi of OA
75% of all arth
- knee most common leadin to dis
- on the rise
3 reasons OA on the rise
- obesity
- less activity
- incr. age of pop
2 general patterns of OA
- localized
- hand
- knee
- hip - generalized
- 3+ joints
OA on the spine?
common
- in facet joint
- degen disc disease in lumbar spine
what is OA not
- inevitable part of aging
- degenerative disease
what is OA
progressive disease of synovial joints from failed repairs of damage reulting from stresses on the joint
2 general patterns of pathogenesis
- abnormal stress on normal physiology
2. normal stress on abnormal physiology
what are age related joint diseases
- thinning cart
- less responsive to growth factors
- muscle weakness
- slower reaction times
what is sex diff
F 2x as M
- hormones
- body shape
- genes
- social?
what does genes determine
50% of hip, hand, general OA
less for knee
how does joint load impact
normal joint loading is okay, but when becomes abnormal somehow, then get the problems
6 factors that neg. affect the joint load
- alignment (mal)
- laxity of knee joint
- nerve damage
- joint injury
- joint deformity
- neuromusc. function
what is obesity related to
knee and hand
- less hip
- stronger relate for women
3 possible cont. of obesity
- malalignment
- overloading
- cytokines
3 ways to make a diagnosis of OA
- imaging
- Sx
- exam