Exam 2 DJD Hands, Feet, Shoulder, Hip Flashcards
What are thr four categories of Arthridies?
- INflammatory
- Infection
- Degenerative
- Meatbolic
What are the ABCDS of joint diseases?
Alignment Bone Cartilage Distrubution Soft Tissues
What is the Law of Parsimony?
taking historical points and physcal findings and putting them together into one diagnosis
What are the main targets of Degenerative Arthritis?
Weight Bearing Articulations
Some risk factors of DJD?
Increases with age
females (hands and knees)
Obesity
inacitvity and excessive exercise
DJD progression/Developmetn
- abnormal articular forces promote loss of chondrotin sulfate
- Osteophytes
What are some radiology features of DJD
- Subchindral cyst (geodes)
- Enthesopathy
What is enthesopathy?
Pathological osseous proliferation at tendon or ligament insertion
Who is more likely to get DJD in the hands?
Middle aged Potmenopasual women
What are some findings for DJD in the hands?
- Heberden Nodes
- Bouchards Nodes
- Gull Wing
DJD in the hands mostly targets this area
-DIP**
-PIP
-1st metacarpel
not MPS
Gull Wing in DIP joints is a classic radiological finding of
Erosive Osteoarthritis
Who is more common to get erosive osteoarthritis?
Middle Aged Females
Where is the most common area to get DJD in the foot
1st MTP
This is DJD of the foot when there is pain and stiffness of the the 1st MTP
Hallux Rigidus
Where is the MC area of DJD in the shoulder
- Glebohumeral joint
- requires prior trauma
Where is the 2n MC area of DJD in the shoulder
Acomioclavicular Join
W/o prior trauma