Exam 2 DJD Hands, Feet, Shoulder, Hip Flashcards

1
Q

What are thr four categories of Arthridies?

A
  1. INflammatory
  2. Infection
  3. Degenerative
  4. Meatbolic
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2
Q

What are the ABCDS of joint diseases?

A
Alignment
Bone
Cartilage
Distrubution
Soft Tissues
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3
Q

What is the Law of Parsimony?

A

taking historical points and physcal findings and putting them together into one diagnosis

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4
Q

What are the main targets of Degenerative Arthritis?

A

Weight Bearing Articulations

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5
Q

Some risk factors of DJD?

A

Increases with age
females (hands and knees)
Obesity
inacitvity and excessive exercise

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6
Q

DJD progression/Developmetn

A
  • abnormal articular forces promote loss of chondrotin sulfate
  • Osteophytes
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7
Q

What are some radiology features of DJD

A
  • Subchindral cyst (geodes)

- Enthesopathy

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8
Q

What is enthesopathy?

A

Pathological osseous proliferation at tendon or ligament insertion

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9
Q

Who is more likely to get DJD in the hands?

A

Middle aged Potmenopasual women

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10
Q

What are some findings for DJD in the hands?

A
  • Heberden Nodes
  • Bouchards Nodes
  • Gull Wing
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11
Q

DJD in the hands mostly targets this area

A

-DIP**
-PIP
-1st metacarpel
not MPS

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12
Q

Gull Wing in DIP joints is a classic radiological finding of

A

Erosive Osteoarthritis

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13
Q

Who is more common to get erosive osteoarthritis?

A

Middle Aged Females

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14
Q

Where is the most common area to get DJD in the foot

A

1st MTP

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15
Q

This is DJD of the foot when there is pain and stiffness of the the 1st MTP

A

Hallux Rigidus

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16
Q

Where is the MC area of DJD in the shoulder

A
  • Glebohumeral joint

- requires prior trauma

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17
Q

Where is the 2n MC area of DJD in the shoulder

A

Acomioclavicular Join

W/o prior trauma

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18
Q

What are some radiological findigns of shoulder imingement?

A
  • elevation of the humeral head
  • Spurring at the acromion process
  • supraspinatus degeneration
19
Q

Shoulder impingment can also be called

A

Rotator Cuff Arthropathy

20
Q

What is HADD?

A

Hydroxyapatite Depostion Disease

21
Q

What is a radioloical finding for HADD

A

Depostion of Calcium within tendons and bursa

22
Q

Where is HADD more commonly seen?

A

Supraspinatus tendon

23
Q

Where is DJD of the knee most commonly at?

A

Medial tibiofemoral compartment

24
Q

What is the assymmetric loss of joint space in the medial compartment of the knee called?

A

Genu Varus

25
Q

What is another radiological finding of the midline of the knee?

A

Subcondral Cyst

26
Q

What is HADD of the knee called

A

Pelligrini-Steida Calcification

27
Q

What is the ligament thhat is affected by HADD of the knee?

A

Medial Tibial Collateral Ligament

28
Q

This is multiple loose intra-articualr bodies in the knee

A

Synovial Osteochondrometaplasia

29
Q

This is slow growing, bengin and locally invasive tumor/metaplasia of the synoivum

A

Pigemnted Villonodular Synovitis

30
Q

Pigemented Villonodular Synovitus is most commonly in this area

A

knee

31
Q

Some radiological findings of Pigmented Vilionodular Synovitus are

A
  • Apple core Defromity
  • in tight joints
  • lobulated masses
32
Q

Some radiological findings of DJD of the hip are

A
  • Subcondral cyst (Eggar’s Cyst)

- Buttresting

33
Q

What is buttresting?

A

Thibkened cortex at the medial femoral neck

34
Q

This is very advanced degeneration of the hip which can be secondary to congenital hip dysplasia?

A

Malum Coxae Senilis

35
Q

Acetabular Protrusion can be evaulated through

A

Kohlers Line

36
Q

Neurotrophic Arthropathy is MC caused by

A

diabetes

37
Q

Some sysmptoms that can be associated with neutrophic Arthropathy are

A
  • Swollen painful ankles

- Decreased pain sensation and proprioception

38
Q

Radiological findings for neuotrophic Arthropathy are

A

-“bag of bones”

39
Q

What are the two categories of Neurotrophic Arthropathy

A

Hypertrophic

Atrophic

40
Q

What are the joints MC affected by Hypertrophic Neurotrophic Arthropahty

A

Weight Bearing Joints

41
Q

What are the 6 Radiological findings for hypertrophic neurotrohic Arthropathy

A
Distended Joints
Density Increases
Debris
Disloation
Disorganization
Destruction
42
Q

If patient has diabetes and Hypertrohpic Neurotrophic Anrthropahy, is is MC in this area

A

Lisfranc Joint (tarsometatasal)

43
Q

What are the joints affected by Atrophic Neuotrophic Arthropathy

A

Non weight bearing joints

44
Q

What is the radiological finding for Atrophic Neuroptrohic Arthropathy

A

Cutt off sign