Exam 2 DJD Hands, Feet, Shoulder, Hip

Question 1

What are thr four categories of Arthridies?

Answer 1

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

Question 2

What are the ABCDS of joint diseases?

Answer 2

Alignment
Bone
Cartilage
Distrubution
Soft Tissues

Question 3

What is the Law of Parsimony?

Answer 3

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

Question 4

What are the main targets of Degenerative Arthritis?

Answer 4

Weight Bearing Articulations

Question 5

Some risk factors of DJD?

Answer 5

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

Question 6

DJD progression/Developmetn

Answer 6

• abnormal articular forces promote loss of chondrotin sulfate
• Osteophytes

Question 7

What are some radiology features of DJD

Answer 7

• Subchindral cyst (geodes)

- Enthesopathy

Question 8

What is enthesopathy?

Answer 8

Pathological osseous proliferation at tendon or ligament insertion

Question 9

Who is more likely to get DJD in the hands?

Answer 9

Middle aged Potmenopasual women

Question 10

What are some findings for DJD in the hands?

Answer 10

• Heberden Nodes
• Bouchards Nodes
• Gull Wing

Question 11

DJD in the hands mostly targets this area

Answer 11

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

Question 12

Gull Wing in DIP joints is a classic radiological finding of

Answer 12

Erosive Osteoarthritis

Question 13

Who is more common to get erosive osteoarthritis?

Answer 13

Middle Aged Females

Question 14

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

Answer 14

1st MTP

Question 15

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

Answer 15

Hallux Rigidus

Question 16

Where is the MC area of DJD in the shoulder

Answer 16

• Glebohumeral joint

- requires prior trauma

Question 17

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

Answer 17

Acomioclavicular Join

W/o prior trauma

Question 18

What are some radiological findigns of shoulder imingement?

Answer 18

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

Question 19

Shoulder impingment can also be called

Answer 19

Rotator Cuff Arthropathy

Question 20

What is HADD?

Answer 20

Hydroxyapatite Depostion Disease

Question 21

What is a radioloical finding for HADD

Answer 21

Depostion of Calcium within tendons and bursa

Question 22

Where is HADD more commonly seen?

Answer 22

Supraspinatus tendon

Question 23

Where is DJD of the knee most commonly at?

Answer 23

Medial tibiofemoral compartment

Question 24

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

Answer 24

Genu Varus

Question 25

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

Answer 25

Subcondral Cyst

Question 26

What is HADD of the knee called

Answer 26

Pelligrini-Steida Calcification

Question 27

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

Answer 27

Medial Tibial Collateral Ligament

Question 28

This is multiple loose intra-articualr bodies in the knee

Answer 28

Synovial Osteochondrometaplasia

Question 29

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

Answer 29

Pigemnted Villonodular Synovitis

Question 30

Pigemented Villonodular Synovitus is most commonly in this area

Answer 30

knee

Question 31

Some radiological findings of Pigmented Vilionodular Synovitus are

Answer 31

- Apple core Defromity - in tight joints - lobulated masses

Question 32

Some radiological findings of DJD of the hip are

Answer 32

- Subcondral cyst (Eggar's Cyst) | - Buttresting

Question 33

What is buttresting?

Answer 33

Thibkened cortex at the medial femoral neck

Question 34

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

Answer 34

Malum Coxae Senilis

Question 35

Acetabular Protrusion can be evaulated through

Answer 35

Kohlers Line

Question 36

Neurotrophic Arthropathy is MC caused by

Answer 36

diabetes

Question 37

Some sysmptoms that can be associated with neutrophic Arthropathy are

Answer 37

- Swollen painful ankles | - Decreased pain sensation and proprioception

Question 38

Radiological findings for neuotrophic Arthropathy are

Answer 38

-"bag of bones"

Question 39

What are the two categories of Neurotrophic Arthropathy

Answer 39

Hypertrophic | Atrophic

Question 40

What are the joints MC affected by Hypertrophic Neurotrophic Arthropahty

Answer 40

Weight Bearing Joints

Question 41

What are the 6 Radiological findings for hypertrophic neurotrohic Arthropathy

Answer 41

``` Distended Joints Density Increases Debris Disloation Disorganization Destruction ```

Question 42

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

Answer 42

Lisfranc Joint (tarsometatasal)

Question 43

What are the joints affected by Atrophic Neuotrophic Arthropathy

Answer 43

Non weight bearing joints

Question 44

What is the radiological finding for Atrophic Neuroptrohic Arthropathy

Answer 44

Cutt off sign