Joint and bone disease Flashcards

1
Q

3 classification of joints

A
  1. fibrous (skull)
  2. slightly moveable (teeth)
  3. synovial
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2
Q

contained in bone, ligaments, tendons, and cartilage

A

collagen

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3
Q

bone, ligament, tendon

A

type I collagen

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4
Q

hyaline cartilage

A

type II collagen

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5
Q

sacs that are enclosed and provide small amount of lubricating

A

bursae

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6
Q

covers the bone except the articular surfaces. Many pain nerve endings

A

periosteum

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7
Q

caused from previous injury, infection, hyperthyroidism, obesity, repetitive stress

A

secondary Osteoarthritis (OA)

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8
Q

OA where etiology is unknown

A

primary OA

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9
Q

degenerative arthritis without inflammation

A

osteoarthrosis

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10
Q

absorption of water by the cartilage that causes cracks to develop in the cartilage. cartilage breaks off into jt space

A

fibrillation

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11
Q

smooth and shiny appearance from the rubbing of bone on bone

A

eburnation

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12
Q

bony spurs

A

ostephytes

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13
Q
  • referred pain into the groin and quads
  • weak hip extensors and abductors
  • trendelenburg gait
A

OA of the hip

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14
Q
  • mm spasms in the hamstrings
  • genu valgus
  • quad atrophy
A

OA of the knee

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15
Q

cartilage or bone nodes that are tender and located on the PIPs

A

Bouchard’s nodes

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16
Q

cartilage or bone nodes that are tender and located on the DIPs

A

Heberden’s nodes

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17
Q

degenerative disease affecting the intervertebral discs discs. “arthritis of the spine” cervical

A

spondylosis

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18
Q

defect of the pars interarticularis of vertebrae in L5-S1 area. Less severe

A

spondylolysis

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19
Q

fracture of the pars and vertebrae slips anteriorly . most severe. avoid extension

A

spondylolisthesis

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20
Q

Spondy’s PT (2)

A
  1. posture

2. lumbar stabilizaiton

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21
Q

joint infected by a virus or bacteria. most common in young, old, immunosuppressed or those who use drugs

A

infective (septic) arthritis

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22
Q

present in patient w/ hemophilia who have hemarthrosis

A

hemophilic arthritis

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23
Q

transmitted by ticks. flu like symptoms.

A

lyme disease

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24
Q

crystal like formation within the jt from metabolic inability to process uric acid. big toe. X-linked genetic

A

gout

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25
Q

Bilateral, symmetrical arthritis. inflammatory, systemic, connective tissue, and autoimmune disease.

A

Rheumatoid Arthritis RA

26
Q

thought to be autoimmune, similar to Juvenile RA. more systemic symptoms that JRA

A

still’s disease

27
Q

disease more common in women and can be caused by reduction in estrogen

A

osteoporosis

28
Q

vitamin D, calcium, phosphate deficiency in childhood. Weak bones that bend

A

Rickets

29
Q

lack of vitamin D, calcium, phosphate absorption in adulthood

A

osteomalacia

30
Q

pediatric disease. Avascular necrosis of proximal femoral epiphysis

A

Legg-Calve-Perthes

31
Q

disease of bone where healthy bone is replaced with a solid structure

A

Paget’s disease

32
Q

inflammation of the bone caused by infection

A

osteomyelitis

33
Q

sexually transmitted disease when left untreated can spread to bone and nervous system

A

syphilis

34
Q

sexually transmitted disease with acute infectious arthritis. Causes distal jt pain

A

gonococcal arthritis

35
Q

benign cartilage tumors

A

chondroma

36
Q

malignant tumor of bone originating from cartilage

A

chondrosarcoma

37
Q

thickening and loss of elasticity of skin

A

scleroderma

38
Q

systemic disease that affects multiple organs. Butterfly rash on face

A

Systemic Lupus Erythematosus SLE

39
Q

chronic pain with multiple areas of jt and mm pain. High levels of substance p in spine

A

fibromyalgia

40
Q

chronic inflammation of major arteries

A

giant cell arteritis

41
Q

stiffness and pain in multiple areas of the body. often associated with giant cell arteritis

A

PMR

42
Q

localized w/ presence of trigger points. Pressure on trigger point results in pain referred to another site

A

myofascial pain syndrome

43
Q

autoimmune dysfunction. dysfunction of mucous membranes. inflammation of tear and salivary glands. dry eyes and sensitivity to light

A

Sjogren’s syndrome

44
Q
  • jt damage
  • severe pain
  • stiffness
    PT: strengthening and stretching
A

infective (septic) arthritis

45
Q
  • cartilage breakdown
  • sudden onset of pain
    PT: low impact exercise
A

hemophilic arthritis

46
Q
  • starts in great toe
  • inflammation
  • pain
    PT: jt mob contraindication during acute episodes
A

gout

47
Q

RA s/s finger-like projections in joint from chronic inflammation.

A

Pannus formation

48
Q

RA nonarticular s/s

A
  1. felty’s syndrome
  2. skin nodules
  3. scleritis
  4. sjogren’s syndrome
49
Q

Difference in pain between OA and RA

A

OA: pain when WB
RA: continuous pain

50
Q

Other differences between RA and OA

A

RA: bilateral and distal (hands)
OA: unilateral and proximal (knees)

51
Q

RA. hyperextension of the DIP, flexion of the PIP, hyperextension of the MCP

A

Boutonniere’s deformity

52
Q

RA. flexion of the DIP, hyperextension of the PIP

A

Swan-neck deformity

53
Q

RA jt deformities (3)

A
  1. ulnar drift
  2. trigger finger
  3. ankylosing spondylitis
54
Q

RA PT contra (3)

A
  1. pillows under knees
  2. forced stretch
  3. jt mobilization
55
Q
  • arthritis in multiple jts
  • skin rash
  • enlarged spleen and liver
    PT: reduce pain, functional independence
A

Still’s disease

56
Q

one-sided replacement of joint

A

hemiarthroplasty

57
Q

both articulating surfaces of jt replaced

A

Total arthroplasty

58
Q

fusion of jt which prevents motion

A

arthrodesis

59
Q

removal of a joint

A

resection arthroplasty

60
Q

OA PT

A
  1. trunk flexion and traction contra
  2. prevention education
  3. trunk extension