KCP: Osteoarthritis

Question 1

General Osteoarthritis risk factors

Answer 1

Genetics
Developmental Abnormalities
Repetitive Loading
Adverse Biomechanics
Obesity
Female predisposition
Trauma
Hormonal

Question 2

Charicteristic distribution of Osteoarthritis

Answer 2

Hips
Knees
PIP and DIP joints of the hands
Neck
Lumber

Question 3

Symptoms and Signs of Knee/Hip/Shoulder Osteoarthritis

Answer 3

Pain:

Insidious onset
Variable or intermittent nature
Related to movement or weight bearing
Relieved by rest

Clinical Signs:

Restricted movement
Swelling around joints margins
Joint-line tenderness
Muscle weakness/ wasting
Visible with imaging

Question 4

Generalised Nodal Osteoarthritis, what is it?

Answer 4

This is the one occuring in the fingers

Affects the PIP and DIP joints

Question 5

Osteoarthritis Pathology

Answer 5

Question 6

This is an X-ray of a healthy knee and a knee with osteoarthritis. Identify the differences and features of the osteoarthritis knee

Answer 6

Question 7

This is an X-ray of a healthy hip and a hip with osteoarthritis. Identify the differences and features of the osteoarthritis hip

Answer 7

Question 8

Generalised Nodal Osteoarthritis, what are the risk factors

Answer 8

Risk factors:

Peak onset in middle age
Strong genetic predisposition
Female predisposition

Question 9

Generalised Nodal Osteoarthritis, what are the clinical signs

Answer 9

Clincial signs:

Pain in hands, particularly in the morning or while active e.g. opening jars
Goes through episodic symtoms while it is developing (1-5years)
However once it is fully developed symptoms often reside and funtionality of the hand remains good
Heberdens/ Bouchards nodes
Visible with imaging