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Orthopedics Final > Management of OA > Flashcards

Management of OA Flashcards

1
Q

What is OA?

A

deterioration of articular cartilage and bone

inflammation secondary to disease

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2
Q

how does OA occur?

A

synovial fluid is secreted but has nowhere to go with cartilage deterioration

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3
Q

what is OA significance?

A

highest morbidity

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4
Q

what can affect pain in OA?

A

improves after exercise + after rest

worsens after forceful gripping or pinching

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5
Q

what are the most commonly involved jts?

A

knees, hips, PIP/DIP, CMC, spine

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6
Q

purpose of OT for OA?

A

teach self management of sys
splinting (immobilization)
tools
modify environment

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7
Q

how does weight affect OA?

A

increased weight = worse OA

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8
Q

how to tx pts with LE OA?

A

find movements/ADL’s that are difficult to complete

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9
Q

which jt affects ADL performance like grip?

A

CMC

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10
Q

which are the most symptomatic jts?

A

PIP, DIP, CMC

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11
Q

What are Heberdon’s nodes?

A

osteophytes at DIP

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12
Q

What are Bouchard’s Nodes?

A

osteophytes at PIP

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13
Q

who has more sys?

A

women

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14
Q

what to look for in OA of the hand?

A

tendon pain, swelling, lag, crepitis

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15
Q

what tests are done to check hand OA?

A

finkelstein test: thumb in fist, ulnar deviate

grind test: push thumb into trapezius

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16
Q

what occurs during CMC OA?

A 
STT arthritis (scaph, trap, trap)
signs: bony enlargement deformity
17
Q

CMC jt splint for OA?

A

C bar
less support
fingers and wrist free

18
Q

what modalities to use on acute OA inflammation?

A

cold
electrical stim
superficial heat

19
Q

what modalities to use on chronic OA inflammation?

A

ultrasound

20
Q

what to use for stiffness in OA?

A 
soft splint
tubigrip
isotoner glove
coban
warm water exercise
21
Q

how to increase ROM in OA?

A

heat and gentle stretch

HEP

22
Q

how to increase strength in OA?

A

strengthen specific jts
moderate load
walking for cardio

Orthopedics Final (8 decks)

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