Management of Upper Limb Arthritis Flashcards
name the joints of the elbow
ulnohumeral
radiocapitellar
name the joints of the wrist
radiocarpal
distal radioulnar
name the joint of the thumb
trapeziometacarpal joint
inflammatory causes of upper limb arthritis?
RA
psoriasis
gout
most common shoulder joint to become arthritic?
acromioclavicular
management of sternoclavicular arthritis
physio
injection
main causes of acromioclavicular arthritis?
trauma
impingement
management of acromioclavicular arthritis?
injection
excision
causes of glenohumeral arthritis?
cuff tear
instability
previous surgery
idiopathic
clinical presentation of glenohumeral OA?
pain
crepitus (grinding)
loss of movement, especially external rotation
can you replace a shoulder?
yes
complications of shoulder replacement?
infection instability stiffness nerve damage loosening
how can you get OA from a rotator cuff tear?
deltoid moves humeral head up after the tear causing it to grind and get OA
what does a reverse geometry shoulder replacement do?
reverses ball and socket
lengthens deltoid to stop upward migration of humeral head
is reverse geometry shoulder replacement successful?
not as good as THR or TKR
which elbow joint is most commonly affected by OA?
radiocapitellar
is RA or OA of elbow most likely to cause instability
RA
why is it best to excise the radial head in radiocapitellar OA
it is a secondary not primary stabiliser
best candidates for an elbow replacement?
old people who won’t move it alot
what arthritis is tendon rupture and synovitis common in?
RA
what surgery can be done for RA in arm?
synovectomy
tendon realignment
replacement
fusion
most common post traumatic OA of wrist?
scapholunate advanced collapse (SLAC)
2nd most common post traumatic OA of wrist?
scaphoid nonunion advanced collapse (SNAC)
no.1 joint in body for OA?
DIP
clinical presentation of small joint OA?
DIP involvement
heberdens nodes
oslers nodes
no.2 site in body for OA?
base of thumb OA
base of thumb OA results in subluxation of which joint?
CMC joint
treatment for thumb cmc joint OA?
rest analgesia splint capsaicin gel surgery
which arthritis is dactylitis most common in
psoriatic
which arthritis presents with pencil in cup deformity on x ray?
psoriatic
most common areas affected in psoriatic arthritis?
hips
knees
hands
wrists
what happens in boutonniere?
extensor hood of PIP joint becomes attenuated which causes it to flex
get hyperextension of DIP
treatment for tendon deformities?
splintage
surgery
