OA - Hip, Knee + Generalised OA

Question 1

Hip OA;
More common in ?, ? at presentation.
Generally does poorly and requires ?
.
On examination;
0 Painful and decreased ? and ? ? of the hip.
o Positive ? test ('sound side ?' ).

Answer 1

men
unilateral
arthroplasty
internal
external
rotation
trendelenburg
sags

Question 2

Knee OA;
- Strong relationship with ?, with other risk factors being previous ? or knee ? ?injuries.
Often ?, and most commonly leads to ? ? deformities due to medial disease.
Classically on examination there will be a moderate ?, decreased ???, ? and ?wasting.

Answer 2

obesity
trauma
soft tissue
bilateral
genu varus
effusion
ROM
crepitus
quads

Question 3

Generalised OA is much ? common. There are several subtypes

Erosive OA;
Rare, with characteristic ? seen on XR and a ?prognosis.

Answer 3

more
cysts
poor

Question 4

Crystal Associated OA;
? ? deposition in the cartilage leads to ? (pseudogout).
This can be ?, or lead to the signs/symptoms of OA.
? and ? are most commonly affected.

Answer 4

ca pyrophosphate
chondrocalcinosis
aSx
knee
wrist

Question 5

Nodal Generalised OA ;
- Joints of the ? are affected one by one over many ?, first presenting with ? swelling are impairment of ?.
o Classically presents in ?women.
o ? tendency, thought to have an ? aetiology

Answer 5

hand
years
painful
function
menopausal
familial
autoimmune

Question 6

Nodal Generalised OA ;
???s affected much more than ???s, and the inflammatory phase settles after ?/? to leave ? bony swellings posterolaterally;
—-o ? (DIPs) and ? (PIPs) nodes.
—-o ? is generally still good.

Answer 6

DIP
PIP
months/years
painless
heberdens
bouchards
fx

Question 7

Nodal Generalised OA ;

OA of the ??? and ??? joints of the ? also occur, with ? swelling and fixed ? leading to the classical ‘? hand’ in OA.
o The other ???? are generally spared.

There is generally also ? joint involvement

Answer 7

CMC
MTP
thumb
bony
adduction
squared
MCPJ
large