OA treatment Flashcards
Most commonly effected joints in OA
Knees
Hips
Small hand joints
What causes OA
failed / reduced activity of repair processes causing cartilage loss and remodelling of adjacent bone
OA signs and symptoms
Joint pain
Morning stiffness <30mins
Joint instability or buckling
Loss of function
Crepitus on motion
Bony enlargements at joints
Limited range of motion
Muscle atrophy or weakness
Malalignment/joint deformity
OA lifestyle changes
Exercise
Weight loss
Suitable footwear
Walk at appropriate speed
Non pharma OA treatments
Exercise
Transcutaneous electrical nerve stimulation
Orthopaedic insoles
Walking stick
Anti inflam diet
Thermotherapy
Omega 3
OA Pharma treatment
Analgesia - paracetamol, NSAIDS, COX-2 inhibitor
IA Corticosteroid injections
What drug type is celecoxib
COX-2 inhibitor
Are COX-2 inhibitors types of NSAIDS
Yes
Why are PPIs given with NSAIDS
NSAIDs effect gastric mucosa
OA surgical treatments ents
Arthroscopic lavage
Arthroscopic lavage + debridement
Microfracture
Mosaicplasty
Chondrocyte graft
Osteotomy
Joint replacement
What type of joint can arthroscopy be performed on
Large joints
Arthroscopy
a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope
Arthroscopic knee washout and debridement
Knee washout - wash out synovial fluid and bits of cartilage in it
Debridement - remove and wash out frayed meniscus and cartalage
Microfracture
Drilling into subchondral bone and bone marrow pluripotent stem cells to stimulate articulate cartilage repair -> forms fibrocartilage
Does microfracture expose red or yellow bone marrow
Red