Osteoartgritis Flashcards
Where are herbedens nodes in osteoarthritis?
Distal interpharyngral joints
What nodes are found at the PIPs in osteoarthritis?
Bouchards nodes
What joints are often affected in hands in osteoarthritis?
DIPS (Herbedens), Bouchards (PIPs), CMC = base of thumb
What is another common cause of CMC joint problem?
Gout
What gait is only seen in severe osteoarthritis of the hip
Trendelenburg
Risk factors for osteoarthritis
Genetic - ligament laxity, joint misalignment
Demographic - older, female
Mechanism - injury, ligament problems. Inter articular fractures
Where is movement restricted in hip osteoarthritis
Internal rotation when hip flexed
Where is pain in hip osteoarthritis?
Deep anterior groin pain
What can happen with knee osteoarthritis?
Giving way
Locking
Decreased flexion and extension
First line for osteoarthritis
NSAIDS - local
Referrals for osteoarthritis
PT, OT
Podiatrist
Orthopaedics
When does OA occur?
Imbalance between joint breakdown and sufficient repair process
What is found in the cartliage of joints in people with OA?
IL-1,, TNF alpha, protease enzymes -> cartliage damage
Non pbarmacological management OA
Exercise
Education and advice
Weight loss
Physiotherapy
TENS
Aids and devices
Medications used in OA
Simple analgesia for symptom relief - paracetemol
Topical capsacin
NSAIDs - topical or ora (+PPI)
Weak opioid eg codeine
Intra-articular corticosteroid injections
