Osteoartheritis

Question 1

Definition of osteoatheritis?

Answer 1

Osteoatheritis is wear and tear in the joints it happened in synovial joints due to genetics, injury + wear and tear

Question 2

Risk factors of osteoatheritis?

Answer 2

Obesity
Age
Occupation
Trauma
Female
Family history

Question 3

Key X-ray changes to look for in osteoatheritis?

Answer 3

L: Loss of joint space
O: Osteophytes
S: Subchondral sclerosis
S: Subchondral cysts

Question 4

Commonly affected joints in osteoatheritis?

Answer 4

Hips
Knees
Sacro iliac joints
joints in hand
CMC joint ( thumb)
Wrist
Cervical spine

Question 5

Signs in the hand from osteoatheritis?

Answer 5

Heberdens nodes
Bouchards nodes
Squaring at base of thumb
Weak grip
Reduced range of motion
Carpo-metacarpal joint

Question 6

Diagnosis of osteoatheritis?

Answer 6

Investigate patient over 45
Joint related pain
No morning stiffness

Question 7

Managment of osteoartheritis?

Answer 7

Educate patient
Weight loss
Physiotherapy

Question 8

How to control symptoms of osteoatheritis?

Answer 8

Oral paracetamol, topical NSAID
NSAIDS ( omeprazol)
Opiates ( codine, morphine)
Intra-articular steroid injection
Joint replacement

Question 9

Where would harberden node be?

Answer 9

Distal interphalengial joint

Question 10

Where would Bouchard node be?

Answer 10

Proximal interphalengial joint