Osteoarthritis Flashcards

1
Q

definition of osteoarthritis

A

degenerative, inflammatory process causing progressive loss of hyaline cartilage

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2
Q

pathogenesis (how is develops)

A

cartilage loss on weight bearing surfaces
subchondral sclerosis & cysts
osteophytes
synovitis capitis
decreased motion
angular limb deformities
abnormal forces on joint surface
septic arthritis
disturbances in cartilage development

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3
Q

what causes a disturbance in cartilage development

A

OCD
genetic predisposition
feeding managment

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4
Q

composition of hyaline cartilage

A

chondrocytes
water
collagen type II
GAGs
hyaluronic acid chains

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5
Q

normal extracellular matrix

A

balance between production - reparation and degradation

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6
Q

PSGAG

A

negatively charged and binds to water. less psgag = decreased h20 binding capacity

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7
Q

what produces hyaluronic acid

A

type b synoviocytes and chondrocytes

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8
Q

function of stratum fibrosum

A

stability and motion

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9
Q

function of stratum synoviale

A

synovial production

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10
Q

clinical signs of osteoarthritis

A

joint effusion
lameness
decreased motion in joint
changes in synovia
cartilage damage
new bone formation

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11
Q

diagnosis of OA

A

visual
palpation
provocating tests
perineural & intrasynovial anaesthesia
arthrocentesis
US
CT
MRI
scintography
arthroscopy
xray

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12
Q

2 main regions of OA

A

DITJ - distal intertarsal joint
TMTJ - tarsometatarsal joint
AKA bone spavin

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13
Q

pathogenesis of bone spavin

A

occurs in adults
recurrence of compression and rotation
conformational abnormalities
metabolic causes - protein and mineral imbalance

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14
Q

clinical symptoms of bone spavin

A

acute onset of lameness
shortened cranial phase of stride
low arc of foot flight
palpable bony swelling
+ve hock flexion test
outside hoof wears off

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15
Q

diagnosis of bone spavin

A

clinical signs
diagnostic anaesthesia - TibFib

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16
Q

xray examiniation of bone spavin

A

osteophyte formation
cyst like lesions
bone sclerosis
narrowing of joint space
ancylosis

17
Q

treatment of bone spavin

A

injection into tarsometatarsal joint
cunean tenectomy
chemical advancement of arthodesis
surgical arthrodesis
orthopedic shoeing
cyrotherapy
fieringq

18
Q

normal leucocytes in synovia

A

<500 (0.5g/l)

19
Q

leucocytes in synovia for OA

A

<1000 (1g/l)

20
Q

leucocytes in synovia for septic joint

A

20-200G/l

21
Q

treatment for OA

A

drugs
stem cell therapy
polyacrylamide hydrogel
arthrotomy
arthroscopy
synoviectomy
chondroplasty
arthrodesis
supplements

22
Q

drugs for OA

A

nsaids
corticosteroids
na hyaluronate
psgags
irap
tidren