osteoarthritis Flashcards
what type of disease is OA?
degenerative
what causes OA?
articular cartilage thinning or loss
what are the features of OA?
worse on activity
morning stiffness <30 minutes
crepitus
DID/PIP joints
what will be seen on x-ray in OA?
LOSS
Loss of joint space
Osteophytes
Subchondral sclerosis
Subchondral cysts
what is the management of OA?
topical NSAIDs + paracetamol
oral NSAIDs
IA steroids
replacement
where does OA begin?
hyaline cartilage
what is a clinical sign of OA?
herberden’s nodes
what treatment can you do for OA in older population who are less mobile?
hemiarthroplasty
does OA present with bilateral or unilateral symptoms?
unilateral
is there systemic upset in OA?
no
what treatment can you do in an elderly patient who is mobile?
total arthroplasty - total hip replacement
what are the examination features of OA?
joint line tenderness
crepitus
joint effusion
bony swelling
deformity
limited movement
what causes crepitus in OA?
fluid in the joint, bones rub together making a cracking sound
what causes bony swelling in OA?
osteophytes
what specific clinical feature is seen in knee OA?
baker’s cysts
