Osteoarthritis

Question 1

Patho physiology
4 steps
Affected area

Answer 1

Progressive articular cartilage degeneration occurs quicker then repair process

Erosions cracks appear in superficial layer of cartilage

These erosions and cracks go deeper

Osteophyetes develop at joint margins

Hands knees feet

Question 2

Clinical Features: X-ray and 6

Answer 2

X-ray: joint narrow, osteophytes, subchondral sclerosis

Pain
Stiffness around joint
Soft tissue swelling 
Nodes (herbens or bouchords)
Crepitus
Reduced ROM

Question 3

Aims of management 4

Answer 3

Reduce pain
Increase function
Increase quality of life
Prevent progression

Question 4

Non pharm treatment 8

Answer 4

Education
Obesity(weight diet exercise)
OT daily living
Footwear 
Orthoses
Walking aids
Discuss impacts depression
Surgery fusion

Question 5

Pharmological treatment

Answer 5

NSAIDs: ibuprofen/Neurofen gel

Glucocorticoid steroids injections
Prednisone

Question 6

Aietology

4 predisposing factors
3 initial

Answer 6

Initial: Trauma Infection Bmx
Pre: Age, Obesity, Family Hx, Hypermobility

Question 7

Large joint Oa
Risk factors
4

Answer 7

Previous hip disease
Trauma
Occupation
Acetabulat dysplasia
Avascular nextosis of femoral head

Question 8

Crystal associated Oa

What is it

Answer 8

Crystal particles found in synovial fluid of Oa calcium phosphate dihydrate (cppd) aka pseuodogout

Question 9

Erosive Oa
Ehat is it
4

Answer 9

Incommom
Hand involvement
Joint ankylosis
Red inflammation
Functional impariment