Osteoarthritis Flashcards

1
Q

What are some common sites for OA?

A

Knees
Base of thumb
Fingers
Cervical and lumbar spine

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2
Q

What are common examination findings in OA?

A

Weakness
Muscle wasting
Joint line tenderness
Bony swelling

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3
Q

What investigations may be done for a diagnosis of OA?

A

CRP, ESR - rule out inflammatory causes
FBC, renal - baseline
X-ray

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4
Q

What may an OA x-ray show?

A

Loss of joint space
Osteophytes
Subchondral bone sclerosis
Subchondral cysts

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5
Q

What is the conservative management for OA?

A

Patient education
Weight loss
Exercise/physiotherapy

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6
Q

What is the pharmacological management for OA?

A

Topical NSAIDs/capaiscin cream
WHO analgesia ladder
Intra-articular steroid injection

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7
Q

What are the risk factors for OA?

A
Age
Female
Raised BMI
Previous joint injury 
Intense sport activity 
Occupation 
Genetic
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8
Q

What are some secondary causes of OA?

A

Wilson’s disease, haemoglobinopathies, joint injury, slipped femoral epiphysis, diabetes, septic arthritis

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9
Q

What is the common distribution of OA in the hands?

A

PIP, DIP, CMC joints

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