Osteoarthritis Flashcards
What are the biomechanics factors considered in osteoarthritis?
Abnormal anatomy Intra-articular fracture Ligament rupture Meniscal injury Occupation Persistent heavy physical activity Elite running Obesity
What is the pathogenesis of osteoarthritis?
Muscle weakness, ligament injury and abnormal anatomy can cause instability and misalignment
Combined with obesity this causes increased load, leading to joint micro trauma dos osteoarthritic joint
What are the risk factors for osteoarthritis?
>50 Female Famile history Manual/physical occupation Obesity
What are the key diagnostic factors for osteoarthritis?
Pain Functional difficulties Knee, hip, hand or spine involvement Bony deformities Limited range of motion Misalignment
What is the differential for osteoarthritis?
Gout
Other inflammatory arthritides
Septic arthritis
Malignancy
What is the management plan for osteoarthritis?
Holistic approach and self management
Core treatments
Additional- non pharm, pharm or surgery
What are the holistic approaches to osteoarthritis management?
Social Occupational Mood Sleep Support network Other pain Attitude to exercise Influence of comorbidity Pain assessment
What are the core treatments for osteoarthritis?
Information
Exercise
Weight loss
What are the non pharmacological treatments of osteoarthritis?
Thermotherapy
Electrotherapy
Aids and devices
Manual therapy
What is the pharmacological treatment of osteoarthritis?
Oral analgesia- paracetamol or NSAIDs
Topical- NSAIDs, capsaicin
What are the indications for surgical referral in osteoarthritis?
Substantial injury on quality of life
Refractory to non surgical treatment
What are the surgical options for osteoarthritis?
Joint replacement
