Osteoarthritis

Question 1

What population does OA most commonly present in?

Answer 1

1/3rd over 45, 1/2 over 70

Question 2

What can OA be secondary to?

Answer 2

RA, previous injury, calcium crystal deposition

Question 3

What normally causes primary OA?

Answer 3

general wear and tear

Question 4

What is the common presentation of OA?

Answer 4

Pain worse on activtiy, better with rest
morning stiffness lasting less than 30 mins
crepitus
joint swelling 
Bouchards and Hiberdeans nodes
Spinal stenosis

Question 5

What are the LOSS radiological signs of osteoarthritis?

Answer 5

Loss of joint space
Osteophytes
Subchondral cysts
Subchondral erosions

Question 6

What grading system is used for OA? Whats 0 and whats 4?

Answer 6

Kellgren Lawrence grading scale
0 - no radiographic findings
4 - definite osteophytes with severe joint narrowing and subchondral sclerosis

Question 7

What are the LOSS radiological signs of osteoarthritis?

Answer 7

Loss of joint space
Osteophytes
Subchondral cysts
Subchondral erosions

Question 8

What grading system is used for OA? Whats 0 and whats 4?

Answer 8

Kellgren Lawrence grading scale
0 - no radiographic findings
4 - definite osteophytes with severe joint narrowing and subchondral sclerosis

Question 9

What is the non pharmacological management for OA?

Answer 9

weight loss
rest
physiotherapy
insoles 
walking stick

Question 10

What is the pharmacological management for OA?

Answer 10

analgesia
NSAIDs
pain modulators - gabapentin
Steroid intra-articular

Question 11

What is the surgical management for OA?

Answer 11

arthroscopic wash out
soft tissue trimming
joint replacement