Osteoarthritis

Question 1

In who

Answer 1

80% in 55 and over

Question 2

Occurs due to

Answer 2

Joint integrity
Genetics 
Local inflammation
Mechanical forces
Metabolic processes

Question 3

Which. Gender more risk

Answer 3

Women x3

Question 4

Risk factor

Answer 4

Age 40+
Female
Obesity
Previous injury
Genetic factors

Question 5

Symptoms

Answer 5

Pain

As progresses pain occurs with even less activity and also at night

Question 6

Exacerbated by

Relieved by

Answer 6

Activity

Rest

Question 7

Exam findings

Answer 7

Predilection in fingers
Joint tenderness
Bony enlargement 
Effusion 
Crepitus

Question 8

Radiographic features

Answer 8

Joint space loss
Joint line sclerosis
Osteophyte (bony projection in joint)

Subchondral cysts (fluid under cartillage)

Question 9

Treatment

Answer 9

Weight loss
Physiotherapist
Pain relief
Joint replacement

Question 10

Weight reduction does what

Answer 10

Reduces symptoms and slows progression

Question 11

Pharmacological treatment

Answer 11

Topical (capsaicin) + paracetamol+ NSAIDs+ intraarticular steroid

Question 12

Arthroscopy

Answer 12

Short term relief not as good as others

Question 13

Surgery ?

Answer 13

When having impact regardless of no surgical therapies

Refer before prolonged and established functional limitations and severe pain

Question 14

Joint replacement survival 10 years

Answer 14

Under 5= 83%

Over 70= 90%