Osteoarthritis Flashcards
what is osteoarthritis
mechanical wear and tear leads to destruction of artily cartilage
caused by trauma and mechanical imbalance
inflammation and pain
reapir processs around the joint
what re the biomechanics factors
ligament rupture meniscal injury elite running persistent heavy activity obesity
what is the pathology
cartilage degradation initiated by
abnormal biochemical prcoesss or mechanical wear
the superficial layer comes deep with fissures
hypertrophy o bone-scleoris
risk factors
genetics gener-menopausal women occupation- farmers childhoos-dysplasia obesity
what are the clinical features
mostly hands, knees and hips pain on excertion herberdens nodes on hands DIPJ Bouchard nodes on PIPJ deformity
what investigations would you do
X ray
Sri
history
differential diagnosis
malignancy
rheumatoid
gout
who manages osteoarhtiris
physicians
docotrs
nurses
pharmacists
how to manage it
holistic approach
non-pharmacological
then pharmacological
then surgery
what are non-pharmacological treatments
thermotherapy
electrotherapy
weight loss
strengthening muscles
what are pharmacological treatments
NSAIDS
topical NSADS
intraarticualr injections- steroid hyaluronic acid
when to refer to surgery
joint replacement surgery
