Osteoarthritis Flashcards
what is OA?
wear and tear in the joints
RF for osteoarthritis?
obesity age female occupation trauma FH
presentation of OA?
presents with joint pain and stiffness that is worsened by activity but has NO morning stiffness (or <30min)
where does OA affects?
hips knees wrist c-spine fingers (DIP most)
what are clinically findings on fingers?
Herberden nodes on DIP
Bouchards nodes on PIP
what can be seen on x-ray?
LOSS
Loss of joint space
Osteophytes
Subarticular sclerosis
Subchondral cysts
diagnosis is mainly clinically with what?
activity related joint pain with no morning symptoms and then x-ray
management: non-pharmacological?
thermotherapy
electrotherapy
aids/devices
management: pharmacologically?
oral analgesia
topical NSAIDs
steroid injection
when would surgical intervention be indicated?
when QoL is affected