Osteoarthritis

Question 1

What is OA?

Answer 1

A degenerative joint disorder caused by a loss of articular cartilage

Question 2

What are types of OA?

Answer 2

Primary generalised

Secondary to haemacohromatosis, fracture, septic joint previously

Question 3

What are risk factors for OA?

Answer 3

Age, women, family history, obesity, physically demanding job

Question 4

What are clinical features of OA?

Answer 4

Pain with movement in weight-bearing joints and hands

Pain in morning < 30 mins

Stiffness and crepitus
#
Decreased ROM

Bony deformities

Question 5

What Ix in RA?

Answer 5

X:ray - loss of joint space, osteophytes, subchondral sclerosis and cysts

Do bloods to rule out RA

Question 6

What is Rx of OA

Answer 6

Physio, OT, weight loss, exercise

Paracetamol + topical NSAIDs or capsaican

+ oral NSAID and PPI

+ opioids

Joint replacement

Question 7

What are complications of OA?

Answer 7

Functional decline
Spinal stenosis
NSAID issues
Effusion