Osteoarthritis (Noiseux) Flashcards
All of the following are characteristics of osteoarthritis EXCEPT:
A. Ulnar deviation of fingers
B. Joint space narrowing
C. Bone spurs
D. Subchondral bone hypertrophy
E. Activity related pain
A. Ulnar deviation of the fingers and radial deviation of the wrist are common features of Rheumatoid arhtritis, not osteoarthritis.
first joint to be impacted by OA
CMC joint
why is knee pain sometimes the only presenting symptom with OA?
because the obturator nerve which is sensory to the knee crosses at the hip, which is often affected in OA
clinical finding shown here suggesting OA in the hand:
heberden’s nodes - DIP
bouchard’s nodes - PIP
All of the following are diagnostically important for the evaluation of osteoarthritis in a patient presenting with knee pain and an abductor lurch EXCEPT:
A. ESR/CRP
B. Standing knee x-ray
C. Hip x-ray
D. MRI to look for soft tissue injury
E. Limited internal rotation with knee flexion on physical exam
D. An MRI is not necessary if radographic evidence of OA is present.
Which of the following is the single most effective and proven non-surgical treatment for improving knee OA pain?
A. Weight loss
B. Oral pain medications
C. Nutrient supplementation
D. Cortisone injections
E. Joint fluid aspiration
A
a lateral or medial wedge is used to shift the center of pressure on the plantar forefoot with a valgus knee?
lateral wedge
*medial wedge for varus knee
Which of the following surgical options is the most common treatment for a painful arthritic hip or knee joint, optimizing pain relief and function?
A. Arthroscopy
B. Osteotomy
C. Resection
D. Fusion
E. Arthroplasty
E. Arhtroplasty is a surgical procedure where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned.
Which of the following surgical options improves pain by eliminating motion, commonly in the foot/ankle and spine?
A. Arthroscopy
B. Osteotomy
C. Resection
D. Fusion
E. Arthroplasty
D
Which of the following surgical options is only used rarely, in the setting of uncontrollable infection or an unreconstructable joint?
A. Arthroscopy
B. Osteotomy
C. Resection
D. Fusion
E. Arthroplasty
C. A resection refers to a procedure where the bone around a joint is removed and the joint space is allowed to fill with scar tissue.
Which of the following surgical options has limited benefit in the setting of OA and should be reserved for obvious mechanical symptoms like locking, catching and popping?
A. Arthroscopy
B. Osteotomy
C. Resection
D. Fusion
E. Arthroplasty
A
Which of the following surgical options realigns the limb similar to bracing or shoe wedging?
A. Arthroscopy
B. Osteotomy
C. Resection
D. Fusion
E. Arthroplasty
B
