Page: 5 (Degenerative Arthritides) Flashcards

1
Q

List ALL the DEGENERATIVE Arthridites?

A
  1. ) Degenerative joint disease (Osteoarthritis)
  2. ) Diffuse idiopathic hyperostosis (aka: DISH/Forestier’s disease)
  3. ) Neurogenic arthropathy (aka: Charcot’s joint)
  4. ) Synoviochondrometaplasia (aka: Osteochondromatosis)
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2
Q

What condition is associated with Males >40 years old, with neck stiffness or pain when swallowing?

A

Diffuse idiopathic hyperostosis (aka: DISH/Forestier’s disease)

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3
Q

Diffuse idiopathic hyperostosis (aka: DISH/Forestier’s disease) cause ossification of what ligament?

A

Posterior longitudinal ligament (PLL)
- cervicals

Anterior longitudinal ligament (ALL)
- thoracics and lumbars

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4
Q

What co-morbidity is commonly associated with Diffuse idiopathic hyperostosis (aka: DISH/Forestier’s disease)?

A

Diabetes mellitus

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5
Q

What RADIOGRAPHIC xray finding(s) are seen in a patient with Diffuse idiopathic hyperostosis (aka: DISH/Forestier’s disease)?

A
  • 4 contiguous segments involved
  • Disc space preserved
  • Flowing hyperostosis
  • Candle wax drippings
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6
Q

What LABS are associated with Diffuse idiopathic hyperostosis (aka: DISH/Forestier’s disease)?

A

Fasting blood sugar

HLA-B8

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7
Q

Can you adjust a patient with Diffuse idiopathic hyperostosis (aka: DISH/Forestier’s disease)?

A

YES!

Facets are never affected with this condition!

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8
Q

What condition results in multiple loose bodies within the joint that are round or ovoid in shape?

A

Synoviochondrometaplasia (aka: Osteochondromatosis)

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9
Q

What RADIOGRAPHIC xray finding(s) are seen in a patient with Synoviochondrometaplasia (aka: Osteochondromatosis)?

A

“popcorn” appearance

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10
Q

What is the most common joint affected in Synoviochondrometaplasia (aka: Osteochondromatosis)?

A

Knee joint

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11
Q

This condition is seen in patients who may have diabetes, tabes dorsalis, syphilis, and syringomyelia?

A

Neurogenic arthropathy (aka: Charcot’s joint)

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12
Q

What are the 6 most common characteristics of Neurogenic arthropathy (aka: Charcot’s joint) in weight bearing joints?

A
Density of subchondral sclerosis
Debris within joints
Destruction of bone
Distention
Dislocation
Disorganization

6 D’s of Neurgenic arthropathy (aka: Charcot’s joint)

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13
Q

This condition is secondary to impaired sensory function in joints?

A

Neurogenic arthropathy (aka: Charcot’s joint)

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14
Q

This is a non-inflammatory condition that most commonly involves weight bearing joints and causes joint stiffing at rest but improves with activity?

A

Degenerative joint disease (Osteoarthritis)

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15
Q

What are some complications of Degenerative joint disease (Osteoarthritis)?

A

Spinal stenosis

IVF encroachment

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16
Q

What is the most common site affected by Degenerative joint disease (Osteoarthritis) in the Spine?

A

C5/C6

17
Q

What RADIOGRAPHIC xray finding(s) are seen in a patient with Degenerative joint disease (Osteoarthritis)?

A

HAND: Herberden’s (DIP) nodes, Decreased joint space with sclerosis, Asymmetrical distribution, Non-uniform loss of joint space

SPINE: IVD narrowing, Osteophytes, Endplate sclerosis

HIP: Decreased superolateral joint space with sclerosis

KNEE: Decreased medial joint space with lateral space preserved

18
Q

What is the TREATMENT protocol for a patient with Degenerative joint disease (Osteoarthritis)?

A
  • Moist packs/Heat packs
  • Passsive ROM
  • Non-weight bearing exercises
19
Q

What are some RISK FACTORS for Degenerative joint disease (Osteoarthritis)?

A
  • History of sports trauma
  • Microtrauma’s
  • Genetics