Rheumatology 1 - Osteoarthritis Flashcards
define osteoarthritis
wear and tear from overuse / injury / genetic predisposition
risk factors for osteoarthritis x5
trauma obestiy FH job age female sex
4 key x ray changes in osteoarthritis
loss of joint space
osteophytes
subarticular sclerosis
subchondral cysts
look at the x ray
what should be borne in mind with osteoarthritic x ray changes?
the severity of the disease on the x ray doesn’t always correlate with symptom severity
hand signs for osteoarthritis
distal joint - Heberden’s node
proximal joint - Bouchard node
squaring at base of thumb at carpo metacarpal joint
diagnosing osteoarthritis
made clinically if over 45 with typical activity pain, no morning stiffness
+ stiffness lasts less than 30 mins
managing osteoarthritis
education, weight loss
physio, OT
paracetamol, NSAIDs+PPI
opiates
steroid joint injections
replacement of joint
