Page: 5 (Degenerative Arthritides)

Question 1

List ALL the DEGENERATIVE Arthridites?

Answer 1

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)

Question 2

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

Answer 2

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

Question 3

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

Answer 3

Posterior longitudinal ligament (PLL)
- cervicals

Anterior longitudinal ligament (ALL)
- thoracics and lumbars

Question 4

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

Answer 4

Diabetes mellitus

Question 5

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

Answer 5

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

Question 6

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

Answer 6

Fasting blood sugar

HLA-B8

Question 7

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

Answer 7

YES!

Facets are never affected with this condition!

Question 8

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

Answer 8

Synoviochondrometaplasia (aka: Osteochondromatosis)

Question 9

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

Answer 9

“popcorn” appearance

Question 10

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

Answer 10

Knee joint

Question 11

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

Answer 11

Neurogenic arthropathy (aka: Charcot’s joint)

Question 12

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

Answer 12

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

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

Question 13

This condition is secondary to impaired sensory function in joints?

Answer 13

Neurogenic arthropathy (aka: Charcot’s joint)

Question 14

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

Answer 14

Degenerative joint disease (Osteoarthritis)

Question 15

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

Answer 15

Spinal stenosis

IVF encroachment

Question 16

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

Answer 16

C5/C6

Question 17

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

Answer 17

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

Question 18

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

Answer 18

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

Question 19

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

Answer 19

• History of sports trauma
• Microtrauma’s
• Genetics