Degenerative Jt Disease- Extremities Flashcards Preview

DI 3203- Mod 9 > Degenerative Jt Disease- Extremities > Flashcards

Flashcards in Degenerative Jt Disease- Extremities Deck (24)
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1
Q

What are the better terms for osteoarthritis (3)

A
  • Osteoarthrosis
  • DJD
  • Degenerative arthritis
2
Q

What is the primary and secondary etiology of DJD

A

Primary- Idiopathic, hereditary

Secondary- Predisposing factors (AVN, Trauma, Congenital anomalies)

3
Q

When does (age) the primary DJD occur

A

> 40

4
Q

what are the clinical symptoms of DJD

A

Insidious onset of-

  • Achy pain
  • Stiffness (Worse after rest)
  • Crepitus
  • Occasional swelling
  • Reduced ROM
5
Q

What jts does Primary DJD target

A

Weight bearing jts
Hands (DIPS, PIPS, 1st metatrapexium jt)
Feet (1st metatarsophalageal jt)
Ac jt

6
Q

X ray findings of OA/ DJD (6)

A
  • Asymetrical
  • Non uniform jt space narrowing
  • Osteophytes
  • Subchondral sclerosis
  • Subchondral cyts
  • Loose bodies
7
Q

What are the 3 hip jt space distributions and what affects each

A

Superior/ Superiolat- Degeneration
Axial- inflammatory
-medial

8
Q

Does pain more often correlate with image findings in hip oa

A

yeas

9
Q

What are classic fx of hip DJD (5)

A
  • superiolat narrowing
  • Subchondral sclerosis
  • Subchondral cysts
  • Osteophytes
  • Buttressing
10
Q

What is buttressing

A

another bone causing bone growth due to contact

11
Q

Clinical appearence. symptoms of DJD of knee

A
  • knees appear enlarged, squared, valgus/varus swelling

symp- gradual onset, pain, stiffness, jt line tend

12
Q

What is the 3 compartments of DJD of knee and mc

A

Medial tibiofemoral (MC)
lat tibiofemoral
patellofemoral

(tricompartmental if all 3)

13
Q

Knee DJD radiographic fx

A
  • Jt space loss, osteophytes, sclerosis
  • subluxation + altered alignent
  • may be loose bodies
14
Q

DJD of foot- what is mc involved, gender, age

A

1st mtp jt
F>M
no gender

15
Q

1st MTP djd radiographic fx

A
  • Osteophytes
  • subchondral sclerosis
  • decreased jt pace
  • Relative shift of sesamoids*
  • halux valgus (binion)
16
Q

What is hallux rigidus and what is it due to

A

decreased ROM due to DJD

  • M>F
  • painful during dorsiflex
17
Q

What is bunions- gender etc

A

hallux valgus at Mt head and overlying soft tissue thickness

F>M

18
Q

What is the normal measurement of angle between axis of 1st MT and 1st Prox phalanx

A

<15 degrees normally

19
Q

common sites of upper extremity DJD

A

Hands (DIP, PIP, 1st carpometacarpal jt)

AC jt

20
Q

What are the nodes called at the DIP and PIPs

A

DIP- Herberdens nodes

PIP- Bouchards nodes

21
Q

Erosive osteoarthritis in hands- age, gender, symptoms

A

W>M
age- 40-50

-red, warm, swollen jts

22
Q

Errosive OA radiograhic findings

A
  • Symetrical jt involvement
  • non uniform jt space loss
  • Gull wing erosisons (central erossion) ***
23
Q

tx for mild cases of DJD

A

Conservative tx

Lifestype change

24
Q

tx for severse cases of DJD

A

GP/ortho referal

conservative tx