Joint Disorders Flashcards
Chrondrolysis
-degeneration and narrowing of the joint space
-trauma, surgery, immobilization
Sx: Joint stiffness and loss of motion
Tx: pain reflief, surrgery, weight bearing precautions
Osteoarthritis
-Degeneration fo joint cartilage that affects underlying bone (subchondral)
-inflammation causes more changes and swelling
-most common msk disorder
Sx: pain, bony enlargements, edema, stiffness, loss of ROM
Tx: behavior, education, meds, surgery
Rheumatoid Arthritis
-systemic inflammatory disease
Articular: destruction of joints
Extraarticular: pulmonary, CVD, GI
-associated with graves and hashimotos
-rheumatoid factors found in synovial membranes
-Thickened synovium form destructive granulation tissue Pannus that disolves the joint
Clincial Manifestations of RA: Cervical Instability
-C1-C2 subluxation and brainstem compression
Sx: head falling forward, syncope, vestib issues
-posittive Lhermitte sign, shocklike sensations
Clincial Manifestations of RA: Cutaneous
-rhumatoid nodules: asymptomatic
-can appear in heart, lungs, GI
Clincial Manifestations of RA: Neurologic
-myelopathy
-neck pain
-incontinence
-peripheral neuropathies
Clincial Manifestations of RA: Extra Articular
-cardiopulmonary function
Degenerative Intervertebral Disc Disease
-age related changes
-decline of blood supply to peripheral disc
-issues with nerves
-spondylolisthesis
Juvenile Idiopathic Arthritis
-paurarticular most common
-pain of joints
Spondyloarthropathies
-group of disorders formerly considered RA
-inflammation of joints of the spine
Ankylosing Spondylitis
-inflammation to the axial skeleton
-leads to fusion and calcification
-pain in back, inflammation fo tendons
-bamboo spine
Diffuse Idiopathic Skeletal Hyperotosis (DISH)
-idiopathic variant of OA
-ossification of ligaments
-commonly effects thoracic spine
-no degeneration of vertebreal joints
Sjogren Syndrome
-chronic immune disease causes arthritis effects in organ
-moisture producing glands
-second most common autoimmune rheumatic
Sx: dry eyes and mouth
Psoriatic Arthritis
-seronegative inflammatoy joint disease
-20% of psoriasis havers
Sx:
-joint destruction
-hand deformities
Reactive Arthritis
-arthritis after an infectious process
-nailsR
