Management of Upper Limb Arthritis

Question 1

name the joints of the elbow

Answer 1

ulnohumeral

radiocapitellar

Question 2

name the joints of the wrist

Answer 2

radiocarpal

distal radioulnar

Question 3

name the joint of the thumb

Answer 3

trapeziometacarpal joint

Question 4

inflammatory causes of upper limb arthritis?

Answer 4

RA
psoriasis
gout

Question 5

most common shoulder joint to become arthritic?

Answer 5

acromioclavicular

Question 6

management of sternoclavicular arthritis

Answer 6

physio

injection

Question 7

main causes of acromioclavicular arthritis?

Answer 7

trauma

impingement

Question 8

management of acromioclavicular arthritis?

Answer 8

injection

excision

Question 9

causes of glenohumeral arthritis?

Answer 9

cuff tear
instability
previous surgery
idiopathic

Question 10

clinical presentation of glenohumeral OA?

Answer 10

pain
crepitus (grinding)
loss of movement, especially external rotation

Question 11

can you replace a shoulder?

Answer 11

yes

Question 12

complications of shoulder replacement?

Answer 12

infection
instability
stiffness
nerve damage
loosening

Question 13

how can you get OA from a rotator cuff tear?

Answer 13

deltoid moves humeral head up after the tear causing it to grind and get OA

Question 14

what does a reverse geometry shoulder replacement do?

Answer 14

reverses ball and socket

lengthens deltoid to stop upward migration of humeral head

Question 15

is reverse geometry shoulder replacement successful?

Answer 15

not as good as THR or TKR

Question 16

which elbow joint is most commonly affected by OA?

Answer 16

radiocapitellar

Question 17

is RA or OA of elbow most likely to cause instability

Answer 17

RA

Question 18

why is it best to excise the radial head in radiocapitellar OA

Answer 18

it is a secondary not primary stabiliser

Question 19

best candidates for an elbow replacement?

Answer 19

old people who won’t move it alot

Question 20

what arthritis is tendon rupture and synovitis common in?

Answer 20

RA

Question 21

what surgery can be done for RA in arm?

Answer 21

synovectomy
tendon realignment
replacement
fusion

Question 22

most common post traumatic OA of wrist?

Answer 22

scapholunate advanced collapse (SLAC)

Question 23

2nd most common post traumatic OA of wrist?

Answer 23

scaphoid nonunion advanced collapse (SNAC)

Question 24

no.1 joint in body for OA?

Answer 24

DIP

Question 25

clinical presentation of small joint OA?

Answer 25

DIP involvement heberdens nodes oslers nodes

Question 26

no.2 site in body for OA?

Answer 26

base of thumb OA

Question 27

base of thumb OA results in subluxation of which joint?

Answer 27

CMC joint

Question 28

treatment for thumb cmc joint OA?

Answer 28

``` rest analgesia splint capsaicin gel surgery ```

Question 29

which arthritis is dactylitis most common in

Answer 29

psoriatic

Question 30

which arthritis presents with pencil in cup deformity on x ray?

Answer 30

psoriatic

Question 31

most common areas affected in psoriatic arthritis?

Answer 31

hips knees hands wrists

Question 32

what happens in boutonniere?

Answer 32

extensor hood of PIP joint becomes attenuated which causes it to flex get hyperextension of DIP

Question 33

treatment for tendon deformities?

Answer 33

splintage | surgery