OA Flashcards
(7 cards)
1
Q
Lifestyle modifications
A
Weight loss
Physio
Walking aids
2
Q
Which hand should you carry a walking stick in for hip and knee osteoarthritis
A
Hip - contralateral
Knee - ipsilateral
3
Q
Pharmacological management of OA
A
First line: regular paracetamol + topical NSAIDs
Second line: oral NSAIDs with PPI cover if over >45 or have risk factors for GI bleeding
Add on: short term codeine, steroid injections
4
Q
Surgical options for OA
A
Interposition arthroplasty Cheilectomy - removal of osteophytes Arthrodesis - bone fusion Excision arthroplasty Replacement arthroplasty
5
Q
Describe interposition arthroplasty
A
Pad bony surfaces using fat or fascia e.g palmaris longus
6
Q
When is arthrodesis useful
A
Ankle and wrist OA
7
Q
When is excision arthroplasty useful
A
OA of carpometacarpal joint of thumb (a trapeziectomy)