Osteoarthritis and principles of management Flashcards Preview

Yr 3 MSK > Osteoarthritis and principles of management > Flashcards

Flashcards in Osteoarthritis and principles of management Deck (11):
1

What members of MDT manage osteoarthritis?

-Nurses
-Physicians
-GPs
-Dietitians
-OTs
-Physiotherapists
-Ortho surgeons

2

In basic terms what happens in osteoarthritis?

-Trauma and mechanical imbalance
-Inflammation and pain
-Repair processes around joint

3

What are some biomechanical factors behind osteoarthritis?

-Abnormal anatomy
-Intra-articular fracture
-Ligament rupture
-Meniscal injury
-Occupation - farmers, footballers
-Persistent heavy physical activity
-Elite running
-Obesity

4

What is associated with inflammation in OA?

-Synovial hypertrophy
-Subchondral changes
-Joint effusion

5

Could biochemical mediators be part of OA?

Possibly. Markers like interleukins, TNFs etc could be significant

6

How do you diagnose OA?

-45y+
-Activity related joint pain PLUS has either no morning joint related stiffness or morning stiffness lasting no longer than 30min

7

What are some alarming symptoms?

-Trauma
-Prolonged morning-related stiffness
-Rapid deterioration of symptoms
-Hot, swollen joint

8

What is the differential diagnosis of OA?

-Gout
-Septic arthritis
-Inflammatory arthritides
-Malignancy

9

What are non-pharmacological treatments of OA?

-Thermotherapy
-Electrotherapy
-Aids and devices
-Manual therapy

10

What are pharmacological treatments of OA?

-Paracetamol, NSAIDs (oral)
-NSAIDS, capsaicin (topical)

11

When should OA patients be referred for joint replacement surgery?

-Substantial impact on QoL
-Refractory to non-surgical treatment
-Referral letter