Osteoathritis Flashcards Preview

Year 3 MSK pathologies > Osteoathritis > Flashcards

Flashcards in Osteoathritis Deck (15)
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1
Q

What is osteoathritis?

A

Tear, flare and repair
affects more than half the UK population

Caused by trauma and mechanical pain
This leads to inflammation and pain
Repair processes occur around the joint

2
Q

What biochemical factors can lead to osteoarthritis?

A
Abnormal anatomy (DDH)
Intra-articular fracture
Ligament rupture
Meniscal injury
Occupation- farmers football players
Elite running
Obesity
3
Q

What causes inflammation in osteoathritis?

A

Synovial hypertrophy
Subchondral changes
Joint effusion

4
Q

What biochemical factors mediate osteoarthritis?

A

IL-1, TNF, MMP’s

5
Q

What is the pathogenesis of osteoarthritis

A

Musle wekaness, ligament injury, anormal anatomy lead to obesity and instability. This causes joint microtrauma and an osteoarthritic joint

6
Q

How do you diagnose osteoarthritis

A

Over 45 years
Activity related join pain plus
Has no morning joint related stiffness, or morning stiffness that lasts no longer than 30 minutes

7
Q

What symptoms makes you think it isn’t osteoarthritis?

A

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

8
Q

What are some differential diagnosis for osteoarthritis?

How can you investigate osteoarthritis?

A

Gout, inflammatory arthritides
Septic arthritis
Malignancy

X-ray

9
Q

Who manages osteoarthritis?

A
Nurses
Physicians
GP's
Patients
Dieticians
Occupational therapists
Physiotherapists
Orthopaedic surgeons
10
Q

How should patients manage osteoarthritis?

A

Holistically and through self management is the first step
This involves expanding their knowledge of OA, recognising and combating the effects it can have on occupation, mood, sleep, support network, exercise
Pain assessment

11
Q

What are the core treatments of arthritis?

A

information
exercise
weight loss

12
Q

What are some non-pharmacological treatments of osteoarthritis?

A
Thermotherapy
Electrotherpay
Aids and devices
Manual therapy
NICE do not recommend acupuncturem butraceuticals
13
Q

What are the pharmacological treatments of osteoarthritis?

A

Oral analgesia:paracetamol, NSAIDS
Topical treatments: NSAIDS,capsaicin
Intra-articular injections: steroids (hyaluronic acid)

14
Q

When do you refer for surgery

A

Substantail impact on quality of life
Refractory to non-sugical treatment
Referral letter

15
Q

To summarise osteoarthritis?

A

Significant cause of morbidity
Pathogenesis is not entirely clear
Tailor treatment to individual patient
Consider surgical management when other options are exhausted and quality of life is suffering