Flashcards in Upper limb arthritis Deck (42):
What are the general symptoms of upper limb arthritis?
Loss of function
What are the causes of upper limb arthritis?
Inflammatory (rheumatoid, gout, psoriasis)
What are the treatment options for upper limb arthritis'?
How does sternoclavicular arthritis present?
Pain and swelling
How common is sternoclavicular arthritis?
How can sternoclavicular joint arthritis be treated?
How common is acromioclavicular joint arthritis?
How does acromioclavicular joint arthritis present?
Often in conjunction with rotator cuff impingement
How can acromioclavicular joint arthritis be treated?
How common is glenohumeral joint arthritis compared to knee/hip arthritis?
What are the possible causes of glenohumeral joint arthritis?
How does glenohumeral joint osteoarthritis present?
Loss of movement (external rotation)
How can glenohumeral joint arthritis be managed?
Total shoulder replacement
What are the possible complications of shoulder replacement?
How does rotator cuff arthroplathy occur?
Rotator cuff tear means that deltoids are unopposed and so pull head upwards these abnormal forces cause osteoarthritis
How can rotator cuff arthroplathy not be treated?
Traditional shoulder replacement
How does a rotator cuff arthropathy appear on x-ray?
Humeral head moves superiorly (loss of normal space)
How should rotator cuff arthropathy be treated?
Reverse geometry shoulder replacement
What are the last resort treatments for arthritis of the shoulder?
What are the causes of arthritis at the elbow?
Where can arthritis of the elbow occur?
How does rheumatoid arthritis of the elbow present?
How does rheumatoid arthritis of the elbow look on x-ray?
How does osteoarthritis of the elbow present?
How does osteoarthritis of the elbow look on x-ray?
May be radiocapitellar only
How is radiocapitaller osteoarthritis managed? How can it be managed in this way?
It is only a secondary stabiliser
Why might there be reduced movement at the elbow joint?
When is elbow replacement indicated?
Low demand patients
Limited to 5kg/1kg repeatedly
What are the features of wrist osteoarthritis?
Base of thumb
Associated PIP and DIP joints
What are the features of wrist osteoarthritis on an x-ray?
What are the features of wrist rheumatoid arthritis?
Associated MCP joints
What are the features of wrist rheumatoid arthritis on an x-ray?
Late joint space narrowing
How is rheumatoid arthritis of the wrist treated?
What types of surgery for rheumatoid arthritis of the wrist are available?
What is scapholunate advanced collapse?
Wrist malalignment due to a complication of post-traumatic or spontaneous osteoarthritis
What is scapholunate non-union advanced collapse?
A complication which occurs with scaphoid fractures
How can scapholunate advanced collapse be treated?
Proximal row carpectomy
Total wrist arthrodesis
How does small joint osteoarthritis present?
How is small joint osteoarthritis treated?
Capsacian gel (relieves pain and itch)
How does CMC thumb osteoarthritis present?
Pain increased in pinch grip
Is CMC thumb osteoarthritis common?