Upper limb arthritis Flashcards Preview

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Flashcards in Upper limb arthritis Deck (42):
1

What are the general symptoms of upper limb arthritis?

Pain
Stiffness
Loss of function
Swelling
Deformity

2

What are the causes of upper limb arthritis?

Degenerative/osteoarthritis
Inflammatory (rheumatoid, gout, psoriasis)
Post-traumatic
Septic

3

What are the treatment options for upper limb arthritis'?

Rest
Analgesia
Splint
Steroid injections
Replace
Fuse
Excise

4

How does sternoclavicular arthritis present?

Pain and swelling

5

How common is sternoclavicular arthritis?

Rare

6

How can sternoclavicular joint arthritis be treated?

Physiotherapy
Steroid injection
Excision (rarely)

7

How common is acromioclavicular joint arthritis?

Common

8

How does acromioclavicular joint arthritis present?

Often in conjunction with rotator cuff impingement
Post-trauma

9

How can acromioclavicular joint arthritis be treated?

Steroid injections
Excision

10

How common is glenohumeral joint arthritis compared to knee/hip arthritis?

Uncommon

11

What are the possible causes of glenohumeral joint arthritis?

Instability
Cuff tear
Previous surgery
Idiopathic

12

How does glenohumeral joint osteoarthritis present?

Pain
Crepitus
Loss of movement (external rotation)

13

How can glenohumeral joint arthritis be managed?

Hemiarthroplasty
Total shoulder replacement

14

What are the possible complications of shoulder replacement?

Infection
Instability
Stiffness
Nerve damage
Loosening

15

How does rotator cuff arthroplathy occur?

Rotator cuff tear means that deltoids are unopposed and so pull head upwards these abnormal forces cause osteoarthritis

16

How can rotator cuff arthroplathy not be treated?

Traditional shoulder replacement

17

How does a rotator cuff arthropathy appear on x-ray?

LOSS
Humeral head moves superiorly (loss of normal space)

18

How should rotator cuff arthropathy be treated?

Reverse geometry shoulder replacement

19

What are the last resort treatments for arthritis of the shoulder?

Fusion
Excision

20

What are the causes of arthritis at the elbow?

Rheumatoid arthritis
Osteoarthritis

21

Where can arthritis of the elbow occur?

Radiocapitellar joint
Ulnohumeral

22

How does rheumatoid arthritis of the elbow present?

Instability

23

How does rheumatoid arthritis of the elbow look on x-ray?

Erosions

24

How does osteoarthritis of the elbow present?

Pain
Reduced movement

25

How does osteoarthritis of the elbow look on x-ray?

May be radiocapitellar only
Osteophytes
LOSS

26

How is radiocapitaller osteoarthritis managed? How can it be managed in this way?

Excision
Replacement

It is only a secondary stabiliser

27

Why might there be reduced movement at the elbow joint?

Osteophyte impingement

28

When is elbow replacement indicated?

Older patients
Low demand patients
Limited to 5kg/1kg repeatedly

29

What are the features of wrist osteoarthritis?

Monoarticular/localised
Base of thumb
Associated PIP and DIP joints

30

What are the features of wrist osteoarthritis on an x-ray?

LOSS

31

What are the features of wrist rheumatoid arthritis?

Polyarticular
Systemic
Synovitis
Tendon rupture
Associated MCP joints

32

What are the features of wrist rheumatoid arthritis on an x-ray?

Erosions
Late joint space narrowing

33

How is rheumatoid arthritis of the wrist treated?

Medical (DMARDs)
Steroid injections
Splintage
Surgery

34

What types of surgery for rheumatoid arthritis of the wrist are available?

Synovectomy
Tendon realignment
Replacement
Fusion

35

What is scapholunate advanced collapse?

Wrist malalignment due to a complication of post-traumatic or spontaneous osteoarthritis

36

What is scapholunate non-union advanced collapse?

A complication which occurs with scaphoid fractures

37

How can scapholunate advanced collapse be treated?

4-corner fusion
Proximal row carpectomy
Total wrist arthrodesis

38

How does small joint osteoarthritis present?

Pain
Deformity
Heberden's nodes
Bouchard's nodes

39

How is small joint osteoarthritis treated?

NSAIDs
Activity modification
Capsacian gel (relieves pain and itch)
Injections
Fusion

40

How does CMC thumb osteoarthritis present?

Pain increased in pinch grip
Subluxation

41

Is CMC thumb osteoarthritis common?

Yes

42

How is CMC thumb osteoarthritis managed?

Rest
Analgesia
Splints
Capsaicin gel
Steroid injection
Surgery

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