Week 8 Arthritic Disorders

Question 1

3 categories?

Answer 1

1. inflammatory
2. degenerative
3. metabolic

Question 2

Inflammatory has ______ loss of joint space

Answer 2

uniform

Question 3

Degenerative has ________ loss of joint space

Answer 3

non- uniform

Question 4

Inflammatory: radiographic findings

Answer 4

1. soft tissue swelling
2. Uniform loss of joint space
3. Bone erosions *
4. justa-articular osteoporosis
5. monoarticular or polyarticular (symettrical) *

Question 5

Are there bone erosions in DJD?

Answer 5

FASLSE

Question 6

inflammatory diseases have erosions?

Answer 6

TRUE

Question 7

Degenerative: radiographic findings

Answer 7

1. non-uniform loss of joint space
2. osteophytes
3. subchondral sclerosis
4. Asymmetric!!

Question 8

Metabolic: radiographic findings

Answer 8

1. preservation of joint space

2. well-marginated bone lesions

Question 9

DJD aka?

Answer 9

osteoarthritis

Question 10

DJD is the ____ common joint pathology

Answer 10

most

Question 11

descrbe djd? (3)

Answer 11

progressive
non-inflammatory
small joints of hands
any joint really

Question 12

Primary DJD is ________ and the 5th and 6th decade. Females to male ratio? _______ bearing joints.

Answer 12

idiopathic.
10:1
weight

Question 13

_______ correlation between radiographic changes and symptoms

Answer 13

POOR

Question 14

______ changes, may be slowed down

Answer 14

irreversible

Question 15

abnormal or _______ forces = destruction of cartilage

Answer 15

repetitive

Question 16

whats the minimun number xray do you have to see to determine DJD?

Answer 16

ONE

Question 17

Asymmetrical distribution, eg?

Answer 17

hip

Question 18

non-uniform loss of joint space…… ______ aspect of hip is decreased

Answer 18

superior

Question 19

osteophytes

Answer 19

bony outgrowths

Question 20

subchondral sclerosis (her definition in class)

Answer 20

where bones touch each other. they develop sclerosis

Question 21

bones must ________ in order to have sclerosis

Answer 21

touch

Question 22

Subchondral cysts: her deff

Answer 22

when synovial fluid seeps into the crack in the bone

Question 23

Aka for subchondral cysts?

Answer 23

geodes

Question 24

DJD - HIP aka?

Answer 24

coxarthorosis, malum coxae senilis

Question 25

DJD - HIP has ______ loss of joint space .....migration

Answer 25

NON- uniform

Question 26

Three types of migration for DJD - HIP

Answer 26

1. Superior 2. Medial 3. Axial

Question 27

Superior migration = _______ sign. On CT _______ margin

Answer 27

Waldenstom sign. | Anterior margin

Question 28

Axial migration . ________ displacement. seen in ____ or ____.

Answer 28

Superomedial displacement. | RA or Infection

Question 29

Medial migration- ______ _____ . on CT _______ migration

Answer 29

protrusio acetabuli. | Posterior migration

Question 30

Thickening, medial side, stress related and altered joint mechanics are all signs for ______?

Answer 30

buttressing

Question 31

Three compartments of the knee?

Answer 31

1. medial MC* 2. Lateral 3. Patellofemoral

Question 32

Knee. Sharpening of tibial _______. | Calcified loose bodies vs ___ _____

Answer 32

eminences. | os fabella

Question 33

what is an os fabella?

Answer 33

sesamoid bone behind the knee

Question 34

Patellar tooth sign =?

Answer 34

advanced patellofemoral degeneration

Question 35

patellar tooth sign is seen on what view?

Answer 35

Sunrise

Question 36

Cartilage softening | Pain and crepitus from patellofemoral joint desribe?

Answer 36

chondromalacia patellae

Question 37

chondromalacia patella can be cause by what various mechanisms?

Answer 37

Trauma, patellar dislocation, malalignment syndrome, cartilage vulnerability and occupation

Question 38

crepitus means?

Answer 38

clicking/crunching

Question 39

With chondromalacia patellae, you often have pain where in the knee?

Answer 39

anteromedial

Question 40

What sign is termed with chondromalcia patellae?

Answer 40

movie sign (from sitting for long periods of time) - such as watching a movie

Question 41

Retropatella pain with direct _______

Answer 41

compression

Question 42

Used to detect patellar malalignment?

Answer 42

Q angle

Question 43

Normal Q angle?

Answer 43

15-20

Question 44

DJD in the _____ and ____ joints are uncommon and usually from previous trauma?

Answer 44

Ankle and Tarsal joints

Question 45

Calcaneal osteophytes are also seen in ____, ____ and _____.

Answer 45

1. AS 2. Psoriasis 3. Reiters

Question 46

What is the FIRST joint to show signs of DJD?

Answer 46

1st Metatarsophalangeal joint

Question 47

Bony outgrowth on foot can lead to ?

Answer 47

bunion

Question 48

Common location for osteophyte deformity on the foot?

Answer 48

dorsal and medial surface

Question 49

foot osteophyte aka?

Answer 49

hallux valgus