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OSTEOARTHRITIS (OA) Rogelio A Balagat MD ASMPH
Assignment: 1. Age 2. Weight & height (BMI) 3. Joint pain (VAS) 4. Joint deformity
Definition of OA Joint failure failure of protective mechanisms cartilage loss subchondral bone changes osteophytes capsule stretching mild synovitis periarticular muscle weakness
JOINT INJURY JOINT REPAIR -OA +OA FAILURE OF PROTECTIVE MECHANISMS WEIGHT-BEARING
Main joint protector Cartilage Avascular Aneural Load-bearing Low friction
Joint protectors Joint fluid lubrication Muscle-skin sensory afferent nerve mechanoreceptors Muscle-tendon co-contraction Subchondral bone shock-absorption
PRIMARY OA aging bone & cartilage mechanical factors accumulated microtrauma lower limb malalignment genetic factors
SECONDARY OA mechanical joint incongruity congenital, genetic, developmental disorders prior joint trauma/surgery prior inflammatory joint disease bleeding dyscrasia neuropathic joint disease excessive intra-articular steroid injections endocrinopathies & metabolic disorders acromegaly Cushings disease gout/pseudogout
Chronic >40, F>M, weight Non-inflammatory DIP, CMC1, Knee, Hip Use-related pain onset of movement after activity improved with rest
Bouchards nodes (PIP) Heberdens nodes (DIP) squared-off base of thumb malalignment swelling crepitus KNEE OA HAND OA
HIP OA pain in groin or inner thigh antalgic gait, limited/loss of flexion, extension, rotation predisposing conditions congenital hip dysplasia, avascular necrosis
SPINE OA apophyseal joints, disc/vertebral bodies (spondylosis) paraspinal pain, spasm radicular symptoms cervical neck pain, radiates to shoulder, upper back, distal arm weakness, paresthesias of hand, arm
SPINE OA lumbar low back pain, radiates to buttocks, legs, feet cauda equina syndrome neurogenic claudication cord compression- leg weakness; gait, balance problems mechanical compression of vital structures- dysphagia, cough, headache, vertigo
Radiography Bone formation (-) bone erosion
DIFFERENTIAL DIAGNOSIS Rheumatoid Arthritis Monoarticular Polyarticular Spondyloarthropathies Psoriatic arthritis Reactive arthritis Inflammatory bowel disease Ankylosing spondylitis
DIFFERENTIAL DIAGNOSIS Crystal-induced arthritis Gout Other disorders infectious arthritis periarticular tendenitis or bursitis Rare neoplastic synovitis pigmented villonodular synovitis neoplastic metastasis to juxta-articular bone
PHARMACOLOGICNON PHARMACOLOGIC SURGICAL INTERVENTION Considered as the CORNERSTONE in the Management of OA Considered as ADJUNCTS to Non-pharmacologic Management
NON PHARMACOLOGIC Psychosocial Interventions Patient Education Physical Modalities Thermal Modalities Exercise Supportive Devices Modifications in ADL Psychosocial Measures PHARMACOLOGIC Topical Agents Intra-articular Agents Oral (Systemic) Agents Symptom Modifiers Potential Disease Modifiers
(OA) is the most common form of arthritis. It has a strong relation with ageing as its a major cause of pain and disability in older people 1.
OSTEOARTHRITIS. Osteoarthritis (OA) is a common, degenerative disease, which is characterized by local degeneration of joint cartilage and new bone formation.
Osteoarthritis. Knee osteoarthritis Osteoarthritis.
Major manifestations of rheumatologic diseases 1.
Arthritis Hip and Knee Nigel Brewster Aims l Types of arthritis l Symptoms of arthritis l Signs of arthritis l Treatment of arthritis.
Osteoarthritis. Osteoarthritis OA is a degenerative disease of diarthrodial ( synovial ) joints, characterized by Breakdown of articular cartilage.
Learning Objectives Degenerative joint disease (Osteoarthritis) Rheumatoid Arthritis Gout Infectious arthritis Ganglion and Synovial Cysts Pigmented Villonodular.
Dr. Abdulrahman Algarni, MD, SSC (Ortho), ABOS Assistant Professor Consultant Orthopedic and Arthroplasty Surgeon.
Dr. Sianny Suryawati, Sp.Rad Departemen Radiologi FK UWKS.
OSTEOARTHRITIS Dr Sami Abdallah. Anatomy of synovial joints:
Osteoarthritis Dr. Faik Altıntaş Yeditepe Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji AD.
diagnosis Osteoarthritis (OA) a condition of synovial joints with failed repair of joint damage that results from stresses that may be initiated by an.
Dr. Sarah Ehsan (PT). Topics to be covered in this lecture: Arthritis–arthrosis Fibromyalgia and myofascial pain syndrome Osteoporosis Fractures–post-traumatic.
Lower back pain = 요통. Lumbar spine Lordosis Lumbar spine.
Headaches The Migraine headache is unilateral pain (affecting one half of the head) and pulsating in nature, lasting from 4 to 72 hours; symptoms include.
Osteoarthritis. OA is uncommon in adults under age 40 and highly prevalent in those over age 60 In middle-aged and elderly persons, is much more common.
Osteoarthritis: OA Janet Pope MD MPH FRCPC. Goals Identify the most common joints affected in OA Differentiate OA from RA Describe the most common treatments.
1 IN THE NAME OF GOD. 2 OSTEOARTHRITIS 3 EPIDEMIOLOGY.
CONGENITAL ABNORMALITIES OF M/S SYSTEM Developmental dysplasia of hip Scoliosis.
Upper Limb Orthopaedic Medicine Scope Neck Shoulder Elbow Wrist Hand.
Dr.Moallemy Lumbar Facet Pain (pain Originating from the Lumbar Facet Joints)
Degenerative disease of Lumbar spine Sayun Sumethvanich M.D.
Osteoarthritis. What is osteoarthritis (OA)? Degenerative joint disease Slowly evolving disease Originates in the cartilage Causes inflammation of the.
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Rheumatology: OSTEOARTHRITIS RHEUMATOID ARTHRITIS Dr. Meg-angela Christi Amores.
Musculoskeletal conditions Ahmad Osailan. Common changes in musculoskeletal system due to aging Dehydration of disc causes reduction in total height by.
Objectives Define arthritis List risk factors Distinguish between osteoarthritis, gout, tendonitis and bursitis in disease origin List common types of.
The menisci are C-shaped discs of fibrocartilage that are interposed between the condyles of the femur and tibia. Primary function is load transmission.
ARTHRITIS. Osteoarthritis is a degenerative joint disease is the most common joint disorder. It is a frequent part of aging and is an important cause.
Chapter 54 Assessment and Management of Patients With Rheumatic Disorders.
Skeletal System Disorders. Arthritis Joint inflammation 2 most common forms: Osteoarthritis Rheumatoid arthritis.
INFLAMMATORY AND DEGENERATIVE JOINT DISEASES Dr. Amro Al-Hibshi, MD, FRCSC, MEd.
DEGENERATIVE JOINT DISEASE = OSTEOARTHRITIS. DEGENERATIVE JOINT DISEASE Degenerative joint disease is chracterized by: 1. pain 2. stiffness 3. loss of.
OSTEOARTHRITIS OSTEOARTHROSIS DEGENERATIVE JOINT DISEASE Prof. Dr. Ülkü Akarırmak.
Primary Care Management The Hip Andrew Pearse Consultant Trauma and Orthopaedics Worcestershire Acute Hospitals NHS Trust.
Skeletal System Abnormalities, Disorders, etc.. Spine Curvatures Scoliosis (thoracic curvature)
Degenerative Disease of the Spine Khalid A. AlSaleh, FRCSC Assistant Professor Dept. of Orthopedic Surgery.
Chapter 8: Joints Objectives: 1) Know the basic types of movement 2) Know the basic disorders that affect the joints Reminders: Quiz Monday.
Spondylosis (OA) - Lumbar. Definition “Spondy” is Latin for spine “Losis” is the Latin term for problem. Not only osteoarthritis of the lumbar spine,
Muskuloskeletal Assessment Health History Physical Assessment Inspection Palpation Range of Motion Muscular Strength Rachel S. Natividad, RN,
Dr Raj Sengupta Low Back pain. Definitive diagnosis difficult – not made in 85% Distinguish benign, self limiting disease (95%) from serious disease (5%)
Dr.Hazem Alkhawashki Associate professor College of Medicine,KSU.
CERVICAL SPONDYLOSIS DR T.P MOJA STEVE BIKO ACADEMIC HOSPITAL.
Lower Limb Problems Orthopaedic Medicine Scope Painful hips. Painful thighs. Pain in the knee. Shin problems. Ankle problems. Foot problems.
Cervical Spine Pathologies and Treatments Physician Name Physician Institution Date.
History Taking in Orthopedics Prof. Mamoun Kremli AlMaarefa College.
Interventions for Clients with Connective Tissue Disease and Other Types of Arthritis.
CLINICAL DIAGNOSIS OF CERVICAL DISORDERS Andradi S. Department of Neurology, University of Indonesia, Jakarta.
Nursing Management: Arthritis and Connective Tissue Diseases Chapter 65 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
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