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What is the the most common arthropathy among adults, particularly the elderly?
Osteoarthritis (OA)
What is Osteoarthritis (OA) characterized by?
OA is characterized as progressive loss of articular cartilage with reactive changes in the bone,resulting inpain and destruction of the joint.
What category of patients display radiographic signs of the disease?
Among persons aged 40 years or older,90% display radiographic signs of the disease
What are the clinical features of Osteoarthritis (OA)?
Decreased range of motion (ROM),joint crepitus,and pain gradually worsening throughout the day arefeatures of OA.
What are common sites of involvement in Osteoarthritis (OA)?
Common sites of involvement are the distal interphalangeal (DIP) joint (Heberden’s nodes),proximalinterphalangeal (PIP) joint (Bouchard’s nodules),wrist,hip,knee,and spine.The metacarpophalangeal(MCP) joints (except the thumb),ankle,and elbow are usually spared.
What happens to the joints in Osteoarthritis (OA)?
oints can become unstable during the late stages of OA
How useful are laboratory tests in diagnosing Osteoarthritis?
Laboratory tests are nonspecific.
How useful are radiographs in diagnosing Osteoarthritis?
Radiographs show asymmetric narrowing,subchondral sclerosis,cysts,and marginal osteophytes.
What is the treatment for Osteoarthritis?
Weight reduction,moderate physical activity,acetaminophen,nonsteroidal anti-inflammatory drugs(NSAIDs),intra-articular steroids and viscosupplement injections,bracing,canes,and quadricepsstrengthening may be useful in managing OA.
What is are the surgical treatments for Osteoarthritis?
Total joint replacement may be indicated in advanced cases.Osteotomy and surgical arthrodesis generallydonot have long-term benefit