Project osteoarthritis

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1. A 64 year old male presented with left kneepainã Insidious onset of pain over last 6 monthsã History of ACL repair due to football injury in his late 20sã Pain…
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  • 1. A 64 year old male presented with left kneepain• Insidious onset of pain over last 6 months• History of ACL repair due to football injury in his late 20s• Pain of 5/10 with walking distances >500m• C/o knee locking & giving way• C/o increased stiffness in mornings lasting about 20mins Case StudyP: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, | www.rightcare.com NY 10001
  • 2. “I think my knee And other tales of jointjust popped…” popping truths… A lecture about OSTEOARTHRITIS Reported by: Stephanie Kaye Gabit and Joseph Vincent Ladra
  • 3. Osteoarthritis is a formof arthritis that features the breakdown and eventual loss of the cartilage of one or more joints. Osteoarthritis P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, | www.rightcare.com NY 10001
  • 4. Osteoarthritis is adisorder of synovial joints that results in loss of hyaline cartilage. Osteoarthritis P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, | www.rightcare.com NY 10001
  • 5. Also known as degenerative arthritis ordegenerative joint disease or osteoarthrosis. Osteoarthritis P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, | www.rightcare.com NY 10001
  • 6. Clinical Reduced Pain is generallyHeberdens the OA atPain onnodes (on described as a Jointmovement to toes leads of the distal Mild joints) range of sharp ache, or ainterphalangealCrepitusthe burning sensationthe affectedand/or Bouchards nodes Synovitis stiffnessmovementjoint (on the proximal in the formation interphalangeal joints associate muscles of bunions and tendonsManifestationsP: 555.123.4568 F: 555.123.4567 |123 West Main Street, New York,NY 10001 www.rightcare.com
  • 7. Most types of arthritisSpecific genes are associatedare more common of certainwith a higher risk in women;The risk ofpeople with60% of all developingtypes of osteoarthritis.most typesare deformities or of arthritisarthritis boneCongenitalincreases with age.defective cartilage.women. Gout is morecommon in men. Non-ModifiableAgeGenderGenes Risk Factors| P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com
  • 8. Damage to a joint canExcess occupations involvingCertain weight cancontribute to the developmentrepetitive knee bending andcontribute to both theof osteoarthritis in that withsquatting are associatedonset Joint progression ofjoint. and injuries such asosteoarthritis of the knee.knee osteoarthritis.anterior cruciate ligament(ACL) and meniscal tears. Joint ModifiableObesityOccupation Risk Factors|Injuries P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com
  • 9. Anatomy andItCartilage hard is not as is a and rigid as flexible bone but is connective tissue found in stiffer and less many areas of flexible than body. the muscle Physiology P: 555.123.4568 F: 555.123.4567 | 123 West Main Street, New York, NY 10001 www.rightcare.com
  • 10. Cartilage Chondrocytescomposed that of produce
  • 11. Extra- Proteoglycancellular Elastin fibersmatrix Collagen fibers
  • 12. Cartilage acts as a cushion between joints, to prevent the bones from rubbingagainst each other (such as the cartilage in the knees and elbows) and also reducesfriction in the joint with movement. It also holds some bones together, such as ribcartilage. Cartilage also forms bone when you are growing - the ends of your long bones (arm and leg bones) are formed of cartilage when you are young, and this gradually changes into bone and grows longer. Anatomy and Physiology| P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com
  • 13. Pathophysiology P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 | www.rightcare.com
  • 14. Abnormalities of Diagnosing X-rays of the Duringand damage to the Arthroscopy is a cartilage and arthrocentesis, a affected be surgical technique Loss of joint ligaments spur Boneacan sterile needle is wherebynarrowing cartilage, can doctor jointsviewing detected and insertsto remove of the a used joint space formation suggestsometimesadjacent repaired tube into the for joint fluid joint between through the space osteoarthritis bones analysis arthroscope Osteoarthritis P: 555.123.4568 F: 555.123.4567 | 123 West Main Street, New York, NY 10001 www.rightcare.com
  • 15. Clinical• Topical pain relievers• NSAIDS• Acetaminophen• COX-2 inhibitors• Dietary Supplement• Corticosteroid INJECTIONS• Hyaluronate injectionsManifestations P: 555.123.4568 F: 555.123.4567 | 123 West Main Street, New York, NY 10001 www.rightcare.com
  • 16. • Exercise/physiotherapy.• Heat/cold application.• Mobility aids, for example, a stick or a frame.• Weight loss.• Splints/bracing/insoles. Medical management (conservative)| P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com
  • 17. •Osteotomy•Arthrodesis•Total Hip Arthroplasty(Replacement) Surgical Management P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 | www.rightcare.com
  • 18. •1 - Maintain Your Ideal Body Weight•2 - Exercise Regularly and Participatein Regular Physical Activity•3 - Protect Your Joints•4 - Avoid Repetitive Stress on theJoints•5 - Listen to Your Pain•6 - Avoid Injury to Joints Prevention P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 | www.rightcare.com
  • 19. Osteoarthritis is viewed by most peopleas a gradual wearing out of the joints— you could say its slowly progressive.The most currentresearch, though, indicates that not allosteoarthritis patients worsen; someactually stabilize. Prognosis P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 | www.rightcare.com
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