JOINT DISEASES

OSTEOARTHRITIS
POLYARTHRITIS
WEIGHT-BEARING JOINTS (HIP, KNEE,
VERTEBRAE)
INTERPHALANGEAL JOINTS
PAIN WORSE AFTER MOVEMENT
MORNING STIFFNESS 5-10min

DEGENERATIVE: destruction of joint cartilage,
hypertrophy of soft tissue, new bone formation

Tx?


Heberden
nodes
Bouchard
nodes
OSTEOARTHRITIS

Loss of joint space, osteophytes, subchondral sclerosis,
periphalangeal bone density loss.
RHEUMATOID ARTHRITIS
SYMMETRICAL POLYARTHRITIS
STIFFNESS + SWELLING WORSE IN
MORNING APROX. 1h
IF HANDS AFFECTED: PROXIMAL JOINTS
ONLY
CERVICAL SPINE, SHOULDERS, KNEES,
ELBOWS, HIPS, PIP, MCP, MTP

AUTOIMMUNE? SYNOVIAL MEMBRANE
AFFECTED.

R.A. : MUSCLE WASTING, TENDON SWELLING, SWAN-NECK
DEFORMITY, JOINT SWELLING, SYMMETRIC.


JOINT EROSION, LOSS OF JOINT SPACES, JOINT LUXATION
RHEUMATOID NODULES

SWAN-NECK DEFORMITY

RHEUMATIC FEVER
JUMPING POLYARTHRITIS
VERY PAINFUL
FEVER, CARDITIS, CHOREA

POST STREPTOCOCCAL INFECTION
GROUP A, BETA HEMOLYTIC

Tx?

GOUT
URIC ACID CRYSTALS
AFTER BIG MEAL + ALCOHOL
MONOARTHRITIS
RED, HOT, PAINFUL
MTP joints, ANKLE, KNEE, ELBOW
TOPHACEOUS DEPOSITS: TOPHI

TX?


TOPHACEOUS GOUT