Please enable JavaScript.

Coggle requires JavaScript to display documents.

Arthritis Ch 6 Pt 1 - Coggle Diagram

- - - - synovectomy, arthrodesis, soft tissue reconstruction, arthroplasty
      - darrach procedure: involves excision of distal ulna, often accompanied by synovectomy and extensor tendon repair when needed
- - - - AS:
        -onset late teens to 20s
        -insidious, nontraumatic
        -pain with rest is increased
        -pain with activity is decreased
        -high levels of stiffness
        
        treatment:
        -education/exercise important
        -extension exercises 3x daily, attention to erect posture, sleeping without pillow to prevent kyphosis
        -swimming recommended
        -NSAIDs can relieve pain/stiffness
        -methotrexate/sulfasalazine improve inflammation in peripheral joints
        -TNF inhibitors shown to cause clinical improvement in axial skeleton
        
        X-ray changes:
        -erosion, sclerosis, pseudowidening, and ultimately fusion of SIJ
        -squaring of vertebrae with shiny corners
        -syndesmophyte (ossification of outer layer of IV disk) formation > bamboo spine
        -fusion of apophyseal joints
      - mechanical low back pain
        -onset at any age
        -often sudden, traumatic
        -decreased pain with rest
        -increased pain with activity
        -+/- stiffness, usually less than 15 min
- - - - -arthralgias most common
        -no visible joint swelling
        -when inflammation is present, often involves small joints of hand (similar to RA)
        -arthritis is not erosive, although joint deformities may be seen (ie Jaccouds arthropathy with swan neck deformity)