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Osteoarthritis (Mx (Medical (Paracetamol, NSAIDs ± weak opioids), Surgical…
Osteoarthritis
Mx
Conservative
- ↓ wt. if affects wt. bearing joints
- Physio
- OT
- Social services if unable to perform ADLs
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Examination
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Hands
- Asymmetrical distal interphalangeal joint deformity = Fixed flexion
- Squaring of the CMC joint of the thumb
- Heberden’s nodes: distal
- Bouchard’s nodes: proximal
- Disuse atrophy
- ↓ function
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Viva
Hx
Pain and stiffness
- Esp. after rest
- Worse @ end of day
- Night pain
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Radiographic Features
- Loss of joint space
- Osteophytes
- Subchondral sclerosis
- Subchondral cysts
- Deformity
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