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Osteoarthritis (Risk Factors (Occupation, Heredity, Obesity, Age, "…
Osteoarthritis
Risk Factors
Occupation
Heredity
Obesity
Age
"Net impact of multiple genes"
Causes
Articular Cartilage Injury
Release of Cytokines
Release of Protease
Loss of smooth cartilage
Surface Cracks
Destruction of Subchondral bone
Osteophyte formation
Joint Destruction
Positive feedback
Repetitive Impact
Immobilization
Clinical Manifestations
Joint Pain
Aching
"Difficult to localize"
"Gelling"
Difficulty initiating movement after inactivity
Cracking/Locking
Enlarged Joint
mild synovitis
Increased Synovial Fluid
Collaborative Treatments
Physical Rehab
Improve supporting structures of joint
Strengthen opposing muscle groups
Rest
Heat/Cold
Weight Reduction
Medication
Acetaminophen
Supplements
Glucosamine & Chondroitin Sulfate (TOGETHER)
NSAIDs
Corticosteroid injection
Surgery
Arthroscopic
Lavage
Debridement
Osteotomies
Joint Replacement (Select Joints)
Arthrodesis
Labs/Diagnostics
Hx
Physical Exam
X-Ray
Labs
Exclude OTHER Disease
Complications
Inability to use joint/ Loss of Integrity
Severe Pain
Instability
Eburnation
"Joint Mice"