OSTEOARTHRITIS

SUMMARY

1. OA is the most common form of arthritis. It can be primary (idiopathic) or secondarily assoc. with other inflammatory arthritis.

2. Secondary causes - gout, pseudogout, hemochromatosis, trauma, RA, or diabetic neuropathy.

3. The joint damage of OA is classically non-erosive. Rarely erosive with "gull-wing" deformity at the DIPJ.

4. Most commonly affected joints are carpometacarpal (CMC-1) joints of the hands, feet, knees, hips, and the spine.

5. Involvement of the ankle, wrist, and elbow is very rarely due to OA.

6. Changes most often affect PIPs and DIPs assoc. with assymetric, hard & bony nodes: Bouchard (PIP) and Heberden (DIP) nodes.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].