Osteoarthritis
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Search Strategy[edit | edit source]
Library: Vrije Universiteit Brussel; 616.7: Rheumatology
Definition/Description[edit | edit source]
Osteoarthritis or degenerative arthritis is a heterogeneous group of conditions that lead to joint symptoms and signs which are associated with degeneration of articular cartilage, in addition to related changes in the underlying bone and at the joint margins. [1]
Epidemiology /Etiology[edit | edit source]
- Epidemiology:
As highlighted by Peyron[2]., one adult on thee has osteoarthritis and above 55 years, this disease has a prevalence of 4 times more than de total population. Professionals in collaboration[3] mentioned that people from the United States and black people from Jamaica and Africa has the highest prevalence. Further on, they say that woman has a higher prevalence as well. Race- and genderdifferences are more clearly than climatic differences.
Allander et al.[4] approved thath age has an influence on the severity of osteoarthritis at the level of hands and feet. This proves the relation between age and gender with osteoarthritis.
Characteristics/Clinical Presentation[edit | edit source]
Clinical signs depend mainly to the affected joint but usually, they show some common characteristics. They're mainly local.
Symptoms are[3]:
- Pain:
This is a 'mechanical' type of pain which is genarated by mobilisation, increases with fatigue and decreases with rest. Pain occurs in the morning or after a period of inactivity. Mostly, there's no overnight pain. The intensity of pain is variable. Sometimes it's dull and tolerable, other times it's very heavy with short peaks.It can be stimulated by cold, trauma and fatigue.
This pain occurs at the level of the subchondral bone and in capsuloligamentar and muscular structures.
- Limiation in movement (loss of ROM):
- Sounds from the joints:
- Morphological deformities
- Difficult and painful mobilization:
There are no biological characteristics of osteoarthritis.
joint pain, restricted movement sounds, morphological deformities and difficult and painful mobilization
there are no biological core brands
Differential Diagnosis[edit | edit source]
Osteoarthritis is a degenerative process at the level of the cartilage and should be well distinguished from arthritis, where it’s about a synovial inflammatory process[3].
Diagnostic Procedures[edit | edit source]
The severity of osteoarthritis can be evaluated by radiography, according the Kellgren[5]. By this way, we can discriminate four degrees of severity in osteoarthritis:
Degree I: normal joint with a minimal osteophyte.
Degree II: osteophytose on two points with minimal subchondral sclerosis, proper joint space and no deformity.
Degree III: moderate osteophytose, early deformity of the bone endigs and a joint space which narrows.
Degree IV: Large osteophytes, deformity of bone endings, narrowing joint space, sclerosis and cysts.
Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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References[edit | edit source]
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- ↑ Article: DEVELOPMENT OF CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS Classification of Osteoarthritis of the Knee, Arthritis and Rheumatism, Vol. 29, No. 8 (August 1986). Placed on college of rheumatology site: 10 Sep 2010.
- ↑ Article: PEYRON J.G. ‘Epidemiologic and etiologic approach of osteoarthritis.’ Seminars in Arthritis and Rheumatism, 1979; 8: 288-306.
- ↑ 3.0 3.1 3.2 Book: CRIELAND J.M., DEQUEKER J., FAMAEY J.P., FRANCHIMONG P., GRITTEN Ch., HUAUX J.P. et al. ‘Osteoartrose’. Brussel, België: drukkerij Lichtert; maart 1985.
- ↑ Article: ALLANDER E. 'Rheumatology in perspective. The epidemiological view. Scand. J. Rheum.; 1982: Suppl. 46, 49.
- ↑ Book: KELLGREN J.H. 'Atlas of standard radiographs of arthritis'. Volume II of The Epidemiologic of Chronic Rheumatism. Oxford, Blackwell, 1963.
