RADD 2711 Final - Study Guide Part 2

RADD 2711 Final - Study Guide Part 2 - Part 2 of Skel Rad...

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Part 2 of Skel Rad Final Study Guide 8.2 10 power points - Degenerative Joint Diseases Upper Extremities o AC joint The most common o DJD in the Glenohumeral Joint Suspect previous trauma or cartilaginous disease Non-uniform loss of joint space Inferior aspect of the joint - DJD of the Shoulder o Calcific tendonitis and bursitis o Symptomatic/asymptomatic o o Supraspinatus tendon Most common Insertion on greater tubersity o Subacromial bursa Second most common Below acromion and above humeral head - DJD of the Elbow o This is secondary to Trauma Occupation Other (abnormality) - DJD of the Wrist o 1 st metacarpal-trapezium joint The most common o Radiographic signs Radial displacement (subluxation) of the first metacarpal base Sclerosis Osteophytes Loose bodies o Radiocarpal Joint Predisposing conditions Radial and scaphoid fractures Iscemic necrosis scaphoid and lunate Degenerative Tendonitis Calcification HADD Hydroxyapatite Deposition Disease
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CPPD Crystal deposition disease Radiographic signs Decreased radiocarpal joint space Sclerosis Osteophytes Triangular fibrocartilage calcification - DJD of the hand o Interphalageal Joints Enlargement of joints (clinically) DIP Heberden’s nodes PIP Bouchard’s node Arthritic Disorders - ARTHRITIS POLYARTHRITIS Degenerative Joint Disease Inflammatory Joint Disease Metabolic Deposition Disease MONOARTHRITIS *Traumatic *Infectious *Crystal induced *Rheumatoid *Degenerative
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- o HADD Hydroxyapatit Deposition Disease Calicifying tendinitis and bursitis 40-70 years old Males and females are equally affected Most commonly in single joints Shoulder Also seen in elbow, wrist, fingers, hip, knee, foot, and spine Most definitive method of Dx is x-ray Etiology is unknown Focal area of degeneration crystal deposition Tendon Calcification At insertion site Does not blend into cortex of adjacent bone Ovoid calcifications, sharp margins Disappear with ultra-sound and active mobilization Most common in shoulder rotator cuff, hip and upper C-spine Bursal Calcification Impossible differentiation from tendon calcification radiographically Most common in subacromial, subdeltoid and ischial bursae - CPPD o Calcium Pyrophosphate Dihydrate crystal deposition disease o Pseudo-gout produces gout like symptoms o People over than 30 years old Inflammatory Joint Disease Painful soft tissue swelling of joints * Rheumatoid types RA, Lupus, etc * Rhematoid variants AS, Reiters , PA, EA Degenerative Joint Disease Bony enlargement of joints Primary OA Secondary OA Metabolic Deposition Disease Lumpy bumpy joint disease Gout Hyperlipidemia Etc…
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o Having chronic PROGRESSIVE joint pain o Peripheral joints Knees, wrists, hands, ankles, hips, and elbows o Crystal deposition into cartilage Hyaline and fibrous types o In and around joints
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RADD 2711 Final - Study Guide Part 2 - Part 2 of Skel Rad...

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