Term
| periarticular site of tendon or ligament insertion into bone |
|
Definition
|
|
Term
| involves more than four joints |
|
Definition
|
|
Term
| involving two to four joints |
|
Definition
|
|
Term
|
Definition
|
|
Term
| extension of cortical bone at the site or periarticular ligament insertion indicating degeneration |
|
Definition
|
|
Term
| ossification of a spinal ligament; indicates the inflammatory process |
|
Definition
|
|
Term
|
Definition
|
|
Term
| spinal inflammatory arthritis |
|
Definition
|
|
Term
| inflammatory arthritis without rhumatoid factor |
|
Definition
|
|
Term
| seronegative arthritides that stimulate rheumatoid arthritis clinically but not radiographically or pathologically |
|
Definition
|
|
Term
| what is the most common arthritis? |
|
Definition
|
|
Term
| ___ most commonly involves finger joints and weight bearing joints (won't affect ankles unless trauma is present) |
|
Definition
|
|
Term
| Asymmetric destruction, non uniform loss of articular space, osteophytes, subchondral sclerosis, subchondral cysts, interarticular loose bodies, intra-articular deformity, and joint subluxation is characterized by |
|
Definition
|
|
Term
|
Definition
|
|
Term
| The most common area of intra-articular deformity is __ |
|
Definition
|
|
Term
| DJD in males is more common in ages |
|
Definition
|
|
Term
| DJD in females is more common in ages |
|
Definition
|
|
Term
| what is the most common cervical degenerative spondylolisthesis |
|
Definition
|
|
Term
| Calcification of the anterior annulus is ___ |
|
Definition
|
|
Term
| where do osteophytes normally form in the hip joint |
|
Definition
| superolateral acetabular rim or at the lateral and inferomedial surfaces of the femoral head |
|
|
Term
| Where is DJD typically found in the knee joint |
|
Definition
|
|
Term
| What is a common feature of DJD of the knee joint |
|
Definition
|
|
Term
| Where is DJD most common in the foot |
|
Definition
|
|
Term
| What is the measurement for the GH joint |
|
Definition
|
|
Term
| Where is DJD most commonly found in the shoulder |
|
Definition
|
|
Term
| GH DJD is most commonly found |
|
Definition
|
|
Term
| Loose bodies and a compromised joint space secondary to trauma is DJD commonly found in the |
|
Definition
|
|
Term
| DJD of the hand and wrist is commonly found in the |
|
Definition
| 1st CMC (metacarpal/trapezium) |
|
|
Term
| Where are herberden nodes found |
|
Definition
|
|
Term
| Where are bouchards nodes found |
|
Definition
|
|
Term
| Do not confuse herberdens nodes and bouchards nodes with |
|
Definition
|
|
Term
| Herberden nodes and bouchards nodes represent |
|
Definition
|
|
Term
| What are the 2 types of arthritis? |
|
Definition
non inflammatory
inflammatory |
|
|
Term
| What are 2 types of non inflammatory arthritis |
|
Definition
|
|
Term
| What are 8 common sites affected in DJD |
|
Definition
| wrist, hip, knee, PIPs, cervical spine, lumbar spine, thoracic spine, toes |
|
|
Term
| What are 8 radiological features of DJD (name 5 on test) |
|
Definition
Asymmetrical distribution
Non uniform loss of articular space
Osteophytes
Subchondral sclerosis
Subchondral cysts
Intra-articular loose bodies (joint mice)
Intra- articular deformity
Joint subluxation |
|
|
Term
| Thin disc without osteophytic changes is characteristic of ___ |
|
Definition
|
|
Term
| Really large osteophytes are characteristic of |
|
Definition
|
|
Term
| Radiolucency within the disc is characteristic of |
|
Definition
|
|
Term
| Degree of degenerative changes ___ correlate with pain |
|
Definition
|
|
Term
| Posterior translation of the vertebrae |
|
Definition
|
|
Term
| What are 3 radiological features of SI joint DJD |
|
Definition
narrowing of joint space
subchondral sclerossis iliac side of SI joint first
osteophytes |
|
|
Term
| What are 5 radiological features of Hip DJD |
|
Definition
non uniform joint space narrowing
osteophytes
subchondral sclerosis
subchondral cysts
deformity |
|
|
Term
| Most common site of hip DJD |
|
Definition
|
|
Term
| Knee DJD radiological features |
|
Definition
| hypertrophy and spurring of bone and erosion of the cartilage |
|
|
Term
| Where does knee DJD usually start |
|
Definition
|
|
Term
| What are 6 radiological features of knee DJD |
|
Definition
decreased medial compartment
Osteophytic changes (tibial eminence, adjacent medial)
Subchondral sclerosis
Subchondral cysts
Loose Bodies
Subluxations |
|
|
Term
|
Definition
|
|
Term
| Radiological features of DJD of the ankle |
|
Definition
Non uniform loss of joint space
Subchondral sclerosis
Subchondral cysts
Loose Bodies
Subluxations |
|
|
Term
| What toe is usually involved in DJD of the foot |
|
Definition
|
|
Term
| Radiological features of DJD of the foot |
|
Definition
Non uniform loss of joint space
Subchondral sclerosis
Osteophytes
Loose Bodies |
|
|
Term
| When is there DJD of the shoulder |
|
Definition
| it is non typical unless there is trauma |
|
|
Term
| Radiological features of DJD of the shoulder |
|
Definition
Subchondral sclerosis
Subchondral cysts
Loose Bodies
Subluxations
Osteophytic changes (inferior) |
|
|
Term
| Elbow DJD is usually seen |
|
Definition
|
|
Term
| Where in the wrist is there usually DJD changes |
|
Definition
| 1st carpal metacarpal articulation |
|
|
Term
| DJD of the hands will show __ on the DIPs |
|
Definition
|
|
Term
| DJD of the hands will show ___ on the PIPs |
|
Definition
|
|
Term
| RA of the hands is seen typically at the |
|
Definition
|
|
Term
| Diffuse Idiopathic Skeletal Hyperostosis is aka these 6 names |
|
Definition
Spondylolitis ossificans liamentosa
Spondylosis hyperostotica
Physiological vertebral ligamentous calcification
Generalized juxta-articular ossification of ligaments of the vertebral column
Ankylosing hyperostosis of the spine
Forestiers Disease |
|
|
Term
|
Definition
Cervical spine
Thoracolumbar spine |
|
|
Term
| What are 3 clinical features of dish |
|
Definition
spinal stiffness
mild local pain and discomfort
dysphagia (later) |
|
|
Term
| Up to 30% of patients with dish will present with |
|
Definition
|
|
Term
| Radiologically with dish the disc space will be |
|
Definition
|
|
Term
| Disease of the spine that shows exuberant hyperostosis, ligament calcification/ossification, periostitis at ligament attachments |
|
Definition
|
|
Term
| Exuberant hyperostosis will appear as |
|
Definition
|
|
Term
| In the cervical spine what also can go under calcification with DISH |
|
Definition
|
|
Term
| In a patient with dish where would you see a sharp claw like osteophyte in the joint space |
|
Definition
|
|
Term
| Destructive articular disease that is secondary to loss or impairment in joint proprioception |
|
Definition
|
|
Term
| Joint undergoes premature and excessive traumatic degenerative changes that lead to severe destruction and instability |
|
Definition
|
|
Term
| What are the 3 etiologies of neurotrophic arthropathies |
|
Definition
congenital
iatrogenic
acquired |
|
|
Term
| What are 7 things that can cause neurotrophic arthropathy |
|
Definition
diabetes mellitus
neurosyphillis
alcoholism
syringomelia
multiple sclerosis
Trauma
Tumor |
|
|
Term
| What are the 4 areas that neurotrophic arthropathies commonly affect |
|
Definition
| shoulder, hips, knee, feet |
|
|
Term
| Recurrent joint effusion is the classical sign of |
|
Definition
|
|
Term
| What are 3 red flags of neurotrophic arthropathy |
|
Definition
altered gait
loss of deep tendon reflex
pain insensitivity |
|
|
Term
| 6 D's of hypertrophic neurotrophic arthropathy |
|
Definition
distended joint
density increased
debris production
dislocation
disorganization
destruction |
|
|
Term
| Reabsorbed articular joint, tapered bone ends, licked candy stick appearance are features of |
|
Definition
| Atrophic neurotrophic arthropathy |
|
|
Term
| Benign arthropathy that is characterized by synovial tissue producing foci of cartilage in an asymmetrical pattern |
|
Definition
| Synoviochondrometaplasia (SCM) |
|
|
Term
| Patient presents with insidious onset of intensifying pain, crepitus with locking, and swelling |
|
Definition
|
|
Term
| Most common joints affected with SCM |
|
Definition
|
|
Term
| 3 Radiological features of SCM |
|
Definition
Loose bodies (round, ovoid, smooth, laminated, stippled, internal trabeculae)
DJD
Occasional extrinsic bone erosions |
|
|
Term
| Progressive Disease of unknown etiology that targets the synovial tissues |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Who is more commonly affected by RA |
|
Definition
|
|
Term
| Patient presents with an insidious onset of morning stiffness with pain/tenderness with movement. There is viewable soft tissue swelling of at least 2 joints bilaterally |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| wear and tear disease (injury, age, etc) |
|
|
Term
| Onset usually between 30-50 but can occur at any age |
|
Definition
|
|
Term
| Usually middle aged 40-60 |
|
Definition
|
|
Term
| Joint pain, swelling, stiffness, decreased ROM, fever, fatigue, and loss of energy |
|
Definition
|
|
Term
| Joint stiffness, pain , decreased ROM |
|
Definition
|
|
Term
| Worse in the morning or after long rest and lack of activity |
|
Definition
|
|
Term
| Tends to get worse with activity throughout the day |
|
Definition
|
|
Term
| Approx 1.3 million people in the USA have __ |
|
Definition
|
|
Term
| Approx 21 million people in the USA have ___ |
|
Definition
|
|
Term
| RA is different than DJD in the hands because it tends to affect the |
|
Definition
|
|
Term
| OA in the hands will affect the |
|
Definition
|
|
Term
|
Definition
elevated ESR
70% rheumatoid factor
Increased CRP
Anemia |
|
|
Term
| RA will have a ___ distribution |
|
Definition
|
|
Term
| 6 radiological features of RA |
|
Definition
soft tissue swelling (synovial edema) and mass
juxta articular osteopenia (hyperemia)
marginal erosions (pannus erosions)
ankylosis
deformity
juxta articular periosteal new bone |
|
|
Term
| In RA the joint space loss will be |
|
Definition
|
|
Term
| is it possible to have RA with OA |
|
Definition
| yes but it isn't very common |
|
|
Term
| Deformity of the extension of the joint |
|
Definition
|
|
Term
| Deformity of the flexion of the joint |
|
Definition
|
|
Term
| RA of the shoulder will have |
|
Definition
| erosion of the superior humeral head (osteopenia |
|
|
Term
| SI joints with RA will have |
|
Definition
bilateral uniform loss of joint space
pitting |
|
|
Term
| D/D of unilateral sacroilitis |
|
Definition
|
|
Term
| Bilateral protrusio acatabuli with increased teardrop distance |
|
Definition
|
|
Term
| Knee xray with RA will have |
|
Definition
| uniform loss of joint space with pannus formation |
|
|
Term
| A patient with RA of hands it is important to check for ___ before adjusting |
|
Definition
| transverse ligament instability |
|
|
Term
| RA of the cervical spine will have |
|
Definition
erosion of the dens (anterior and posterior)
anterior arch erosion
posterior tubercle erosion |
|
|
Term
| Chronic sero - inflammatory disorder of the axial skeleton of unknown etiology |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Genetic predisposition of AS |
|
Definition
|
|
Term
| AS initially begins in the |
|
Definition
|
|
Term
| After the SI joints AS will travel to |
|
Definition
|
|
Term
|
Definition
Iritis
Aortitis
Valvular incompetence
Aneurysms
Conduction blocks
Upper pulmonary fibrosia
Inflammatory bowel disease
Renal Failure
Carrot Stick fx
Andersson's lesion |
|
|
Term
|
Definition
Elevated ESR
Mild anemia
Positiive HLA B27
Negative RA latex (sero -) |
|
|
Term
|
Definition
SI
Throacolumbar
Pubic symphysis
cervical spine
shoulders
hips
heels |
|
|
Term
|
Definition
| pseudo widening of the SI joints |
|
|
Term
|
Definition
| Erosion and sclerosis (pitting) |
|
|
Term
|
Definition
|
|
Term
| Can you adjust a patient in the inflammatory phase of AS |
|
Definition
|
|
Term
| SI Joints presenting with AS will be |
|
Definition
| bilateral and symmetrical |
|
|
Term
| Osteitis of the vertebral bodies with AS will show |
|
Definition
romanus lesions
sclerosis (shiny corner sign)
marginal syndesmophytes (bamboo spine, poker spine) |
|
|
Term
| Apophyseal joints presenting with AS will show |
|
Definition
Erosions
sclerosis
ankylosis |
|
|
Term
| Fusion of the apophyseal joints with AS will show a ___ sign |
|
Definition
|
|
Term
| A single central radiodense line on frontal radiographs going down through the spinous process |
|
Definition
|
|
Term
| Hips presenting with AS will be |
|
Definition
bilateral symmetrical
protrusio acatabuli
eventual ankylosis
erosions, periostitis at trochancters, ischial tuberosities |
|
|
Term
| Shoulders presenting with AS will have erosions |
|
Definition
lateral humeral head
ankylosing of distal clavicle
periostitis greater tuberosity, AC ligament |
|
|
Term
| Heels presenting with AS will have |
|
Definition
| erosions, localized osteopenia, periostitis at the achilles and plantar aponeurosis insertions |
|
|
Term
| Whiskering of the cortical margins of bone |
|
Definition
|
|
Term
| ___ Arthritis is associated with inflammatory bowel disease |
|
Definition
|
|
Term
| Enteropathic arthritis will not go to the ___ |
|
Definition
|
|
Term
| Enteropathic arthritis is the same as |
|
Definition
| AS but it does not go to the cervicals |
|
|
Term
| Sero - arthritis that will show silvery scaly skin manifestations on the forearm, knee, back |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Psoriatic of the hands affects the |
|
Definition
|
|
Term
| Tapered bone ends in psoriatic arthritis is known as |
|
Definition
|
|
Term
| In DJD there is proliferation of bone, in psoriatic arthritis there is |
|
Definition
|
|
Term
| Arthritis mutilans of psoriatic arthritis is |
|
Definition
|
|
Term
| Psoriatic arthritis of the hips is |
|
Definition
|
|
Term
| Psoriatic arthritis will show not bilateral or symmetrical ___ syndesmophytes |
|
Definition
|
|
Term
| Also called reactive arthritis |
|
Definition
|
|
Term
|
Definition
| urethritis, conjunctivitis, polyarthritis |
|
|
Term
| The most common etiology of Reiters |
|
Definition
|
|
Term
| Genetic predominance of Reiters |
|
Definition
|
|
Term
|
Definition
| Unilateral SI, toes, feet, knee |
|
|
Term
| Less common sites of Reiters |
|
Definition
|
|
Term
|
Definition
Elevated ESR
Anemia
Leukocytosis
HLA b27 sero - |
|
|
Term
| Reiters has a predilection for the |
|
Definition
|
|
Term
| Soft tissue swelling, osteoporosis, uniform loss of joint space, marginal erosions, periostitis, deformity, non marginal syndesmophytes |
|
Definition
|
|
Term
| chronic connective tissue disorder |
|
Definition
|
|
Term
| most common characteristic of SLE occurs in the |
|
Definition
|
|
Term
| Radiological features of SLE |
|
Definition
demineralization of bone
calcinosis circumscripta (elbows, forearms, shoulder)
diffuse soft tissue calcification
AVN if chronic |
|
|
Term
| Generalized systemic inflammatory connective tissue disease that builds up collagen in skin and other organs |
|
Definition
|
|
Term
| Scleroderma commonly affects |
|
Definition
|
|
Term
| Scleroderma patients will have ___ phenomenon |
|
Definition
|
|
Term
| Radiological features: retraction, tapered fingers, calcification, bone reabsorbtion |
|
Definition
|
|
Term
| Patient <30 with with intra articular calcifications, chondrocalcinosis |
|
Definition
|
|
Term
| Calcium Pyrophosphate Deposition Disease is most commonly in the |
|
Definition
wrist, knee, ankle
elbow, shoulder, hip |
|
|
Term
|
Definition
|
|
Term
|
Definition
| bilateral although not symmetrical |
|
|
Term
| Bilateral opaque areas on the illium on the side of the SI joint with pain association is known as |
|
Definition
|
|
Term
| Patient presents with peripheral arthritis, digital clubbing, long bone periostitis |
|
Definition
|
|
Term
| Target sites of hypertrophic arthropathy |
|
Definition
| long bones of arms and legs |
|
|
Term
| Most common cause of hypertrophic arthropathy |
|
Definition
|
|
Term
| Arthritide known as the disease of kings |
|
Definition
|
|
Term
| Gout is induced by deposits of |
|
Definition
|
|
Term
| aggreagation of sodium monourate crystals |
|
Definition
|
|
Term
| gout has a predilection to the |
|
Definition
|
|
Term
| The clinical presentation of gout is seen in |
|
Definition
| males 20:1 greater than 40 |
|
|
Term
|
Definition
asymtomatic
acute
polyarticular
chronic |
|
|
Term
|
Definition
|
|
Term
| radiographic features of gout |
|
Definition
dense soft tissue tophi
preservation of joint space
juxta articular erosions
marginal erosions
intraosseous erosions
normal bone density
periosteal new bone
secondary DJD
chrondrocalcinosis
AVN |
|
|
Term
|
Definition
Elevated ESR
Leukocytosis
Hyperuricemia |
|
|
Term
| Tendinitis, bursitis, and joint pain |
|
Definition
|
|
Term
| HADD is commonly seen in patients |
|
Definition
|
|
Term
| HADD commonly affects a single joint and the most common one being |
|
Definition
|
|
Term
|
Definition
| pain tenderness, localized swelling, decreased ROM |
|
|
Term
|
Definition
| shoulder, hip, cervical spine, elbow , wrist, lumbar spine |
|
|
Term
| Supraspinatous tendon seen with HADD is seen on |
|
Definition
|
|
Term
| Infraspinatous tendon seen with HADD is seen on |
|
Definition
| internal rotation adjacent to the greater tuberosity |
|
|
Term
| Subscapularis tendon seen with HADD is seen on |
|
Definition
| internal rotation, adjatcent to the lesser tuberosity |
|
|
Term
| The hip joint most common affected tendon is |
|
Definition
| gluteus maximus seen below the greater trochanter |
|
|
Term
| HADD of the spine is seen on |
|
Definition
| longus coli anterior to C1 and C2 |
|
|
Term
| Pelligrini Steida is HADD of the |
|
Definition
| medial collateral ligament |
|
|
