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Erosive Osteoarthrosis

Erosive (osteo)arthrosis


Presentation

  • Presenting as toothache, earache, headache, difficulty opening the jaw, or simply jaw pain, osteoarthiritis of the temporomandibular joint presents challenges in diagnosis and management.[practicalpainmanagement.com]
  • Instability and ankylosis of interphalangeal joints are exclusively present in EOA when compared with osteoarthritis.[appliedradiology.com]
  • Symptoms and Signs Pain, swelling, and warmth of the distal and proximal interphalangeal joints are the most common presentation. The presentation is often bilateral.[boneandspine.com]
  • Bony osteophytes, directed toward the base of the finger, are present on the dorsal and palmar aspects of both articulating surfaces.[5minuteconsult.com]
  • Because it can present as an acute to subacute onset symmetric inflammatory arthritis with morning stiffness, it is often initially mistaken for rheumatoid or psoriatic arthritis.[hopkinsarthritis.org]
Swelling
  • Symptoms include pain, swelling, and difficulty moving the joint where the inflammation is present. It is a common injury of overuse. References[arthritis-health.com]
  • In OA the usual finding is the presence of bony swelling and the finding of only a comparatively low amount of soft tissue swelling.[arthritis.co.za]
  • Using krill oil is particularly important since it is low in the Omega 6 fatty acids which may actually increase inflammation and lead to more significant swelling and pain.[revyourbody.com]
  • Symptoms and Signs Pain, swelling, and warmth of the distal and proximal interphalangeal joints are the most common presentation. The presentation is often bilateral.[boneandspine.com]
  • Pronunciation Specialty Rheumatology, orthopedics Symptoms Joint pain, stiffness, joint swelling, decreased range of motion American College of Rheumatology Factsheet on OA Arthritis Foundation National Institute of Arthritis and Musculoskeletal and Skin[en.wikipedia.org]
Weakness
  • Other problems include loose joints, muscle weakness, and spinal curvature. Osteomalacia – a softening of the bones caused by vitamin D deficiency.[arthritis-health.com]
  • This can cause pain and stiffness in the joints, swelling, muscle weakness, and a reduced range of motion in the affected joints. Osteoarthritis can occur in any joint, but is most often found in the hands, hips, knees, or spine.[disabilitysecrets.com]
  • I can no longer do typing on a regular size keyboard, crafts like knitting, crochet, I have a strange loss of grip that drives me mad (drop things) and a weakness that also drives me crazy![ssdfacts.com]
  • As a result, patients may have radicular symptoms, including pain, weakness and numbness of the upper extremities. The physical examination should include a careful assessment of the affected joints, surrounding soft tissue and bursal areas.[aafp.org]
Fever
  • Pediatric Psoriatic Arthritis; Pediatric Rheumatic Fever; Pediatric Scleroderma; Pediatric Scoliosis; Pediatric Septic Rheumatic fever is a complicated involved disease that affects the joints skin It can be prevented with prompt diagnosis of strep throat[huiskopenfrankrijk.eu]
  • She denies any fevers or weight loss, and the remainder of her review of systems is unremarkable.[hopkinsarthritis.org]
  • He will also inquire about whether or not you have whole-body symptoms like a low-grade fever, fatigue, or weight loss.[verywell.com]
  • Rheumatic Fever: It usually follows a streptococcal infection, for example, scarlet fever or tonsillitis. There is a migratory polyarthritis together with carditis, erythematous skin lesions, and subcutaneous nodules.[icliniq.com]
Hyperthermia
  • الصفحة 348 - Dantrolene: a review of its pharmacodynamic and pharmacokinetic properties and therapeutic use in malignant hyperthermia, the neuroleptic malignant syndrome and an update of its use in muscle spasticity. ‏ الصفحة 60 - H, et al.[books.google.com]
Italian
  • Translated title of the contribution Clodronate in erosive osteoarthrosis of the hand: efficacy for pain and function recovery Original language Italian Pages (from-to) 328-331 Number of pages 4 Journal Giornale Italiano di Medicina del Lavoro ed Ergonomia[moh-it.pure.elsevier.com]
Arthritis
  • Infliximab and methotrexate in the treatment of rheumatoid arthritis. Anti-Tumor Necrosis Factor Trial in Rheumatoid Arthritis with Concomitant Therapy Study Group. N Engl } Med 2000;343:1594-1602. ‏[books.google.com]
  • Psoriatic Arthritis; Rheumatoid Arthritis; Systemic Lupus MS CCRC Clinical Research Director.[huiskopenfrankrijk.eu]
  • Imaging differential considerations include: non-erosive osteoarthritis : same distribution and degenerative changes, but without erosions rheumatoid arthritis : different joint distribution, proximal joints in rheumatoid arthritis psoriatic arthritis[radiopaedia.org]
  • Some conditions exhibit symptoms similar to those of degenerative arthritis, some can result from degenerative arthritis, and some can even lead to the development of degenerative arthritis.[arthritis-health.com]
  • For someone unfamiliar with inflammatory osteoarthritis, it can easily be confused with other forms of inflammatory arthritis that affect the fingers, such as RA or psoriatic arthritis.[arthritis.org]
Bouchard's Node
  • […] nodes with arthropathy Bouchard's node Bouchards nodes w arthropathy Bouchards nodes with arthropathy Erosive osteoarthritis Erosive osteoarthrosis Generalized osteoarthritis of hand Generalized osteoarthritis of the hand Heberden's node Heberdens nodes[icd9data.com]
  • Degenerative joint disease of fingers: Bouchard's nodes on proximal interphalangeal (PIP) joint, Heberden's nodes on distal i... FIG. 65.9.[5minuteconsult.com]
  • Osteoarthritis Other names Degenerative arthritis, degenerative joint disease, osteoarthrosis The formation of hard knobs at the middle finger joints (known as Bouchard's nodes ) and at the farthest finger joints (known as Heberden's nodes ) are a common[en.wikipedia.org]
  • Severe synovitis is superimposed on the typical changes seen in conventional interphalangeal osteoarthritis (OA), which includes formation of Heberden's and Bouchard's nodes.[thieme-connect.com]
  • Uncommonly, inflammation arising in Heberden or Bouchard nodes may be caused by gout. This usually occurs in older women on diuretics with renal insufficiency.[rheumaknowledgy.com]
Heberden's Node
  • […] w arthropathy Heberden's nodes with arthropathy Left Heberdens nodes w arthropathy Left Heberdens nodes with arthropathy Nodule on finger On examination - hands - Heberden's nodes On examination - Heberden's nodes Osteoarthrosis generalized hand Right[icd9data.com]
  • Stecher [ 29 ] described the progression of Heberden’s nodes having observed around 7,000 individuals with Heberden’s nodes. He noted that the progression could be divided into three stages.[intechopen.com]
  • Heberden node. The articular cartilage has completely disappeared from the surfaces of the distal interphalangeal joint.[5minuteconsult.com]
  • Osteoarthritis Other names Degenerative arthritis, degenerative joint disease, osteoarthrosis The formation of hard knobs at the middle finger joints (known as Bouchard's nodes ) and at the farthest finger joints (known as Heberden's nodes ) are a common[en.wikipedia.org]
  • A genetic predisposition exists for women with OA of the distal interphalangeal joints (Heberden nodes).[rheumaknowledgy.com]
Ankylosis
  • There is also ankylosis of the distal interphalangeal joint of the index finger. Radiographically, the erosions are centrally located, in contrast to the marginal erosions in rheumatoid arthritis.[emedicine.medscape.com]
  • Deformities like subluxations, flexion contractures, and ankylosis may also be seen. Systemic symptoms are absent.[boneandspine.com]
  • […] include: diffuse cartilage loss, with joint space narrowing subchondral erosions (at least two central erosions affecting separate interphalangeal joints); typical central location of the erosions produces the classic " gull wing " appearance joint ankylosis[radiopaedia.org]
  • Instability and ankylosis of interphalangeal joints are exclusively present in EOA when compared with osteoarthritis.[appliedradiology.com]
  • In order to meet this listing, you must have an obvious deformity in a joint: medical imaging (such as an MRI) must show joint space narrowing, ankylosis (when your joints fuse), or the destruction of bone.[disabilitysecrets.com]
Joint Swelling
  • Pronunciation Specialty Rheumatology, orthopedics Symptoms Joint pain, stiffness, joint swelling, decreased range of motion American College of Rheumatology Factsheet on OA Arthritis Foundation National Institute of Arthritis and Musculoskeletal and Skin[en.wikipedia.org]
  • Symptoms include gradually developing pain aggravated or triggered by activity, stiffness lasting 30 min on awakening and after inactivity, and occasional joint swelling. Diagnosis is confirmed by x-rays.[msdmanuals.com]
  • This can cause pain and stiffness in the joints, swelling, muscle weakness, and a reduced range of motion in the affected joints. Osteoarthritis can occur in any joint, but is most often found in the hands, hips, knees, or spine.[disabilitysecrets.com]
  • Distal interphalangeal (DIP) joint swelling of the index, middle and ring fingers demonstrating Heberden’s nodes in a patient with hand OA.[intechopen.com]
  • Symptoms of digital inflammatory OA (pressure pain of the joint and/or florid joint swelling and/or redness and/or warmth) with more than three fingers’ joints for more than 3 months (at least every other day) despite taking analgesics and non-steroidal[trialsjournal.biomedcentral.com]
Suggestibility
  • These data prove the efficacy of the clodronate in treating painful episodes of erosive osteoarthritis and suggest that bisphoshonates could play an important role in the rehabilitation of this disease.[moh-it.pure.elsevier.com]
  • Sup 4 P Although the true etiology is unknown, several investigators have suggested hormonal in& #64258; uences, metabolic disorders, and autoimmunity.[appliedradiology.com]
  • These levels probably reflect the disease activity of erosive osteoarthritis, as suggested by correlations between CRP and joint count at clinical observation and at bone scintigraphy (2) EOA patients are rheumatoid factor negative and negative for anti-CCP[gpnotebook.co.uk]
  • Although the studies above suggest a strong familial association with hand OA, the broad nature of clinical presentation and phenotypes suggests that strong genetic associations with hand OA are difficult to identify.[intechopen.com]
  • But the cause and pathogenic processes associated with erosive OA have not been fully established, and the European League Against Rheumatism has suggested that erosive disease may be a subset of generalized hand OA.[medpagetoday.com]
Paresthesia
  • These include: abrupt onset of pain, swelling, redness, warmth and limited function of IP joints of the hands are commonly found in most patients throbbing paresthesias of the fingertips, which are often nocturnal evolution in nodal deformities of distal[gpnotebook.co.uk]
  • One of the characteristic symptoms is throbbing paresthesia. Examination often reveals tenderness and the presence of Heberden and Bouchard nodes. Deformities like subluxations, flexion contractures, and ankylosis may also be seen.[boneandspine.com]
  • Uncommon side effects include dizziness, blurred vision, emotional lability, corneal clouding, hearing impairment, hearing loss, drowsiness, numbness, sleep disturbances, dizziness, tinnitus, confusion, agitation, headache, paresthesia, decreased muscle[trialsjournal.biomedcentral.com]

Workup

Joint Space Narrowing
  • There were multiple areas of joint space narrowing with osteophyte formation; these were most notable at the left third DIP joint and the right second PIP interphalangeal joint.[appliedradiology.com]
  • Moderate-to-severe KL scores of 3 or higher were found in 425 joints, indicating the presence of multiple osteophytes, joint space narrowing, sclerosis, and possible bone deformities.[medpagetoday.com]
  • space narrowing subchondral erosions (at least two central erosions affecting separate interphalangeal joints); typical central location of the erosions produces the classic " gull wing " appearance joint ankylosis absence of 2 marginal erosions fusiform[radiopaedia.org]
  • This can be attributed to the slow growth of Heberden’s nodes and that joint space narrowing is possibly a late manifestation of the disease [ 31 ].[intechopen.com]
  • Radiological features of erosive osteoarthritis are Joint space narrowing Subchondral sclerosis Marginal osteophytes, Erosions of the joint [Gull-wing and saw-tooth deformities.] The x-ray below shows gull wing deformity.[boneandspine.com]
Joint Space Narrowing
  • There were multiple areas of joint space narrowing with osteophyte formation; these were most notable at the left third DIP joint and the right second PIP interphalangeal joint.[appliedradiology.com]
  • Moderate-to-severe KL scores of 3 or higher were found in 425 joints, indicating the presence of multiple osteophytes, joint space narrowing, sclerosis, and possible bone deformities.[medpagetoday.com]
  • space narrowing subchondral erosions (at least two central erosions affecting separate interphalangeal joints); typical central location of the erosions produces the classic " gull wing " appearance joint ankylosis absence of 2 marginal erosions fusiform[radiopaedia.org]
  • This can be attributed to the slow growth of Heberden’s nodes and that joint space narrowing is possibly a late manifestation of the disease [ 31 ].[intechopen.com]
  • Radiological features of erosive osteoarthritis are Joint space narrowing Subchondral sclerosis Marginal osteophytes, Erosions of the joint [Gull-wing and saw-tooth deformities.] The x-ray below shows gull wing deformity.[boneandspine.com]
Hypercholesterolemia
  • Clinical History The patient is a 68 year old woman with a history of hypercholesterolemia and hypothyroidism who presents to her physicians office complaining of progressive bilateral hand pain and worsening contractures of her fingers.[hopkinsarthritis.org]

Treatment

  • الصفحة 363 - Treatment of rheumatoid arthritis with a recombinant human tumor necrosis factor receptor (p75)-Fc fusion protein. ‏[books.google.com]
  • Another possible treatment is using TNF-blockers in the joint, he says, but it’s important to remember that these off-label treatments are all anecdotal. One off-label treatment he won’t be trying is biologics.[healthcentral.com]
  • Treatment Drug therapy is a key component of OA treatment. Many different types of drugs are available, however, very few of them are able to stop the progression of the disease.[eldersarthritis.com]
  • Ibuprofen 800 mg in the treatment of arthrosis of the fingers or rhizarthrosis [French]. Rev. Rhum. Ed Fr. 60, 836–841 (1993). 63. Seiler, V. Meclofenamate sodium in the treatment of degenerative joint disease of the hand (Heberden nodes).[nature.com]
  • Treatment The exact cause of erosive osteoarthritis is unknown, so treatment is still challenging. For now, treatment of erosive osteoarthritis focuses mainly on physical therapy and nonsteroidal anti-inflammatory drugs.[verywell.com]

Prognosis

  • The prognosis is good with remission after several years being seen in most patients. The degenerative changes of course remain and are then merely those of osteoarthritis.[radiopaedia.org]
  • What is the prognosis? Going to see an occupational therapist could be beneficial, says, Dr. Zashin, but overall the prognosis with medication is good.[healthcentral.com]
  • The prognosis is good; in most patients the inflammatory arthritis remits after several years, leaving more classic residual osteoarthritic deformities. References Belhorn LR, Hess EV. Erosive Osteoarthritis. Semin Arth Rheum 22 (5):298-306, 1993.[hopkinsarthritis.org]
  • The prognosis is generally good with remission after several years being seen in the most patients. The degenerative changes of course remain and are then merely those of osteoarthritis.[boneandspine.com]
  • Despite the symptoms, the prognosis is generally good, as many patients will experience remission of the symptoms over time. The joints will still be affected by degeneration, but without inflammation, similarly with the typical OA.[oa.newlifeoutlook.com]

Etiology

  • Independent of underlying etiology, OA can also be classified by anatomic involvement. These include the site of chief joint involvement and the presence of single or multiple joint involvement.[eldersarthritis.com]
  • Etiology of Osteoarthritis: According to the etiology, there are two types of osteoarthritis. Primary Osteoarthritis: Here the etiology is unknown.[icliniq.com]
  • Sup 4 P Although the true etiology is unknown, several investigators have suggested hormonal in& #64258; uences, metabolic disorders, and autoimmunity.[appliedradiology.com]
  • Etiology: Cause is unknown. Mechanical (e.g., trauma, repetitive stress), biochemical, and inflammatory factors contribute to its pathogenesis. A genetic predisposition exists for women with OA of the distal interphalangeal joints (Heberden nodes).[rheumaknowledgy.com]

Epidemiology

  • Disease Inception and Progression OA of the temporomandibular joint is a disease having a great deal of variation in progression, symptoms, epidemiology, pathophysiology, and presentation.[practicalpainmanagement.com]
  • The epidemiology of knee osteoarthritis: results from the Framingham Osteoarthritis Study. Semin Arthritis Rheum 1990;20:42–50.PMID: 2287948 Hochberg MC, Altman RD, Brandt KD, et al. Guidelines for the medical management of osteoarthritis.[rheumaknowledgy.com]
  • The epidemiology of chronic rheumatism, Kellgren ,vol. 2. Atlas of standard radiographs. Oxford: Blackwell Scientific; 1963. Ayral X, Dougados M, Listrat et al. Chondroscopy:a new method for scoring chondropathy. Semin Arthritis Rheum 1993; 22:289-97[arthritis.co.za]
  • Epidemiology and Risk Factors of Osteoarthritis Osteoarthritis is one of the most common joint diseases. In developing countries, knee osteoarthritis is the leading cause of chronic disability among the elders.[icliniq.com]
  • Download references Author information Affiliations Departments of Rheumatology and Clinical Epidemiology, Leiden University Medical Centre, P. O. Box 9600, 2300 RC Leiden, Netherlands.[nature.com]
Sex distribution
Age distribution

Pathophysiology

  • […] symptoms of Inflammatory Erosive Osteoarthritis (IEO) can mimic those of rheumatoid arthritis - pain and swelling in the joint, erosion, stiffness and increased pain with use – IEO is considered a subset of osteoarthritis, and differs from RA in both pathophysiology[healthcentral.com]
  • Disease Inception and Progression OA of the temporomandibular joint is a disease having a great deal of variation in progression, symptoms, epidemiology, pathophysiology, and presentation.[practicalpainmanagement.com]
  • Pathophysiology Biomechanical and biochemical forces are involved in cartilage destruction, which is at the core of osteoarthritis. Cytokines and growth factors are thought to play a role in the pathophysiology of the disorder.[aafp.org]
  • They are part of the clinical picture of osteoarthritis but it seems that their pathophysiology and genetic inheritance somewhat differs to our current understanding of generalised osteoarthritis. 6.[intechopen.com]
  • A UAR includes any event that may be symptomatically and pathophysiologically related to an event listed in the labelling, but differs from the labelled event because of greater severity or specificity.[trialsjournal.biomedcentral.com]

Prevention

  • In summary, prevention is the best course of action. Prevention means exercise and range of motion exercises as part of a lifestyle of joint health. Secondary to that, at the first sign of joint problems, inactivity is seldom the answer.[spinealert.net]
  • This helps to prevent or ease rheumatism kind of arthritis and cut mucous in the system. treatment for neck arthritis lower back pain can arthritis show up in blood test magazine antidotes prevention when walking Anti-inflammatory prostaglandins.[huiskopenfrankrijk.eu]
  • May 7, 2019 traumatic brain injury TBI Knowledge Strategies for Protection and Prevention ...illuminates how a healthy brain acts under rotational movement was recently published by a...[painweek.org]
  • […] duodenal ulcers in patients receiving chronic NSAID therapy; however, ranitidine is ineffective in preventing gastric ulcers. 27 The ACR provides no specific guidelines for the prevention and treatment of active ulcer disease and its complications in[aafp.org]
  • Getting an early start on preventing erosive osteoarthritis isn't difficult. All you need to do is take a daily Antarctic krill oil supplement that will boost your Omega 3 levels and help your joints stay healthy.[revyourbody.com]

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