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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]
  • 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]
  • Instability and ankylosis of interphalangeal joints are exclusively present in EOA when compared with osteoarthritis.[appliedradiology.com]
  • Bony osteophytes, directed toward the base of the finger, are present on the dorsal and palmar aspects of both articulating surfaces.[5minuteconsult.com]
  • Other manifestation may be present, for example, cutaneous, pulmonary or renal. Septic Arthritis: It presents as a monoarthritis with a red, swollen, painful, immobile joint.[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]
Chronic Fatigue Syndrome
  • See Chronic Fatigue Syndrome and Myofascial Pain Syndrome vs. Fibromyalgia Neuropathic arthropathy – degenerative bone and joint changes that occur secondary to a loss of sensation and accompany many other disorders.[arthritis-health.com]
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]
  • 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]
  • Involvement of the proximal interphalangeal joints (PIP) is rarer; it creates the appearance of Bouchard's nodes. The metacarpophalangeal joints are very rarely affected. Genetic factors are very significant; mother-daughter heredity is very common.[arthrolink.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]
  • A genetic predisposition exists for women with OA of the distal interphalangeal joints (Heberden nodes).[rheumaknowledgy.com]
  • It affects mainly the distal interphalangeal joints (DIP) forming Heberden's nodes. Involvement of the proximal interphalangeal joints (PIP) is rarer; it creates the appearance of Bouchard's nodes.[arthrolink.com]
Joint Swelling
  • 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]
  • This inflammation can be mistaken for rheumatoid arthritis, which causes similar proximal interphalangeal joint swelling. However, osteoarthritis generally does not have an inflammatory component, except in advanced disease.[aafp.org]
Muscle Spasticity
  • 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]

Workup

Joint Space Narrowing
  • 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]
  • 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]
  • 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]
Helicobacter Pylori
  • pylori infection When used as cotherapy in patients requiring chronic NSAID treatment, misoprostol (Cytotec), a synthetic prostaglandin E 1 analog, helps to prevent gastric ulcers. 27 Omeprazole (Prilosec), a proton pump inhibitor, appears to be as effective[aafp.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]
  • 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 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]
  • Nevertheless, effective treatments for OA are limited, since many treatments have only small symptom-relieving effects.[trialsjournal.biomedcentral.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]
  • 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]
  • 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]

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 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]
  • 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]
  • 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 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]
  • "The pathophysiology of osteoarthritis: a mechanical perspective on the knee joint" . RM&R . 4 (5 Suppl): S3–9. doi : 10.1016/j.pmrj.2012.01.020 . PMC 3635670 . PMID 22632700 . "Swollen knee" . Mayo Clinic. 2017.[en.wikipedia.org]

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]
  • […] 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]
  • Society of Preventive Hip Surgery . Archived from the original on 2016-12-20 . Retrieved 2016-12-13 . "KOOS survey score description and free online calculator – orthotoolkit" .[en.wikipedia.org]

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