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OA-HIPS, KNEES, ANKLES

Rheumatology

OA-HIPS, KNEES, ANKLES

1. Pain & stiffness are common first thing in the morning but last less than 1 hour.

2. Risk factors - Joint trauma, malalignment, and obesity.

3. OA hips - pain referred to anterior thigh, antalgic gait, pain reproduced on internal rotation.

4. OA knees - can affect the medial/lateral tib-fib compartments or patello-femoral compartment. Other findings - crepitus, joint-line tenderness, palpable osteophytes.

5. Ankle OA - first MTPJ (pain on dorsi-flexion), subtalar (pain on walking on uneven surfaces), tibio-talar arthritis (anterior ankle pain).

6. X-ray findings - decreased joint space, marginal osteophytosis, subchondral cyst formation, and subchondral sclerosis.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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