L2.4 - Degenerative Disorders

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85 Terms

1
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Right hip

Bone

<p>Bone</p>
2
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Right femoroacetabular joint

Joint

<p>Joint</p>
3
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Yes

Joint space narrowed?

<p>Joint space narrowed?</p>
4
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Non-uniform

Uniform/non-uniform narrowing

<p>Uniform/non-uniform narrowing</p>
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No

Periarticular erosions

<p>Periarticular erosions</p>
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Yes

Osteophytes

<p>Osteophytes</p>
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Yes

Subchondral cysts

<p>Subchondral cysts</p>
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Yes

Subchondral sclerosis

<p>Subchondral sclerosis</p>
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No

Periarticular osteopenia

<p>Periarticular osteopenia</p>
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No

Soft tissue swelling

<p>Soft tissue swelling</p>
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No

Intra-articular calcification

<p>Intra-articular calcification</p>
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No

Joint ankylosis

<p>Joint ankylosis</p>
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Yes

Extra-articular calcification/osseous bodies

<p>Extra-articular calcification/osseous bodies</p>
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Yes

Subluxation

<p>Subluxation</p>
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No

Dislocation/diastasis

<p>Dislocation/diastasis</p>
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Bilateral

Bilateral/unilateral

<p>Bilateral/unilateral</p>
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Degenerative

Category of joint disease

<p>Category of joint disease</p>
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Osteoarthrosis

Most likely diagnosis?

<p>Most likely diagnosis?</p>
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Orthopedic referral

Next step?

<p>Next step?</p>
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- Collapse

- Step-off deformity

- More fragmentation

How can you differentiate this from avascular necrosis?

<p>How can you differentiate this from avascular necrosis?</p>
21
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1st metarcarpal and trapezium

Bone

<p>Bone</p>
22
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Carpometacarpal joint

Joint

<p>Joint</p>
23
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Yes

Joint space narrowed?

<p>Joint space narrowed?</p>
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No

Periarticular erosions

<p>Periarticular erosions</p>
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Yes

Osteophytes

<p>Osteophytes</p>
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Yes

Subchondral cysts

<p>Subchondral cysts</p>
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Yes

Subchondral sclerosis

<p>Subchondral sclerosis</p>
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Yes

Periarticular osteopenia

<p>Periarticular osteopenia</p>
29
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No

Soft tissue swelling

<p>Soft tissue swelling</p>
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No

Intra-articular calcification

<p>Intra-articular calcification</p>
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No

Joint ankylosis

<p>Joint ankylosis</p>
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No

Extra-articular calcification/osseous bodies

<p>Extra-articular calcification/osseous bodies</p>
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Yes

Subluxation

<p>Subluxation</p>
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No

Dislocation/diastasis

<p>Dislocation/diastasis</p>
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Unilateral

Bilateral/unilateral

<p>Bilateral/unilateral</p>
36
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Degenerative

Category of disease

<p>Category of disease</p>
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Osteoarthrosis

Diagnosis?

<p>Diagnosis?</p>
38
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Correlate with patient

Next step?

<p>Next step?</p>
39
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DIPs

Joint

<p>Joint</p>
40
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Yes

Joint space narrowed?

<p>Joint space narrowed?</p>
41
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Non-uniform

Uniform/non-uniform joint narrowing

<p>Uniform/non-uniform joint narrowing</p>
42
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No

Periarticular erosions

<p>Periarticular erosions</p>
43
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Yes

Osteophytes

<p>Osteophytes</p>
44
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A little bit

Subchondral cysts

<p>Subchondral cysts</p>
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Yes

Subchondral sclerosis

<p>Subchondral sclerosis</p>
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No

Periarticular osteopenia

<p>Periarticular osteopenia</p>
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Not a lot

Soft tissue swelling

<p>Soft tissue swelling</p>
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No

Intra-articular calcification

<p>Intra-articular calcification</p>
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No

Joint ankylosis

<p>Joint ankylosis</p>
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No

Extra-articular calcification/osseous bodies

<p>Extra-articular calcification/osseous bodies</p>
51
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Yes

Subluxation

<p>Subluxation</p>
52
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No

Dislocation/diastasis

<p>Dislocation/diastasis</p>
53
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Degenerative

Category of disease

<p>Category of disease</p>
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Osteoarthrosis

Diagnosis?

<p>Diagnosis?</p>
55
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Heberden's nodes

Clinically, what may be noted by inspecting the involved joints?

<p>Clinically, what may be noted by inspecting the involved joints?</p>
56
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- PIPs and DIPs involved

- Thick/swollen hand

- Gull-wing deformity

- Osteophytes

Describe findings

<p>Describe findings</p>
57
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Erosive osteoarthritis

Diagnosis?

<p>Diagnosis?</p>
58
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Middle-aged females

What patient population generally gets this disease?

<p>What patient population generally gets this disease?</p>
59
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- Subluxation

- Non-uniform loss of joint space (medial tibiofemoral joint)

- Osteophytes

- Subchondral sclerosis

Describe findings

<p>Describe findings</p>
60
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Osteoarthrosis

Diagnosis?

<p>Diagnosis?</p>
61
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Genu varum

Clinically, the patient's lower extremities would take on what kind of appearance?

<p>Clinically, the patient's lower extremities would take on what kind of appearance?</p>
62
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- Subluxation

- Osteophytes

- Subchondral sclerosis

- Non-uniform loss of joint space (medial tibiofemoral joint)

Describe findings

<p>Describe findings</p>
63
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Osteoarthrosis

Diagnosis?

<p>Diagnosis?</p>
64
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Patellar tooth sign

How would you describe the anterior aspect of the patella and what does it indicate?

<p>How would you describe the anterior aspect of the patella and what does it indicate?</p>
65
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- Subchondral cyst

- Subluxation

- Non-uniform loss of joint space

- Subchondral sclerosis

- Osteophytes

Describe findings

<p>Describe findings</p>
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Osteoarthrosis

Diagnosis?

<p>Diagnosis?</p>
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- CAM deformity

- Yes

- What "deformity" of the femoroacetabular joint is present?

- Do you think it relates to the diagnosis?

<p>- What "deformity" of the femoroacetabular joint is present?</p><p>- Do you think it relates to the diagnosis?</p>
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No

Would you adjust this patient?

<p>Would you adjust this patient?</p>
69
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- Calcification of anterior longitudinal ligament

- Intercalary bone

- Preserved disc height across 4 levels

List at least 3 findings

<p>List at least 3 findings</p>
70
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Ossification of the posterior longitudinal ligament (OPLL)

What complication has occurred in the cervical spine?

<p>What complication has occurred in the cervical spine?</p>
71
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Diffuse idiopathic skeletal hyperostosis (DISH)

Most likely diagnosis?

<p>Most likely diagnosis?</p>
72
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Neurosurgeon referral

Next step?

<p>Next step?</p>
73
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No

Would you adjust this patient?

<p>Would you adjust this patient?</p>
74
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Ossification of the posterior longitudinal ligament (OPLL)

What is the main finding on the CT study?

<p>What is the main finding on the CT study?</p>
75
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Diffuse idiopathic skeletal hyperostosis (DISH)

Most likely diagnosis?

<p>Most likely diagnosis?</p>
76
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Neurosurgeon referral

Next step?

<p>Next step?</p>
77
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No

Would you adjust this patient's cervical spine?

<p>Would you adjust this patient's cervical spine?</p>
78
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- Swelling (distension)

- Dislocation

- Destruction

- Density changes

- Debris

- Disorganization

Describe findings

<p>Describe findings</p>
79
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- Neuropathic arthritis

- Diabetes, neurosyphilis, syringomyelia, myelomeningocele, alcoholism

- Diagnosis?

- What are some causes of this?

<p>- Diagnosis?</p><p>- What are some causes of this?</p>
80
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Primary care provider

Next step?

<p>Next step?</p>
81
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No

Would you adjust the ankle?

<p>Would you adjust the ankle?</p>
82
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- Intra-articular calcifications

- Loose bodies

List main findings

<p>List main findings</p>
83
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- Osteophytes

- Unilateral loss of joint space

Any secondary findings?

<p>Any secondary findings?</p>
84
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Synoviochondrometaplasia (SCM)

Diagnosis?

<p>Diagnosis?</p>
85
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Orthopedic surgeon referral

Next step?

<p>Next step?</p>