A 64-year-old male presented with left knee pain that had been ongoing for 6 months. He reported a history of ACL repair in his late 20s and pain with walking distances over 500 meters. He also reported knee locking, giving way, and increased morning stiffness lasting 20 minutes.

1. A 64 year old male presented with left knee
pain
• Insidious onset of pain over last 6 months
• History of ACL repair due to football injury
in his late 20's
• Pain of 5/10 with walking distances >500m
• C/o knee 'locking' & 'giving way'
• C/o increased stiffness in mornings lasting
about 20mins
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NY 10001

2. “I think my knee And other tales
of joint
just popped…” popping truths…
A lecture about OSTEOARTHRITIS
Reported by: Stephanie Kaye Gabit and
Joseph Vincent Ladra

3. Osteoarthritis is a form
of arthritis that features the
breakdown and eventual
loss of the cartilage of one
or more joints.
Osteoarthritis
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123 West Main Street, New York, | www.rightcare.com
NY 10001

4. Osteoarthritis is a
disorder of synovial joints
that results in loss of
hyaline cartilage.
Osteoarthritis
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York, | www.rightcare.com
NY 10001

5. Also known as
degenerative arthritis or
degenerative joint disease
or osteoarthrosis.
Osteoarthritis
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York, | www.rightcare.com
NY 10001

6. Clinical
Reduced
Pain is generally
Heberden's the
OA at
Pain onnodes (on
described as a
Joint
movement to
toes leads of
the distal
Mild joints)
range of
sharp ache, or a
interphalangeal
Crepitusthe
burning sensation
the affected
and/or Bouchard's nodes
Synovitis
stiffness
movement
joint
(on the proximal
in the
formation
interphalangeal joints
associate muscles
of bunions
and tendons
Manifestations
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123 West Main Street, New York,
NY 10001
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7. Most types of arthritis
Specific genes are associated
are more common of certain
with a higher risk in women;
The risk ofpeople with
60% of all developing
types of osteoarthritis.
most typesare deformities or
of arthritis
arthritis bone
Congenital
increases with age.
defective cartilage.
women. Gout is more
common in men.
Non-Modifiable
Age
Gender
Genes Risk Factors|
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York,
NY 10001
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8. Damage to a joint can
Excess occupations involving
Certain weight can
contribute to the development
repetitive knee bending and
contribute to both the
of osteoarthritis in that with
squatting are associated
onset Joint progression of
joint. and injuries such as
osteoarthritis of the knee.
knee osteoarthritis.
anterior cruciate ligament
(ACL) and meniscal tears.
Joint Modifiable
Obesity
Occupation
Risk Factors|
Injuries P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York,
NY 10001
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9. Anatomy and
ItCartilage hard
is not as is a
and rigid as
flexible
bone but is
connective
tissue found in
stiffer and less
many areas of
flexible
than body.
the muscle
Physiology
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123 West Main Street, New York,
NY 10001
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10. Cartilage
Chondrocytes
composed that
of produce

11. Extra- Proteoglycan
cellular Elastin
fibers
matrix Collagen
fibers

12. Cartilage acts as a cushion between
joints, to prevent the bones from rubbing
against each other (such as the cartilage in
the knees and elbows) and also reduces
friction in the joint with movement. It also
holds some bones together, such as rib
cartilage. Cartilage also forms bone when you
are growing - the ends of your long bones
(arm and leg bones) are formed of cartilage
when you are young, and this gradually
changes into bone and grows longer.
Anatomy and
Physiology|
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123 West Main Street, New York,
NY 10001
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13. Pathophysiology
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123 West Main Street, New York,
NY 10001
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14. Abnormalities of Diagnosing
X-rays of the
During
and damage to the
Arthroscopy is a
cartilage and
arthrocentesis, a
affected be
surgical technique
Loss of joint
ligaments spur
Boneacan
sterile needle is
wherebynarrowing
cartilage, can doctor
jointsviewing
detected and
insertsto remove
of the a
used joint space
formation
suggest
sometimesadjacent
repaired
tube into the for
joint fluid joint
between
through the
space
osteoarthritis
bones
analysis
arthroscope
Osteoarthritis
P: 555.123.4568 F: 555.123.4567
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123 West Main Street, New York,
NY 10001
www.rightcare.com

15. Clinical
• Topical pain relievers
• NSAIDS
• Acetaminophen
• COX-2
inhibitors
• Dietary
Supplement
• Corticosteroid
INJECTIONS
• Hyaluronate
injections
Manifestations
P: 555.123.4568 F: 555.123.4567
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123 West Main Street, New York,
NY 10001
www.rightcare.com

16. • Exercise/physiotherapy.
• Heat/cold application.
• Mobility aids, for example, a stick or a
frame.
• Weight loss.
• Splints/bracing/insoles.
Medical management
(conservative)|
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York,
NY 10001
www.rightcare.com

17. •Osteotomy
•Arthrodesis
•Total Hip Arthroplasty
(Replacement)
Surgical Management
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York,
NY 10001
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18. •1 - Maintain Your Ideal Body Weight
•2 - Exercise Regularly and Participate
in Regular Physical Activity
•3 - Protect Your Joints
•4 - Avoid Repetitive Stress on the
Joints
•5 - Listen to Your Pain
•6 - Avoid Injury to Joints
Prevention
P: 555.123.4568 F: 555.123.4567
123 West Main Street, New York,
NY 10001
| www.rightcare.com

19. Osteoarthritis is viewed by most people
as a gradual wearing out of the joints
— you could say it's slowly progressive.
The most current
research, though, indicates that not all
osteoarthritis patients worsen; some
actually stabilize.
Prognosis
P: 555.123.4568 F: 555.123.4567
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