Arthritis, Degenerative, Emergency Medicine

Patrick H. Sweet Reviewed 06/2017
 


Basics

Description

  • Degenerative arthritis or osteoarthritis (OA) is the most common progressive joint disease, with 20–30 million cases in the US

  • Found almost exclusively in the elderly

Etiology

  • Mechanism

  • ...

Diagnosis

Signs and Symptoms

  • Chronic progressive joint pain:

    • Worse with weight bearing, improved with rest

  • Asymmetric joint involvement:

    • Involves hand, foot, knee, hip, and spine joints

  • Morning joint stiff...

Treatment

The general goal of treatment is to provide relief from symptoms. A patient may have significant radiographic evidence of disease but have very few symptoms. Therefore the treatment regimen ...

Follow-Up

Disposition

Admission Criteria

Rarely indicated in the absence of fracture 

Discharge Criteria

  • Ambulatory and capable of activities of daily living

  • Improvement in symptoms (i.e., pain)

Sports Medicine Follow-up

Additional Reading

  • Hepper  CT, Halvorson  JJ, Duncan  ST, et al. The efficacy and duration of intra-articular corticosteroid injection for knee osteoarthritis: A systematic review of level I studies. ...

Codes

ICD9

  • 715.90 Osteoarthrosis, unspecified whether generalized or localized, involving unspecified site

  • 715.94 Osteoarthrosis, unspecified whether generalized or localized, hand

  • 715.97 Osteoarthrosis,...

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