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Osteoarthritis

Patrick Wakefield Joyner, MS, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Progressive loss of articular cartilage with reactive changes at joint margins and in subchondral bone

  • Primary osteoarthritis (OA)

    • Idiopathic: categorized by clinical features (localiz...

DIAGNOSIS

HISTORY

  • Distinguish OA from other types of arthritis by:

    • Absence of systemic findings

    • Minimal articular inflammation

    • Distribution of involved joints (e.g., distal and proximal interphalangeal jo...

TREATMENT

GENERAL MEASURES

  • Weight management combined with exercise/physical therapy to maintain or regain joint motion and muscle strength

    • Quadriceps-strengthening for knee OA

    • Periscapular strengthening...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow-up at 3-month intervals for assessment of conservative management treatment and future options

  • Recommend plain films of effected joint annually.

Patient Monitoring

REFERENCES

1
Gersing  AS, Schwaiger  BJ, Nevitt  MC, et al. Is weight loss associated with less progression of changes in knee articular cartilage among obese and overweight pat...

CODES

ICD10

  • M19.239 Secondary osteoarthritis, unspecified wrist

  • M19.9 Osteoarthritis, unspecified site

  • M19.212 Secondary osteoarthritis, left shoulder

  • M19.21 Secondary osteoarthritis, shoulder

  • M19.232 Seco...

CLINICAL PEARLS

  • Patients with OA typically have morning stiffness lasting for <15 minutes.

  • OA most commonly affects the hips, knees, and hands (proximal interphalangeal and distal interphalangeal jo...

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