All info on OA, including Sx, Ix, Dx, Mx
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Not an inflammatory condition
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Occurs in synovial joints
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Due to genetic factors, overuse, and injury
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Joint pain
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Stiffness for <30mins - worse with activity
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Crepitus
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Limited range of movement
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Hips
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Knees
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SI joints
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DIPs + MCP
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Wrist
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Cervical spine
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Neurovascular injury (external iliac)
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Infection
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Dislocation
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Periprosthetic fracture
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Loosening of implant + polyethylene wear, implant failure
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Obesity
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Age
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Occupation
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Trauma
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Female
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Family history
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No investigations needed if:
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Patient over 45
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Has typical activity-related pain
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No morning stiffness
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Stiffness lasts <30 mins
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1st line
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Patient education, physio, OT, orthotics
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2nd line
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Analgesia
PO paracetamol + topical NSAIDs Add PO NSAIDs (+ PPI) Opiates (codeine, morphine) |
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3rd line
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Intra-articular steroid injections
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4th line
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Joint replacement
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