Degenerative disorders and fractures

• - chronic, systemic, autoimmune, inflammatory

• - progressive synovitis

• - symmetrical

• JRA

• Osteoarthritis

• Osteoporosis

• Rheumatoid arthritis

RA:

Acute: pain at rest, inability to move joint after resting, no change on X ray

• Chronic active

• Subacute

• Acute

• Chronic inactive

RA stage:

reduced pain, OP evident on Xray, no joint deformity on xray

• Chronic active

• Acute

• Chronic Inactive

• subacute

RA stage:

low grade inflammation, pain with movement, OP on Xray, bone destruction, joint deformity

• chronic active

• acute

• subacute

• chronic inactive

RA stage:

no signs of inflammation, limited ROM, fibrous or bony ankylosis present

• Subacute

• Chronic active

• acute

• Chronic inactive

• - most common joint disorder

• - not inflammatory

• - breakdown of articular cartilage

• - no known caused localized to a joint

• - asymmetrical

• - crepitus

• progressive condition

• - low bone mass/density

• - increased risk of fractures

• - can occur due to meds, steroid, DM, RA, alcoholism, thyroid disease, malnutrition

Femoral Neck Fracture

• Repair is THR

• Repair is ORIF

Intertrochanteric Fracture

• Repair is THR

• Repair is ORIF

Subtrochanteric

• Repair is THR

• Repair is ORIF