Osteoarthritis

Headline
Etiology Degenerative ∆ articular cartilage → reactive ∆ subchondral bone/synovium.
Epidemiology
Clinical presentation Hand signs: Heberden’s nodes (DIP), Bouchard’s nodes (PIP) (= small bony nodules)
Distribution: weight bearing joints and small joints (isn't that everything?)
Pathogenesis
Diagnostic investigations Joint XR: ↓ joint space, periarticular sclerosis, osteophytes, subchondral cysts, subchondral sclerosis, peri-articular osteopenia (↓ bone mineral density, likely due to underuse)
Management