(See also: synovial fluid exam:) Def: child w/ 2 to 4 swollen, warm, & moderately painful or tender joints; Symmetric Involvement Polyarticular JRA. Asymmetry suggests JRA: Polyarticular/Pauciarticular Trauma Leukemia Tuberculosis Fungal infections Hemophilia Lyme Disease Acute Rheumatic Fever Septic Arthritis Child Abuse
Discussion OA is defined as a chronic irreversible degenerative disease of articular cartilage predisposing conditions pathology and histology clinical features laboratory aspects Osteoarthritis of the Knee » Hip Osteoarthritis clinical features pain on wt-bearing felt in the groin, buttock, or medial thigh; trendelenburg gait will decrease mechanical stress on joint and thereby lessen pain (see … Read more
Discussion JRA is a persistent non infectious arthritis lasting more than 6 wks to 3 months after other possible etiologies have bee ruled out; most common chronic childhood rheumatoid dz; affects girls more than boys; synovial proliferation leads to joint destruction (chondrolysis) & soft tissue destruction; severe joint destruction is seen in only 5% of … Read more
General Discussion of Synovial Fluid (see also: glycosaminoglycans and proteoglycans; friction and lubrication) synovial fluid is an ultrafiltrate of blood plasma plus hyaluronic acid and glycoproteins; synovial fluid resembles material in interstices of loose connective tissue in respect to both components; rate and method of passage of substances into & out of synovial fluid depend … Read more
Considerations for the Child w/ Joint Swelling, Limited Motion, and Pain synovial fluid exam polyarthralgia: polyarticular JRA (symmetric polyarthralgia); pauciarticular leukemia hemophilia lyme disease acute rheumatic fever septic arthritis incidious / chronic presentation of joint arthralgias: periarticular tumor oseoid osteoma pauciarticular JRA polyarticular JRA seronegative arthritides osteochondroses (LCP, osgood-schlatter dz) slipped capital femoral epiphysis lyme … Read more
(see also: Spondyloarthropathies) Discussion affects young men (ages 15 to 25 years), but may also begin in middle-aged men; disease is often more severe when it occurs early in life; disease characterized by insidious onset of pain and stiffness in lower back associated w/ gradual loss of spinal mobility; illness may cause inflammation in uveal tract … Read more
Acromegaly: Ankylosing Spondylitis: Avascular Necrosis: Gaucher’s Disease: Hemochromatosis: Hemophilia Hypermobility Syndrome: this is an arthropathy associated with joint laxity; it is autosomal dominant associated with joint laxity; some of these are associated w/ DDH, but others present no particular surgical problems other than the fact that the surgical scar tends to spread and become broad; associated … Read more