Professional Documents
Culture Documents
Normal Knee
structure
Moderately
advanced Advanced
osteoarthritis osteoarthritis
Deformities with Osteoarthritis
Carpometacarpocarpal joint of
thumb with subluxation of the
first MCP
Genuvarus
Herberden’s nodes
Joints changes with RA
Early Pannus
• Granulation,
inflammation at
synovial
membrane,
invades joint,
softens and
destroys
cartilage
RA
Fibrous Ankylosis
Fibrous connective tissue
replaces pannus; loss of joint otion
Bony Ankylosis
Eventual tissue and joint
calcification
Joint Changes RA
Bilateral, Subcutaneous
symmetrical, PIP’s, nodules
MCP’s Genu valgum
Thumb instability Prominent
Swan neck, metatarsal heads
boutonniere Hammer toes
deformity Mutlans deformity
Tenosynovitis
Assessment RA
Deformities that
may occur with
RA
Synotenovitis
Ulnar drift
Swan neck
deformity
Boutonniere
deformity
Mutlans deformity
(rapidly progressing
RA)
Hitch-hiker thumb
Genu valgus
Subcutaneous nodules
(disappear and appear
without warning)
Hammer toes
Diagnostic Tests RA
ESR elevated
+ RA, ^ RA titer
CBC
C-reactive protein
Physical therapy
Joint Protection: Do’s and Don’t’s