8491099
Description
Mind Map by lolita klol, updated more than 1 year ago
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Created by lolita klol
over 7 years ago
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Janice’s painful knee
- Janice 55 she is philippine Nurse
- she suffered from Intermittent pain in her left knee
- Exacerbated by walking, standing , going up and
down the stairs
- Least painful in the morning
- No trauma
- History of osteoarthritis
- 1)Swelling 2) Tenderness
3) Absence of fluid
4)Reduced ROM
5)Crepitus
- Diagnosed with osteoarthritis
- Knee joint replacement
- TREATMENT MODALITIES
- Non- pharmacological treatment
- Education
- Life style
- Exercise
- Avoid Prolonged loading Activities
that cause pain Contact sports High
impact sports eg running
- Avoid Prolonged loading Activities
that cause pain Contact sports High
impact sports eg running
- Walking instead of running,
- low-impact aerobic fitness exercises.
- Exercise
- Weight Management
- Life style
- Education
- Glucosamine is an amino sugar and a prominent precursor in the biochemical synthesis of
glycosylated proteins and lipids Joints are cushioned by the fluid and cartilage that surround
them. In some people with osteoarthritis, the cartilage breaks down and becomes thin. This
results in more joint friction, pain, and stiffness.
- Glucosamine is an amino sugar and a prominent precursor in the biochemical synthesis of
glycosylated proteins and lipids Joints are cushioned by the fluid and cartilage that surround
them. In some people with osteoarthritis, the cartilage breaks down and becomes thin. This
results in more joint friction, pain, and stiffness.
- JOINT KNEE
REPLACEMENT
- Knee joint replacement is a surgery to replace a knee
joint with a man-made joint. The artificial joint is called
a prosthesis.
- WHEN IS IT RECOMMENDED ?
- You are having pain from knee arthritis that keeps
you from sleeping or doing normal activities-----You
cannot walk and take care of yourself-----Your knee
pain has not improved with other treatment---- You
understand what surgery and recovery will be like.
- SIDE EFFECT:
- Infection Blood clots in the leg
vein or lungs Heart attack
Stroke Nerve damage.
- Infection Blood clots in the leg
vein or lungs Heart attack
Stroke Nerve damage.
- You are having pain from knee arthritis that keeps
you from sleeping or doing normal activities-----You
cannot walk and take care of yourself-----Your knee
pain has not improved with other treatment---- You
understand what surgery and recovery will be like.
- Stem cell injection
- THIS PROCEDURE IS NON-INVASIVE, EASIER, NO REJECTION!
- Super Concentrated Platelet Rich Plasma Procedures
- SIDE EFFECT: CANCER
- SIDE EFFECT: CANCER
- THIS PROCEDURE IS NON-INVASIVE, EASIER, NO REJECTION!
- Knee joint replacement is a surgery to replace a knee
joint with a man-made joint. The artificial joint is called
a prosthesis.
- Non- pharmacological treatment
- TREATMENT MODALITIES
- Osteoarthritis, also called degenerative joint
disease (DJD), is a chronic disease characterized by
progressive degeneration, destruction, and loss of
articular cartilage. It can either be primary or
secondary.
- PATHOLOGY
- PATHOLOGY
- RADIOLOGY
- NORMAL
- OSTEOARTHRITIS
- The hallmarks of knee osteoarthritis :
- joint space narrowing: usually asymmetric, typically of
the medial tibiofemoral compartment and/or
patellofemoral compartment ----subchondral sclerosis-----
osteophyte formation: patellofemoral osteo-phytes are
more associated with pain
- joint space narrowing: usually asymmetric, typically of
the medial tibiofemoral compartment and/or
patellofemoral compartment ----subchondral sclerosis-----
osteophyte formation: patellofemoral osteo-phytes are
more associated with pain
- NORMAL
- Knee joint replacement
- Diagnosed with osteoarthritis
- 1)Swelling 2) Tenderness
3) Absence of fluid
4)Reduced ROM
5)Crepitus
- History of osteoarthritis
- No trauma
- Least painful in the morning
- PAIN
- Signs and symptoms that sometimes accompany
knee pain include:
- •Swelling and stiffness
- •Redness and warmth to the touch
- •Weakness or instability
- •Popping or crunching noises
- •Inability to fully straighten
the knee
- •Swelling and stiffness
- CAUSES OF PAIN
- 1-Injuries:
- -ACL injury (ANTERIOR CRUCIATE LIGAMENT)
- EXCULDED BY:ACL insufficiency results
in deterioration of the normal
physiologic knee bending culminating
in increased anterior tibial translation
and increased internal tibial rotation.
- EXCULDED BY:ACL insufficiency results
in deterioration of the normal
physiologic knee bending culminating
in increased anterior tibial translation
and increased internal tibial rotation.
- -Fractures
- EXCLUDED BY: SHE WONT BE ABLE TO
MOVE AT ALL! IN THIS CASE SHE WAS ABLE
TO MOVE BUT WITH PAIN.
- EXCLUDED BY: SHE WONT BE ABLE TO
MOVE AT ALL! IN THIS CASE SHE WAS ABLE
TO MOVE BUT WITH PAIN.
- -Torn meniscus (FIBRO-CARTILAGE)
- EXCLUDED BY: IN ADULTS: BY TWISTING
OR SQUATING IT CAN CAUSE TEAR. BUT
IN OLD PEOPLE IT HAPPENS AS
SECONDARY TO OSTEOARTHRITIS
- TYPES OF CARILAGE:
- Hyaline
- has a glassy appearance. numerous
chondrocytes each located within found in
the nasal septum, at the ends of the ribs,
and in the tracheal rings.
- has a glassy appearance. numerous
chondrocytes each located within found in
the nasal septum, at the ends of the ribs,
and in the tracheal rings.
- Elastic Cartilage
- occurs in the epiglottic, external
ear and the auditory tube.
contains a dense network of
delicately branched elastic fibres.
- occurs in the epiglottic, external
ear and the auditory tube.
contains a dense network of
delicately branched elastic fibres.
- Articular Cartilage
- divided into several zones:
- Tangential layer
- Chondrocytes are rather small
and flattened parallel to the
surface.
- Chondrocytes are rather small
and flattened parallel to the
surface.
- Transitional zone
- The chondrocytes are slightly larger, are round.
- The chondrocytes are slightly larger, are round.
- Radial zone
- Fairly large chondrocytes form radial columns the stacks of cells are
oriented perpendicular to the articulating surface.
- Fairly large chondrocytes form radial columns the stacks of cells are
oriented perpendicular to the articulating surface.
- Calcified cartilage layer
- It rests on the underlying cortex of the bone. The matrix of the
calcified cartilage layer stains slightly darker (H&E) than the matrix
of the other layers.
- It rests on the underlying cortex of the bone. The matrix of the
calcified cartilage layer stains slightly darker (H&E) than the matrix
of the other layers.
- Tangential layer
- lubricated, wear-proof,
slightly compressible
surfaces, which
exhibit very little
friction. is not
surrounded by a
perichondrium and is
partly vascularise
- divided into several zones:
- Hyaline
- TYPES OF CARILAGE:
- EXCLUDED BY: IN ADULTS: BY TWISTING
OR SQUATING IT CAN CAUSE TEAR. BUT
IN OLD PEOPLE IT HAPPENS AS
SECONDARY TO OSTEOARTHRITIS
- -Knee bursitis
- EXCLUDED BY: BURSITIS HAPPENS AS SECONDARY TO ARTHRITIS
- EXCLUDED BY: BURSITIS HAPPENS AS SECONDARY TO ARTHRITIS
- -ACL injury (ANTERIOR CRUCIATE LIGAMENT)
- 2-Mechanical problems:
- -Loose body
- -Iliotibial band syndrome
- -Dislocated kneecap
- -Dislocated kneecap
- -Iliotibial band syndrome
- -Loose body
- 3-Arthritis:
- -Osteoarthritis
- -Rheumatoid arthritis
- -Gout
- EXCLUDED BY: URIC ACID TEST AND BLOOD TEST AND DEVELOPMENT OF TOPHI.
- EXCLUDED BY: URIC ACID TEST AND BLOOD TEST AND DEVELOPMENT OF TOPHI.
- EXCLUDED BY: IT IS BILATERAL (BOTH
SIDES) AND THERE IS MORNING
STIFFNESS, IN OUR CASE ITS NOT.
- -Gout
- -Rheumatoid arthritis
- -Osteoarthritis
- 1-Injuries:
- Signs and symptoms that sometimes accompany
knee pain include:
- Exacerbated by walking, standing , going up and
down the stairs
- she suffered from Intermittent pain in her left knee
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