Transcript Degenerative joint disease

DEGENERATIVE
JOINT DISEASE
Upper Extremities
DJD - SHOULDER


AC joint - *MC
If DJD in glenohumeral joint – suspect previous
trauma or cartilagenous disease
 Non-uniform
loss of joint space
 Inferior aspect of joint
Normal
DJD
DJD - SHOULDER


Calcific tendonitis and bursitis
Symptomatic / asymptomatic
HADD
Degenerative
Tendonitis
Calcification
Hydroxyapatite
Deposition
Disease
DJD - SHOULDER

*MC – supraspinatus tendon


insertion on greater tubersity
*2nd MC – subacromial bursa

below acromion and above humeral head
DJD - ELBOW

DJD of elbow – 2° to :
 Trauma
 Occupation
 Other
(abnormality)
DJD - WRIST

1st metacarpal-trapezium joint - *MC
 RADIOGRAPHIC
 Radial
SIGNS:
displacement (subluxation) of the first
metacarpal base
 Sclerosis
 Osteophytes
 Loose bodies
DJD - WRIST

RADIOCARPAL JOINT
 Predisposing conditions:
 Radial and scaphoid fractures
 Ischemic necrosis – scaphoid and lunate
 CPPD crystal deposition disease
DJD - WRIST

RADIOCARPAL JOINT
 RADIOGRAPHIC SIGNS:
 Decreased radiocarpal joint space
 Sclerosis
 Osteophytes
 Triangular fibrocartilage calcification
DJD - HAND

*INTERPHALANGEAL JOINTS

Enlargement of joints (clinically):
 *DIP
– Heberden’s nodes
 PIP – Bourchard’s nodes
Normal
DJD