NUR 372 Lecture Notes - Lecture 15: Interphalangeal Joints Of The Hand, Rheumatoid Arthritis, Hyaline Cartilage
24 Jun 2020
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Inflammation not present: joint pain due to grating of bones, bone break down, bone spur formation, and cartilage/bone spurs floating in the joint space. > parts of the cartilage, bone spurs, and underlying bone can break off and float around in the joint space = all of this will lead to pain, stiffness, deformity, and limited mobility. Outgrowths on hands: nodes (bony outgrowths) on fingers from bone spurs: heberden"s node (more common): found on the distal interphalangeal joint, bouchard"s node: found on the proximal interphalangeal joint. Sunrise stiffness (morning time) less than 30 minutes (ra greater than 30 minutes) pain will be the worst at the end of day from overuse than compared to morning time. Tenderness when touching the joint site with bony outgrowths not warm or boggy with synovitis as with ra. Experience grating (crepitus) of the bones when moving/flexing joint from bones rubbing together and joint pain with activity that goes away with rest.
