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People with hypertrophic osteoarthropathy may have bone scans showing parallel lines of activity along the cortex of the shafts and ends of tibiae, femurs and radii; especially around the knees, ankles and wrists. This activity may decrease after treatment of the underlying cause. [4]
[7] [8] Other signs and symptoms, as with any joint affected by osteoarthritis, include: Loss of motion stiffness, which can be worse after a period of rest, such as when one awakes in the morning. Deformity of the wrist. There is a characteristic dorsal radial fullness related to osteophytes and joint effusion.
Pain in the groin, called anterior hip pain, is most often the result of osteoarthritis, osteonecrosis, occult fracture, acute synovitis, and septic arthritis; pain on the sides of the hip, called lateral hip pain, is usually caused by bursitis; pain in the buttock, called posterior or gluteal hip pain, which is the least common type of hip ...
Arthritis is a term often used to mean any disorder that affects joints. [2] Symptoms generally include joint pain and stiffness. [2] Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. [2] [3] In some types of arthritis, other organs are also affected. [7] Onset can be gradual or sudden. [6]
The diagnosis is made mostly on the basis of a person's signs and symptoms. [2] X-rays and laboratory testing may support a diagnosis or exclude other diseases with similar symptoms. [1] Other diseases that may present similarly include systemic lupus erythematosus, psoriatic arthritis, and fibromyalgia among others. [2]
In the early stages of the disease it is often confused with tendinosis and/or arthritis. Once it reaches transitional the loose bodies become apparent with X-ray in greater than 70% of cases, with MRI often showing where xray fails. In experienced hands, ultrasound is also useful for the diagnosis. [2]
Joint-area discoloration, dactylitis, nail changes, and enthesitis, are common symptoms of psoriatic arthritis that distinguish it from other forms of arthritis. Unlike other types of inflammatory arthritis, which typically affect women more than men, psoriatic arthritis has no gender preference. [4]
Septic arthritis (a bacterial infection of the joint) is the most important differential diagnosis, because it can quickly cause irreversible damage to the hip joint. [ 8 ] [ 4 ] Fever, raised inflammatory markers on blood tests and severe symptoms (inability to bear weight, pronounced muscle guarding) all point to septic arthritis, [ 13 ] [ 14 ...
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