Brause

حتكون مثل المخدة بحيث تسوي
Gliding
وين تكون اكثر شيء موجودة؟
Tendon sheath
حتى تخلي الtendon يتحرك بسهولة
Brause is close sac
تكون

Less well vascularity than synovium

شغلات تسوي new bursae
-trauma
-inflammation

Mature articular cartilage

وين تكون موجودة؟
Synovial joint👍🏻
وظيفته ؟
1-permit low friction ,
2-high velocity movement between bone
3-to absorb the transmitted force associated with locomotion
4-for joint stability
شلون يصيرلها lubriaction?
By synovial fluid
-Chondrocytes only 2%
تكون موجودة بالكبار بس وتكون single
وظيفته؟
Maintenance of exteracellular matrix components in a low turnover state


-cartilage exteracellular matrix is composed of?
1-extensive network of collagen fibers بالكبار يقل
فيسوي down arthritis
وظيفته؟
Confers tensile strength (قوة الشد)

2-mesh of protoglycan
وظيفته؟
Compressive stiffness
يتمص الصدمات
Cartilage is avascular and aneural

باعوا من سلايد 19 يفضل تقروا بالpdf لان اذا اكتبه حيعتبر مثل الخرط بالبور احلى
حكتب ملاحظات المهمة وبس🥶

Arthrlagia = only pain
Arthritis= pain+ inflammation feature

Functional type of pain

اشو مواضح

حنقللكمياه تدللون🤓

CNS

-chroinc headaches
-Sleep disorder
-dizziness
-cognitive impairment
-memory impairment
-anxieties
-depression

Joint of jaw

Jaw dysfunction

Joints

Morning stiffness

Skin

Various problems

Reproductive

Dysmenorrhea

Eyes

Vision problems

Chest

Chest pain

Muscle

Muscle pain
Fatigue
Twutching

Stomach

Nausea

Urinary

Problem urinating

Systemic symptoms

Pain
Weight gain
Cold symptoms
Multiple chemical sensitivity

استراحة نص ساعة وراها نكمل

٨:٠٨

يلا نكمل لل10

The wrist have many joint but count as a single joint

Heberden’s node

وين تصير؟
Osteoarthritis
وين تصير اكثر شيء؟
1-distal interphalangeal joint
2-proximal interphalangeal joint
3-metacarpal phalangeal joint
4-Carpometacarpal joint
بيها criteria
اسمها؟
ACR criteria
يصير بيها؟
Hand pain+ aching or stiffness
+three of the following
•hard tissue enlargement of at least two of 10 selected joints
•hard tissue enlargements of at least two DIPJs
•Swelling of fewer than three MCPJs
•deformity of at least one of 10 selected joints

الحالة very commonوsymmetrical

Degenerative joint disorders?

Haemochromatosis(small joint and large joint)
Acromegally (large joint and spine

ثنينهم rare

Disease that seronegative spondyloarthritis ?
•psoriasis arthritis
•reactive arthritis
•ankylosing spondylitis
•enteropathic arthopathy

كلهن نلاكهن بلlarge joint اكثر
ويكون asymmetrical
ويأثر بالlower اكثر من upper limbs
وهم ياثر بالspine

Rheumatoid arthritis
-symmetrical
-small and large joint
-upper and lower limb

Psoriatic arthritis
(Seronegative)
-asymmetrical
-large>small joints
-lower>upper
-have dactylitis(تختلف)

هسه خلصنا pain