(DJD)
- Osteoarthritis, osteoarthrosis
- Due to acceleration of normal ageing process - wear and tear
- Destructive disease leading to:
- Loss of weight-bearing articular cartilage
- Erosion, fibrillation of cartilage
- Clefts in the cartilage, perpendicular to the surface
- Complete exposure of underlying bone
- Bone appears polishes, dense - eburnation
- Radiographically - joint space reduction due to loss of cartilage
- Osteophyte formation at joint margins
- Remodelling of adjacent bone
- Brown/yellow discolouration
- Synovial hypertrophy
- Capsular fibrosis
- May affect one or multiple joints
- May or may not be symptomatic
- Pathogenesis:
- Not entirely clear but linked to loss of proteoglycans and subsequent lubrication
- Increased water content due to improper binding -> softening of cartilage = chondromalacia
- Predisposing factors:
- Persistent trauma
- Joint instability / dysplasia
- Conformational abnormalities / congenital malformations
- Osteochondrosis dissecans
- Intra-articular fractures
- Calve Legg-Perthe's disease