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Synovial Fluid

General Discussion of Synovial Fluid (see also: glycosaminoglycans and proteoglycans; friction and lubrication) synovial fluid is an ultrafiltrate of blood plasma plus hyaluronic acid and glycoproteins; synovial fluid resembles material in interstices of loose connective tissue in respect to both components; rate and method of passage of substances into & out of synovial fluid depend … Read more

Childhood Arthritic Conditions

Considerations for the Child w/ Joint Swelling, Limited Motion, and Pain synovial fluid exam polyarthralgia: polyarticular JRA (symmetric polyarthralgia); pauciarticular leukemia hemophilia lyme disease acute rheumatic fever septic arthritis incidious / chronic presentation of joint arthralgias: periarticular tumor oseoid osteoma pauciarticular JRA polyarticular JRA seronegative arthritides osteochondroses (LCP, osgood-schlatter dz) slipped capital femoral epiphysis lyme … Read more

Ankylosing Spondylitis (AS)

(see also: Spondyloarthropathies) Discussion affects young men (ages 15 to 25 years), but may also begin in middle-aged men; disease is often more severe when it occurs early in life; disease characterized by insidious onset of pain and stiffness in lower back associated w/ gradual loss of spinal mobility; illness may cause inflammation in uveal tract … Read more

Adult: Differential Diagnosis

Acromegaly: Ankylosing Spondylitis: Avascular Necrosis: Gaucher’s Disease: Hemochromatosis: Hemophilia Hypermobility Syndrome: this is an arthropathy associated with joint laxity; it is autosomal dominant associated with joint laxity; some of these are associated w/ DDH, but others present no particular surgical problems other than the fact that the surgical scar tends to spread and become broad; associated … Read more