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Inflammatory Joint Disease (Aka Arthritis = Inflammation of Joint)

CNS Infections>Joint and Spinal Disease's>

Mind Map branch: Inflammatory Joint Disease (Aka Arthritis = Inflammation of Joint) Joint and Spinal Disease's Inflammatory Joint Disease (Aka Arthritis = Inflammation of Joint) Primary Target = SYNOVIAL MEMBRANE Progressive stages in inflammatory joint pathology (Rheumatoid Arthritis) Also for FINAL Lecture Exam Inflammation of Synovial Membrane Narrowing of Joint Dramatic dmg to joint = articular cartilage (Destruction of Bone) Leads to Fusion of Joint = Joint Anklyosis All joints of body are vulnerable Inc. Middle Ear CERVICAL SPINE ALWAYS INVOLVED Does not affect Dorsal or Lumbar Vertebra Sometimes many Organs and Tissues involved throughout body Seronegative spondyloarthritides( NO Rheumatoid factor) Rheumatoid factor = Special immune Complex  Absence of Rheumatoid Factor Not same as Rheumatoid arthritis Pathological changes begin in Ligamentous Attachments to bone Rather then Synovium Enthesis = Insertion Fibrous structure to BONE Stuctures that create Enthesis Ligament Joint Capsule Fascia Tendon Properties of Enthesis (all 3 to be called Enthesis) Rich with Nociceptors Poor Blood Supply Poor Healing Synovial joints of Spine Zygapophyseal Joint Costotransverse Joint Costoverteral Joint Atlantodental Joint Atlanto-occipital Joint Sacroiliac Joint Frequent involvement of SI Joint 100% Involvement of SI Joint Sacroiliitis Important sign for Sernogative Spondyloarthritides Peripheral Inflammatory arthropathy or arthritis 50-70% cases Association with HLA B27 HLA B27 Human Leukocyte Antigen 95-97% HLA B27 for Ankylosing Spondylitis 5-7% General Population

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