RT Book, Section A1 Misher, Anne A2 Sutton, S. Scott SR Print(0) ID 1179735586 T1 Osteoarthritis T2 McGraw Hill’s NAPLEX® Review Guide, 4e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781264258062 LK accesspharmacy.mhmedical.com/content.aspx?aid=1179735586 RD 2024/04/25 AB Osteoarthritis (OA) is a joint disease arising from different pathophysiological causes with manifestations of joint damage, mechanical stress, and loss of articular cartilage. A normal joint is composed of subchondral bone covered by a thin layer of articular cartilage. The interarticular space separates the adjoining subchondral bone and is cushioned with synovial fluid. Articular cartilage allows frictionless movement and uniform load distribution. Muscles, ligaments, and tendons surround the joint providing strength, maintaining stability, and absorbing load. However, there are several physiologic changes that lead to a weakened joint, instability with loss of dexterity, development of pain, and decreased mobility. Weight-bearing joints such as the knee and hip are mainly affected in OA; however, joints of the hand, foot, lumbar, and cervical spine may also be involved.