TY - CHAP M1 - Book, Section TI - Joints and Bursae A1 - Burton, John H. A1 - Fortuna, Timothy J. A2 - Tintinalli, Judith E. A2 - Ma, O. John A2 - Yealy, Donald M. A2 - Meckler, Garth D. A2 - Stapczynski, J. Stephan A2 - Cline, David M. A2 - Thomas, Stephen H. PY - 2020 T2 - Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e AB - Many mechanisms provoke acute joint symptoms: degradation and degeneration of articular cartilage (osteoarthritis), deposition of immune complexes or immune system–related phenomena (rheumatoid arthritis, rheumatic fever, and possibly, a component of gonococcal arthritis), crystal-induced inflammation (gout and pseudogout), seronegative spondyloarthropathies (ankylosing spondylitis [see Chapter 282, “Systemic Rheumatic Diseases”] and reactive arthritis [postinfectious with HLA-B27 susceptibility]), and bacterial or viral invasion (gonococcal and nongonococcal septic arthritis, including Lyme arthritis). These processes impact joint capsules and surfaces, resulting in a cascade of reactive and inflammatory events. This chapter reviews the common causes and treatments of acute nontraumatic joint pain. Joint injuries are discussed in Section 22, “Orthopedics,” and disorders due to repetitive use syndromes are discussed throughout Section 23, “Musculoskeletal Disorders,” by anatomic site. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1167030944 ER -