Osteoarthritis Z. Rozkydal Hyaluronic acid It forms with proteoglycans intercelullar mass It is hydrophylic, it maintains homeostasis It is responsible for lubrication of the joint It promotes transport of nutritiens into the cartilage It gives the cartilage elastic resistance It gives rheologic properties to synovial fluid Diseases of joints • Osteoarthrosis deformans • Rheumatoid arthritis • Psoriatic arthritis • Gout • Ancylosing spondylitis • Septic arthritis Onemocnění kloubů • Systemic arthritis (Lupus erythematodes) • Haemofilia • Aseptic necrosis • Osteochondritis dissecans • Chondromatosis • Neurogenic arthropathy • Pigmented villonodular synovitis Osteoarthritis • Degenerative, slow and progressive disease of hyaline cartilage of synovial joint • All conditions changing the structure and function of hyaline membrane and surrounding tissues lead to osteoarthritis Osteoarthrosis deformans • Primary (after 40 years of age ) • Secondary – the cause is known R.A. • R.A. • Juvenilní R.A. - Still´s disease Gout Chondrocalcinosis