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anatomy

Osteophyte

A bony projection that forms along joint margins in response to cartilage damage. Also called bone spurs, osteophytes are a radiographic hallmark of osteoarthritis.

Extended Definition

Osteophytes (commonly called bone spurs) are bony outgrowths that develop at the margins of joints affected by osteoarthritis. They represent the body’s attempt to stabilize a damaged joint by increasing the surface area for load distribution.

How They Form

  1. Cartilage breakdown triggers inflammatory signals
  2. Growth factors stimulate bone-forming cells (osteoblasts)
  3. New bone forms at the joint margins
  4. Gradual enlargement over months to years

Clinical Significance

  • X-ray finding - Osteophytes are one of the key features used to diagnose and grade OA severity
  • May cause symptoms - Can limit range of motion or impinge on nearby structures
  • Often asymptomatic - Many osteophytes cause no problems
  • Irreversible - Once formed, they don’t go away (though symptoms can be managed)

Hyaluronic acid injections don’t remove osteophytes but can help reduce pain by improving joint lubrication and cushioning.

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