How is PE of pt with OA?

 Reduced range of motion and crepitus are frequently present  Malalignment with a bony enlargement may occur  Limitation of joint motion or muscle atrophy around a more severely affected joint may occur.  Osteoarthritis of the hand most often affects the distal interphalangeal (DIP) joints but also typically involves the proximal interphalangeal (PIP) joints and the joints at the base of the thumb  Heberden nodes, which represent palpable osteophytes in the DIP joints, are more characteristic in women than in men  Bouchard nodes at PIP joints  Inflammatory changes are typically absent or at least not pronounced.