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76 Cards in this Set

  • Front
  • Back
musculoskeletal system
two-part system that gives individuals the ability to physically move.
The two components of the musculoskeletal system
• Skeleton
• Skeletal muscles
what does the skeleton provide supportive structure for?
-body
-contractions
complete fracture
bone is broken all the way through
incomplete fracture
bone is only partially fractured but is still in one piece.
Types of Incomplete Fractures
-greenstick
-torus
-bowing
Aviator
-Vertical fracture of the neck
-backward displacement of the body
Boxer
Fracture of the neck of the fourth or fifth metacarpal
Clay Shoveler
Fracture of the tip of the spinous process of the sixth or seventh cervical vertebra
Hangman
Fracture/dislocation of atlas and axis
Fracture hematoma
When bone is broken, damage to the local vasculature causes hematoma development
Callus formation
Dead bone tissue is either reabsorbed or becomes the foundation for deposition of new bone tissue (callus).
what happens when the hematoma is reabsorbed unto the body?
callus tissue develops
callus tissue binds the broken ends of
fractured bone together
Bone remodeling
callus tissue is eventually replaced by normal bone tissue
Nonunion
bone ends fail to grow together
Delayed union
Bone union does not occur until approximately 8 to 9 months after a fracture.
Malunion
The bone heals in an incorrect anatomic position
Dislocation
displacement of a bone from its normal articulation with a joint
Subluxation
partial abnormal separation of the articular surfaces of a joint
Tendons
fibrous connective tissue bands that attach muscle to bone
Ligaments
flexible fibrous bands that bind joints together and connect articulate bones with cartilages
strain
A tear in a tendon
sprain
tear in a ligament
avulsion
a tendon or ligament is separated from the bone
1st degree sprain
-least severe
-minor tearing of ligamentous fibers
2nd degree sprain
-Moderate significance
-partial tearing of the ligament
3rd degree sprain
-The most severe
-complete tear of the ligament
joint
articulation between bones
Metabolic bone disease
alterations in biochemical reactions that result in abnormal bone structure
Osteomyelitis
infectious bone disease
Osteoporosis
significant loss of bone mineral density and microarchitectural deterioration of trabecular bone
primary complication of osteoporosis
fracture
pathophysiologic process of osteoporosis
-increase in bone resorption
-decrease in bone formation
vertebral compression fracture
collapse of the anterior part of a thoracic or lumbar vertebral body
hip fracture
fracture at the femoral neck
Osteomalacia (sometimes called adult rickets)
-failure of the bone matrix to calcify -development of soft bone
major contributing factor of Osteomalacia
deficiency of vitamin D
what happens in the abscence of vitamin D in osteomalacia?
-serum calcium levels decrease
-stimulating secretion of parathyroid hormone (PTH).
what does PTH do in osteomalacia?
-raises serum calcium levels
-decreases serum phosphate levels
phosphate deficiency prevents
normal mineralization of the bones
rickets
Osteomalacia in children
Paget disease
genetic disorder characterized by enlarged and softened bones.
Pathophysiology of Paget disease
-excessive resorption of spongy bone -replacement of bone marrow
-thickening and enlarging of the bone.
Osteomyelitis
infection of the bone
Osteomyelitis is caused by
-bacterial infection
-viruses
- fungi
-parasites
Exogenous osteomyelitis
infection has entered from outside the body and infected the bone
Endogenous osteomyelitis
pathogens have been carried through the vascular system to the bone to cause the infection
what do the microorganisms in osteomyelitis do?
-invade the bone
-form small abscesses
invasion of microorganisms in osteomyelitis cause
-inflammatory response that weakens the bone
-predispose it to fracture
Primary OA
-most common musculoskeletal disorder of the elderly
- occur more often in women
Secondary OA
most often in individuals who have put unusual stress on joints or who have suffered joint injuries.
OA is characterized by:
-Loss of articular cartilage
- activation of enzymes that break down proteoglycans, glycosaminoglycans, and collagen
osteophytes
protrusions that can impinge on other structures and limit mobility
Rheumatoid arthritis (RA)
idiopathic autoimmune disorder that is characterized by the formation of autoantibodies to synovial tissue.
Neutrophils and macrophages are activated within the synovial membrane and release
numerous inflammatory cytokines
immune and inflammatory processes result in
-degradation of joint tissues
-pannus
pannus
formation of a mass of intraarticular degradation tissue
ankylosing spondylitis (AS)
targets the joints of the spine and sacroiliac
Gout
excessive production of uric acid
acute gouty arthritis
affect the metatarsophalangeal (MTP) joint of the big toe
three phases of gout
• Asymptomatic hyperuricemia
• Acute gout arthritis
• Tophaceous gout
Asymptomatic periods (intercritical gout)
occur between acute episodes
tophi
large deposits of uric acid salts
Skeletal muscle disorders
-traumatic, neural, metabolic, inflammatory, or psychogenic causes. -inherited or acquired
Fibromyalgia
chronic musculoskeletal syndrome that can occur in a very mild state or be a very disabling disorder
Myotonia
delay in muscle relaxation following voluntary contraction
Periodic paralysis
inherited condition resulting from abnormal muscle membrane ion channels.
abnormalities in Periodic paralysis cause
the muscle membrane to be unresponsive to neural stimulation.
metabolic muscle disorders
-endocrine abnormalities
-energy metabolism disorders
Myositis
inflammation of the muscles
Polymyositis
-occur alone or with dermatomyositis
-autoimmune disorder
Musculoskeletal tumors
-primary lesions or as secondary lesions
-bone is rigid
-rare
Neoplasms
arise from bone cells, supportive tissues, or bone marrow
Rhabdomyomas
-rare
-treated by excision
Rhabdomyosarcomas
highly malignant tumors that usually occur in infants, children, and teenagers