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26 Cards in this Set

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What are some risk factors of osteoporosis?
heredity
aging
steroids
post-menopausal
lifestyle
no VD
What hormones are associated with osteoporosis?
calcitonin
estrogens
parathyroid hormones
What are some consequences of osteoporosis?
falls - fractures - hospitalization - pneumonia
lifestyle effects
What is the best prevention for osteoporosis?
- diet
- activity
- supplements
- exposure to sunlight
- falls prevention
- check ups - bone density
What is treatment for osteoporosis?
- preventive measures
- medications
- rehab
What are risk factors for osteoarthritis?
- repeated injury
- genetic susceptibility
- excess of strain on weight bearing joints
- increasing age
- congenital disorders of the hip
I, G, S, A, C
How can you prevent OA?
- joint care after injury
- protective devices when exercising
- weight maintenance
- nutritional education
- perinatal screening for hip abnormalities
- ergonomics
How do you treat OA?
- activity rest balance
- exercise
- joint protection, rest, support
- weight control
What are some treatments for OA?
- heat
- ergonomics
- medication
- dietary supplements
- THR
- PT/OT therapy
What is the pathology of rheumatoid arthritis?
- AI of connective tissues
- inflamed synovial membranes
What are some S&S of rheumatoid arthritis?
joint pain, swelling, fatigue, morning stiffness, fever, weight loss
How can rheumatoid arthritis be treated?
need to start before 3 months
- change course of disease to maximize meds and prevent damage
What are some treatments of rheumatoid arthritis?
- PT/OT consult
- nutrition consult
- NSAIDS - cox 2 inhibitors
- low dose steroids (prednisone)
- antimalarials (hydroxychloroquine)
- other - gold salt injections
- sulfasalazine
- immunosuppressives
- antineoplastics
- complementary medicine
What is a DMARD?
what is an example?
disease modifying anti rheumatic drug
penicillamine
What are some major goals of rheumatoid arthritis treatment?
prevent joint inflammation/ deformity
What are (4) the purposes of traction?
1. aligns a fracture by pulling the limb into a straight position
2. ends muscle spasm
3. relieves pain
4. takes pressure off the bone ends by relaxing the muscle
What are the 3 types of traction?
1. skin
2. manual
3. skeletal
What is skin traction?
apply weights (5-7 lbs) attached to skin by tape/boots/cuffs - wt limited by skin
- should not be use if allergic to tape
What is skeletal traction?
pins/screws inserted into bone to increase wt to 25-40 lbs
- cervical traction
What are some complications of skeletal traction?
infection
osteomyelitis
complications from prolonged bed rest
What are 4 types of orthopedic surgery?
ORIF
OREF
joint replacement
bone graft
What is ORIF?
Open Reduction Internal Fixation
- open surgery + screws/plates internal to secure fracture
What is OREF?
Open Reduction External Fixation
- screws through skin to bone
- quick and easy but potential for infection at screw sites
What are bone grafts?
new bone placed into spaces of broken bone to aid in healing
What are some complications of orthopedic surgery?
- bed rest - heel ulcer especially
- dislocation
- infection
- impaired mobility
- pain
- compartment syndrome
- fat embolism
What is compartment syndrome?
when inflammation causes decreased perfusion as tissue swells within fascia (compartment)