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22 Cards in this Set

  • Front
  • Back

Diffuse idiopathic skeletal hyperstosis

ossification of tendons and ligaments. On limb joints there are enthesophytes, on vertebrae usually thoracic) there are enthesophytes, ossification of cartilage and bone fusion.


candle wax like appearance on right side


4 fused vertebra needed for diagnosis



pain aching and stiffness


aiteology associated with raised blood sugar, long term medication use and found in older males most often

congential diseases

achondroplasia (dwarfism)


spina bifida


anencephaly


cleft palate

achondroplasia

most common form of dwarfism



genetic cause



intracartilainous ossification (the type of bone growth of all but the skull and clavicle) is retarded

anencephaly

born with no brain or only brain stem


dies very soon

spina bifida

genetic basis, also related to folic acid deficiency during preganancy, as well as alcohol abuse, diabetes and obesity


spina bifida oculta - less severse defect of nueral arch


spina bifida cystica- more severe (meningocele, myelomeniginocele, rachisis)


usually in sacrum or lumbar



high prevelance in some populations due to inbreeding


hip displasia

congentical dislocation of the hip


defect in growth plates of acetabulum


acetabulum flattened and/or neoacetabulum created


femuarl head flattened and neck shortened



treated with spica cast



caused by oligohydraminosis/genetics/post erm preganancy/perinatal distrubances including swaddling



can lead to the development of osteoarthritis

fractures (types)

open/closed


acute injury/stress fractures/weakened by disease (eg neoplasm)


greenstick, transverse, oblique, spiral, impacted, compresion



perimortem (unhealed) antemortem 9healing proccess begun)

how fractures heal

a hematoma is formed and a bloodclot forms within 12 hours. fibroblasts create fibrousos granulation connective tissue and fracture is closed with a primary callus of woven bone.


calcium salt impregant callus at abot 21-30 days and the immature bone begins to be replaced with lamellar bone. mechanical phase is very long and involves remodelling

osteoarthritis

most common


non-inflammatory disease of the synovial joints


eburniation


osteophytitic growths


porous joint surface


also pitting and deformation of the joint



age, genetics, obesity, exercise and trauma

septic arthritis



NON SPECIFIC INFECTION

septic AKA inflammatory arthritis can be caused by the Tb bacteria or anthother bacteria

Rheumatiod arthrisis

autoimmune disease rarewly seen in archeological record


affects several systems of the body, in bones is seen as sublaxation or dislocation of phalanges, cartilage at synovial joints destoryed (erosive legions).



stiff, swollen red, painful joints

gouty arthristis

uric acid crystals accumulate in tendons and ligaments of the joint, can be seen on radiograph, erosive lesions

non-specific infections

osteomylitis (compact bone and marrow, boen destruction, pus formation, cloaca, sequestrum (dead bone) and involcrum (new immature bone)),



osteitis



and periostitis



direct infection via open fracture, metastized infection of eg throat or ear or septacemia



often staph, strep and pnuemacocci



TB

mycobacterium tuberculosis or bovine



affects pulmory system (m. t.) or instestinal system (m.b.) and only spreads to bone after a long time.



symptoms only seen when immune system weakened


osteomylitis in knee and hip joints, plus spine, bone destructive process, little repair,


potts spine


leprorosy

rhinomaxillary syndrome


affedts nevers and creates claw foot and claw hand



mycobacterium leprae



leprotamous worse than tuberculoid

treponemal disease

debate about congentical and veneral syphilis, yaws and pinta



caries sicca on skull



treponema pallidum



platal destructive lesions

anemia

criba ortibatlis and hair on end (porotic hyperstotis AKA marrow hypertrphy) appreance in radiographs due to widdening of meddullary cavity in skull due to bodys attempt to make more blood cells in marrow

vitamin C deficiency

scurvy


weakens blood vessel walls causing hemorage and new bone formation and remodelling, typically in the skull esp orbits

vitamin D deficiny

vitamin d is essential for the absoption of calcium and phosphourous



in adults causes osteomalacia which is characterised by collapse of vertebrae and deformity of pelvis



rickets, bowed limb bones under stress of waking before mineralisation, flared epithysis and short stature



often remodelled to normally in adult years

harris line

lines of arrested growth

osteoporosis

age, sex, prologonged lactation, menopause and genetics predeterimine succeptaboility



results in breaks



radiography used to diagnose in archeoloogical reamins howver it is hard to tell how much of the demineralisation is postmortem

pagets disease

endocrine disorder


age preogressive disease


locatlised increase bone turnover rate, woven and fibrous bone formation. cortex anbd medullary cavity become less obviously demarcated.



can leaed to osteoarthritis