Musculoskeletal System Flashcards
Ankyl/o
stiff
Chondr/o
cartilage
Kyph/o
humpback
Lamin/o
lamina
Leiomy/o
smooth muscle
Lord/o
curve
Lumb/o
lower back
Myel/o
bone marrow
Orth/o
straight
Oste/o
bone
Rhabdomy/o
skeletal muscle
Rheumat/o
watery flow; referring to joint fluid
Scoli/o
crooked
Spondyl/o
vertebra
Synov/o
synovial
Vertebr/o
vertebra
-asthenia
lack of strength
-blast
immature cell
-clast
to break
-desis
bind together
-listhesis
slipping
-malacia
softening
-physis
to grow
-porosis
pore, passage
-stenosis
narrowing
-tome
instrument to cut
-trophy
development
Acetabulum
rounded depression in the pelvis that joins the femur
Acromion
outward extension of shoulder blade; articulates w/ clavicle
Diaphysis
shaft of long bone
Epiphysis
end of long bone
Olecranon
large process proximal ulna
Osteoblast
bone building cell
Osteoclast
bone cell that reabsorbs bone
Malignant bone tumor, most commonly in long bones. More common in males, peak age 10-20.
Ewing sarcoma
Bony growth arising from the surface of the bone, most common type is a bunion.
Exostosis
Swelling of the metatarsophalangeal joint near the base of the great toe, usually from wearing improper shoes (narrow toe box). Enlarged bursa often develops over the site. Aka hallux valgus
Bunion (treated w/ bunionectomy)
Break in a bone or bones
Fracture
Fracture w/ no open wound
Closed fracture
Fracture w/ open wound
Open fracture
Distal radial fracture
Colles fracture
Bone is in multiple pieces
Comminuted fracture
Bone collapses
Compression fracture
Bone is partially broken
Greenstick fracture
One fragment of bone is driven into another
Impacted fracture
Twisting fracture most commonly of the tibia
Spiral fracture
Malignant tumor arising from osteoblasts, highly malignant. 1/2 in the knee region. Symptoms are pain w/ weight bearing, at rest, and at night, fracture w/ minor trauma, lesion, and a mass. Commonly metastasis to the lungs. Bimodal distribution (adolescents & >65yo).
Osteogenic sarcoma (osteosarcoma)
Excess organic bone matrix secondary to defective or inadequate bone mineralization. Usually a disease of the older population (50-80). Increased alkaline phosphatase & low serum calcium. Symptoms include bone pain, tenderness, muscle weakness. Caused by vitamin D deficiency, decreased sunlight exposure & poor nutrition, also drug induced by dilantin.
Osteomalacia (Rickets when it occurs in children)
Acute or chronic infection of the bone & its structures caused most commonly by bacteria & rarely by other organisms. May be acquired by hematogenous, contiguous, or direct inoculation such as trauma or surgery. Commonly seen in older adults but hematogenous is bimodal. More common in males. Signs/symptoms - abrupt onset of high fever, irritability, malaise, restriction of movement in the involved extremity, signs of local inflammation, joint destruction.
Osteomyelitis
Multifactorial skeletal disease characterized by severe bone loss & disruption of skeletal micro-architecture sufficient to predispose to atraumatic fractures (common in vertebral column, upper femur, distal radius, proximal humerus, pubic rami & ribs). Signs/symptoms - backpain, kyphosis, scoliosis, loss of height, atraumatic fractures. Risk factors - dietary, immobilization, cigarettes, caffeine, malabsorption, steroids, excess thyroid, postmenopausal loss in caucasian & asian women very common.
Osteoporosis
Congenital abnormality of the hind food, patient cannot stand with the sole of the foot flat on the ground. Short tendons are lengthened & long tendons are shortened
Talipes (club foot)
Chronic, usually progressive condition in which inflammatory changes & new bone formation occurs at the attachment of tendons and ligaments to bone. Sacroiliac joint involvement is the hallmark, “bamboo spine”. More common in caucasian men w/ symptoms beginning in early 20s. Signs/symptoms - subgluteal or low back pain/stiffness (duration >3 months, worse in morning or at rest, wake up to walk off stiffness), pleuritic chest pain, loss of lumbar lordosis.
Ankylosing spondylitis
Inflammatory reaction to urate crystal in joints, bones, and subcutaneous structures. Initially a hyperacute arthritis which may progress to a chronic arthritis. Predominate age 30-60, more common in males. Signs/symptoms - severe pain, swelling, redness & warmth in one or two joints (75% monoarticular), exquisite tenderness, propensity for first MTP joint (Podagra). Recurrent attacks last longer & occur more frequently w/ each recurrence.
Gout
Most common form of joint disease involving progressive loss of articular cartilage and reactive changes at joint margins & in subchondral bone. Prominent age is >40, leading cause of disability in those >65. Male = female. Signs/symptoms - slowly developing joint pain which follows the use of the joint, morning stiffness of s), decreased ROM, tenderness usually absent, crepitus (cracking, grinding sounds) in late stages
Osteoarthritis (OA)
Chronic systemic inflammatory disease of unknown etiology w/ a predilection for joint involvement. May be extra-articular (rheumatoid nodules, ateritis, neuropathy, scleritis, pericarditis & splenomegaly). Women 2x more than men, 30-60 yo onset. Signs/symptoms - joints most often involved are wrists, knees, elbows, shoulders, ankles, MTP’s, subtalar joints; causes swelling, joint hear, joint deformity, morning stiffness, pain on PROM, early joint destruction.
Rheumatoid arthritis (RA)
Most common cause of peripheral nerve compression; median nerve is compressed.Tends to affect the dominant hand, 1/2 of pt’s have bilateral symptoms though. 40:60 (females>males). Signs/symptoms - tingling sensations in the fingers, burning pain int he fingers esp at night, finger sensory loss (all mostly on palmar side medial to pinky). Often relieved by shaking the hand. Tinel’s & phalen’s signs are positive.
Carpal tunnel syndrome
Dislocation
Displacement of a bone from its joint, commonly acromioclavicular, shoulder, or rarely hip.
Reduction
Restoration of the bones to normal positions; closed reductions are manipulative and open reductions require surgical incision
Subluxation
Partial or incomplete dislocation
Ganglion
Fluid-filled cyst arising from the joint capsule or a tendon, most commonly in the wrist, Unknown etiology
Herniated disc/Herniated nucleus propulsus (HNP)
Abnormal protrusion of a fibrocartilaginous intervertebral disc into the neural canal or spinal canal. Posterolateral herniation is the most common form. Also known as a “slipped disk”. May cause sciatica (pain radiating down the leg). Treated w/ PT, drugs, or surgery (microdiskectomy - removal of a portion of the protruding disk).
Multisystem infection caused by Borrelia burgdorferi transmitted by Ixodid ticks (deer ticks). Males = females. Risk factors - exposure to tick infested area between May & September
Lyme disease
Stage 1 of Lyme
erythema migrans rash (bulls-eye) <–KNOW THAT NAME!!, flu-like symptoms
Stage 2 of Lyme
one or more organ symptoms; neuro (15%), cardiac (8%)
Stage 3 of Lyme
chronic arthritis, neurologic syndromes
An injury to the ligaments around a joint without rupture. Ligaments are strong flexible fibers that hold bones together, when they’re stretched too far or they tear the joint will become painful & swell.
Sprain
Multisystem autoimmune inflammatory condition characterized by a fluctuating chronic course. Female>male 10:1, 30-50yo onset. Signs/symptoms - arthritis, fever, anorexia, malaise, weight loss, skin lesions, oral ulcers, eye pain/redness, chest pain and/or SOB, pallor, malar rash, photosensitivity. Black/hispanic/asian/native americans > caucasians.
Systemic lupus erythematosus (SLE)
Inherited progressive diseases of muscle w/ wide ranges of clinical expression. Fat replaces functional muscle cells. Motor dysfunction, muscle weakness, muscular atrophy all occur. Multiple types.
Muscular dystrophy
Most common form of muscular dystrophy
Duchenne muscular dystrophy
Systemic connective tissue disease characterized by inflammatory and degenerative changes in proximal muscles. Signs/symptoms - symmetrical proximal muscle weakness causing difficulty arising from sitting/lying positions, difficulty kneeling, climbing/descending stairs, raising arms etc. Joint pain, swelling, dysphagia, respiratory impairment, sometimes characteristic rash.
Polymyositis
Skin rash characteristic of polymositis
Dermatomyositis
Antinuclear antibody test (ANA)
Most common performed screening test for autoantibodies in patients suspected of having systemic rheumatic disease. Positive test does not confirm disease
Erythrocyte Sedimentation Rate (ESR/Sed Rate)
Rate at which erythrocytes settle out of anticoagulated blood in one hour. Inflammatory and necrotic processes cause an alteration in the blood proteins. Erythrocytes “clump” together in a columnlike manner (Rouleaux formation). Not really specific to any disease, just shows something is wrong. Helpful in diagnosing temporal arteritis and polymyalgia rheumatica
Epiphyseal line/plate
an area of cartilage tissue that is constantly being replaced by new bone tissue as the bone grows. aka growth plate
Periosteum
strong, fibrous, vascular membrane covering the surfaces of bones except at the epiphyses; also has extensive nerve supply
Metaphysis
flared portion of the bone lying between the epiphysis and the diaphysis
Articular cartilage
Smooth, slick, strong covering of the ends of long bones and the surface of any bone that meets up with another bone to form a joint.
Compact/cortical bone
layer of dense, hard, bone that lies under the periosteum in all bones
Haversian canals
minute spaces filled w/ blood vessels found in compact bone