Term
| Infection seen in patients that are immunosuppressed, alcoholics, newborns, or drug addicts |
|
Definition
|
|
Term
| What is the etiology of osteomyelitis |
|
Definition
|
|
Term
| What are the 4 major pathways that osteomyelitis is spread |
|
Definition
| hematogenous, continuous source, direct implantation of infection, post operative infection |
|
|
Term
| Patient is young and presents with fevers, chills, pain, swelling, and limited movement of the affected part |
|
Definition
|
|
Term
| what gender does osteomyelitis affect more |
|
Definition
|
|
Term
| Osteomyelitis in adults present with what 5 clinical features |
|
Definition
| fever, malaise, edema, erythema, pain |
|
|
Term
| Elevatory displacement of fat plane, obliteration of fat planes, and increased in density of the soft tissue is characteristics of |
|
Definition
| early soft tissue stages of osteomyelitis |
|
|
Term
| Moth eaten/permeative pattern medullary, cortical destruction, periosteal new bone are characteristics of |
|
Definition
| early bone stages of osteomyelitis |
|
|
Term
| Draining of the sinus and debris in the soft tissue are characteristics of |
|
Definition
| late stages of osteomyelitis (soft tissue) |
|
|
Term
| Destruction of cortex, involucrum, cloaca, sequestrum, sclerosis and moth eaten sclerosis are characteristics of |
|
Definition
| late stage of osteomyelitis (bone) |
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Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are 5 complications of osteomyelitis |
|
Definition
abscess in soft tissue
fistula or sinus formation
pathological fx
extension into joint producing septic arthritis
growth disturbance due to epiphyseal |
|
|
Term
| Localized aborted form of osteomyelitis |
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Definition
|
|
Term
| Clinical feature of brodies abcess |
|
Definition
| pain worse at night relieved by aspirin |
|
|
Term
| Geographic, oval, elliptical lesion, sclerotic margin/reactive sclerosis, no visible matrix are features of |
|
Definition
|
|
Term
| Where is the high incidence of brodies abcess in children |
|
Definition
| around the growth plate due to the high vascularity |
|
|
Term
| Single joint involvement with hematogenous spread or direct implantation |
|
Definition
|
|
Term
| chills, fever, edema, pain, redness are clinical features of |
|
Definition
|
|
Term
| What are the most common sites of septic arthritis |
|
Definition
|
|
Term
| Septic arthritis will have a positive ___ sign |
|
Definition
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|
Term
| In septic arthritis what is increased due to swelling |
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Definition
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|
Term
| Clinical findings: regional joint pain, decreased ROM, Focal tenderness and swelling; spread by inhalation and ingestion |
|
Definition
| Mycobacterium tuberculosis |
|
|
Term
|
Definition
|
|
Term
| In TB cases there is a ___ day latent period |
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
lytic endplate destruction
loss of disc height
anterior gouge defects
paraspinal swelling |
|
|
Term
|
Definition
Vertical body collapse
Gibbus formation (sharp angle backbone)
obliteration of the discs
Abcess formation |
|
|
Term
| 2 Signs of TB in the hip and knee |
|
Definition
uniform joint space narrowing
early cortical destruction |
|
|
Term
| Infection will have ___ cortical margins of the spine |
|
Definition
|
|
Term
| DJD will have __ cortical margins of the spine |
|
Definition
|
|
Term
| Bone death (necrosis) secondary to a loss of blood supply in growing bones |
|
Definition
| Osteochondrosis (epiphyseal ischemic necrosis, AVN) |
|
|
Term
| Osteochondrosis of the femoral head is known as |
|
Definition
| legg calve perthe's disease |
|
|
Term
| Tendonitis/Apophysitis of the tibial tuberosity i known as |
|
Definition
|
|
Term
| Apophysitis of the calcaneous is known as |
|
Definition
|
|
Term
| Osteochondrosis of the navicular is known as |
|
Definition
|
|
Term
| Osteochondrosis of the head of the 2nd metatarsal bone is known as |
|
Definition
|
|
Term
| Osteochondrosis of the vertebrae is known as |
|
Definition
|
|
Term
| Osteochondrosis of the humeral head |
|
Definition
|
|
Term
| Osteochondrosis of the capitellum of the humerus |
|
Definition
|
|
Term
| Osteochondrosis of the lunate |
|
Definition
|
|
Term
| Age 3-12 with a male predilection 5:1; positive trendelenberg test; reduced mobility; painful limp |
|
Definition
| Legg calve perthe's disease |
|
|
Term
| Early signs of Legg calve perthe's disease will have |
|
Definition
soft tissue swelling
widening of the medial joint space |
|
|
Term
| Soft tissue swelling on xray will be viewed as |
|
Definition
| increased facial plane lines, tear drop distance, waldenstroms sign |
|
|
Term
| Distance between the most medial aspect of the femoral head and the outer cortex of the teardrop |
|
Definition
|
|
Term
| Measurements of Waldenstrom sign |
|
Definition
min 6mm
Max 11 mm
** no greater than 2mm difference between the sides** |
|
|
Term
| Three facial plane lines drawn are |
|
Definition
gluteus medius
obturator internus
iliopsoas |
|
|
Term
| Legg calve perthes diseaes the femoral head is ___ |
|
Definition
|
|
Term
| Legg calve perthes disease will have epiphiseal fragmentation and collapse aka |
|
Definition
|
|
Term
| Legg calve perthe disease will have sclerosis aka |
|
Definition
|
|
Term
| The metaphysis in legg calve perthes disease is |
|
Definition
|
|
Term
| In legg calve perthe disease the greater trochanter is |
|
Definition
|
|
Term
| In legg calve perthe disease there is deformity of the |
|
Definition
| head of the femur (mushroom) |
|
|
Term
| Complications of legg calve perthes disease is |
|
Definition
|
|
Term
| 3 treatments of legg calve perthes disease |
|
Definition
imoobilization/avoid weight bearing
surgical
various osteotomies to promote remodling of cartilage and femoral head |
|
|
Term
| Four phases of legg calve perthes disease |
|
Definition
1. Avascular
2. Revascularization
3. Repair
4. Deformity |
|
|
Term
| Legg Calve Perthe's disease is typically ___ |
|
Definition
unilateral
may happen bilaterally |
|
|
Term
| Age 11-20; male predilection; joint pain aggrevated by movement; joint locking and swelling; can be asymptomatic; common to knee and ankle |
|
Definition
| osteochondritis dessicans |
|
|
Term
| Osteochondritis dessicans radiological features |
|
Definition
Early signs of soft tissue swelling
Defect/lucencies in articular epiphysis |
|
|
Term
| Most accurate method of staging lesions and is critical for managment of osteochondritis dessicans |
|
Definition
|
|
Term
| Complications of Osteochondritis Dessicans |
|
Definition
|
|
Term
| Treatment of osteochondritis dessicans stable lesions |
|
Definition
| conservative treatment of stable lesions |
|
|
Term
| Treatment of osteochondritis dessicans unstable lesions |
|
Definition
| unstable lesions are managed surgically |
|
|
Term
| Xray view that can best see osteochondritis dessicans |
|
Definition
|
|
Term
| Osgood schlatters disease is an |
|
Definition
| inflammatory condition (NOT AVASCULAR) |
|
|
Term
| Age predilection of osgood schlatters |
|
Definition
|
|
Term
| Local pain, activity related, tenderness, soft tissue swelling; over the tibial tuberosity |
|
Definition
| osgood schlatters disease |
|
|
Term
| Osgood schlatters radiographic findings |
|
Definition
displaced skin contour
thickened and indistinct patellar ligament
blurred and opacified infrapatellar fat
isolated irregular ossicles
anterior surface irregularities in the tuberosity |
|
|
Term
| Complications of osgood schlatters |
|
Definition
| may have persistent free ossicles |
|
|
Term
| Treatment of osgood schlatters |
|
Definition
RICE
medication for discomfort
support
activity restriction
physical therapy (stretch and strengthen muscles) |
|
|
Term
| In osgood schlatters there is no complication of |
|
Definition
|
|
Term
| Is osgood schlatters an osteochondrosis |
|
Definition
|
|
Term
| Traction apophysitis (not osteochondrosis) of the calcaneus |
|
Definition
|
|
Term
| What are the radiographic features of sever's disease |
|
Definition
none
a healthy undiseased calcaneous apophysis appear sclerotic and fragmented with an increased bone density |
|
|
Term
| Age predilection of sever's disease |
|
Definition
|
|
Term
| Clinical findings of sever's disease |
|
Definition
|
|
Term
| Complications of sever's disease |
|
Definition
|
|
Term
| Treatment of sever's disease |
|
Definition
RICE
medications for discomfort
support
activity restrictions
physical therapy (stretch and strengthen) |
|
|
Term
| 5 year old male with local pain and swelling, tenderness, and decreased motion of the navicular |
|
Definition
|
|
Term
| Radiographic features of Kohler's |
|
Definition
patchy or homogenous sclerosis
collapse
Fragmentation |
|
|
Term
|
Definition
|
|
Term
|
Definition
| short leg walking cast for several weeks to allow symptoms to subside |
|
|
Term
| Women 5:1 more prone; localized pain due to activity, tenderness, stiffness and limp to the 2nd metatarsal |
|
Definition
|
|
Term
|
Definition
| uncertain; combination of trauma or osteochondrosis in adolescents |
|
|
Term
| Early Radiographic features of Freibergs |
|
Definition
| sclerosis of the 2nd metatarsal head and widening of its space |
|
|
Term
| Later radiographic signs of friebergs |
|
Definition
| fragmentation and collapse |
|
|
Term
|
Definition
| flattening of the 2nd metatarsal head |
|
|
Term
|
Definition
|
|
Term
| 3 complications of freibergs |
|
Definition
premature closure of growth plate
loose bodies
secondary osteoarthritis |
|
|
Term
| Adolescent 13-17 with pain, fatigue, defective posture thoacolumbar spine, |
|
Definition
|
|
Term
| Radiographically scheuermann's has to be in __ continuous segemtns |
|
Definition
|
|
Term
| Scheuermanns radiographically will be viewed as |
|
Definition
anterior wedging
irregular endplates
decreased disc height
increased kyphosis |
|
|
Term
| Complications of Scheuermann's |
|
Definition
|
|
Term
| Scheuermann's will still have __ where as infection does not |
|
Definition
|
|
