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Medical Transcription F&P
Chapter 13: Orthopedics
106
Medical
Professional
05/12/2009

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Term
BONE
Definition
A type of tissue in which a framework or matrix of organic (protein) fibers is reinforced by deposits of calcium and phosphorus salts, which provide strength and rigidity.
Term
PERIOSTEUM
Definition
The dense sheet of connective tissue covering most bones.
Term
DIAPHYSIS
Definition
Shaft of a bone.
Term
EPIPHYSIS
Definition
The expanded articular end of a long bone.
Term
METAPHYSIS
Definition
The area on a bone between the diaphysis and the epiphysis.
Term
LONG BONES
Definition
Bones that are hollow and contain bone marrow in their cavities.
Term
BONE MARROW
Definition
The site of production of red blood cells, white blood cells, and platelets.
Term
CARTILAGE
Definition
A noncalcified connective tissue similar to bone. In most joints, the contacting surfaces of the bones are covered by protective layers of cartilage.
Term
FIBROCARTILAGE
Definition
Thick cushion of tougher cartilage primarily seen in weight-bearing joints.
Term
MUSCLE
Definition
A unique type of tissue that has the property of contracting under appropriate stimulation.
Term
SMOOTH MUSCLE
Definition
Muscle that is innervated by the autonomous nervous system and is not subject to voluntary control.
Term
MOTOR FIBERS
Definition
Transmit impulses from the brain and spinal cord.
Term
SENSORY FIBERS
Definition
For proprioception (perception of position and movement).
Term
CONNECTIVE TISSUE
Definition
Bands that serve for attachment to muscle.
Term
TENDON
Definition
Narrow cordlike band.
Term
APONEUROSIS
Definition
A broad sheetlike connection.
Term
BURSAS
Definition
Purse-like cushions containing a little fluid to protect under-lying surfaces and reduce friction.
Term
JOINT
Definition
The site where two bones articulate (connect, generally in an arrangement whereby one or both can move with respect to the other).
Term
SYNOVIAL MEMBRANE
Definition
A delicate, highly vascular connective tissue that secretes a lubricating fluid in small amounts.
Term
LIGAMENT
Definition
A band of inelastic connective tissue extending across the joint from one bone to the other to limit both the direction and the extent of motion at the joint.
Term
AK AMPUTATION
Definition
Above-the-knee amputation.
Term
ANKYLOSIS
Definition
Immobility and consolidation of a joint due to disease, injury, or surgical procedure.
Term
APOPHYSIS
Definition
Bony outgrowth.
Term
AVASCULAR NECROSIS
Definition
Death of tissue due to loss of blood supply.
Term
BK AMPUTATION
Definition
Below-the-knee amputation.
Term
BONE WAX
Definition
Gel-like material that is exactly like wax that you would use in the kitchen. It has the ability to seal little pores in the bone that are exuding blood.
Term
BRIDGING
Definition
Formation of a bridge from one bone to another by abnormal calcium deposition, as in osteoarthritis.
Term
CALLUS FORMATION
Definition
An unorganized meshwork of woven bone, which is formed following fracture of a bone and is normally replaced by hard adult bone.
Term
CERVICAL
Definition
Pertaining to the neck
Term
CREPITUS
Definition
Rubbing or grating sound.
Term
EBURNATION
Definition
Increased density of articular ends of bone.
Term
EXTRA-ARTICULAR
Definition
Affecting or pertaining to structures other than joints.
Term
FIXATION DEVICE
Definition
A plate, pin, nail, or screw used to hold fracture fragments in place.
Term
HEBERDEN NODES
Definition
Small firm nodules at the distal inter-phalangeal joints of the fingers.
Term
KYPHOSIS
Definition
Forward hunching of the upper spine.
Term
LUMBAR
Definition
Pertaining to the midback.
Term
NSAID
Definition
Nonsteroidal anti-inflammatory drug.
Term
OSSEOUS
Definition
Bony.
Term
OSTEOPHYTES, OSTEOPHYTE FORMATION
Definition
Outgrowths of bone from the surface.
Term
RASP, RASPATORY
Definition
A surgical file.
Term
SACRAL
Definition
Pertaining to the sacrum.
Term
SCOLIOSIS
Definition
Lateral curvature of the spine.
Term
SOUNDS
Definition
Clicking, popping, rubbing, grating.
Term
SPLINE
Definition
Flat nail that is placed across a fracture or bone osteotomy to hold it in place.
Term
SPONDYLOLISTHESIS
Definition
Forward displacement of one vertebra over another.
Term
SPONDYLOLYSIS
Definition
A congenital defect in the pars interarticularis of a lumbar vertebra (usually L5) that predisposes to spondylolisthesis.
Term
TENS UNIT
Definition
Transcutaneous electrical nerve stimulator, a device used in the treatment of chronic pain.
Term
TEST
Definition
To locate specific orthopedic tests in a medical dictionary, look under test, sign, maneuver, or under the name of the test itself listed alphabetically.
Term
THORACIC
Definition
Pertaining to the chest.
Term
TOPHI
Definition
Nodular deposits or urate crystals with local inflammation, typical in gout.
Term
ANKLE BONE (LAY)
Definition
Talus
Term
COLLAR BONE (LAY)
Definition
Clavicle
Term
BREAST BONE (LAY)
Definition
Sternum
Term
ELBOW (LAY)
Definition
Olecranon process
Term
FINGER BONE, TOE BONE (LAY)
Definition
Phalanx
Term
HEEL (LAY)
Definition
Calcaneus
Term
KNEE CAP (LAY)
Definition
Patella
Term
SEAT BONE (LAY)
Definition
Ischium
Term
SHIN BONE (LAY)
Definition
Tibia
Term
SHOULDER BLADE (LAY)
Definition
Scapula
Term
SLIPPED DISK (LAY)
Definition
Herniated nucleus pulposus
Term
TAIL BONE (LAY)
Definition
Coccyx
Term
THIGH BONE (LAY)
Definition
Femur
Term
GONIOMETER
Definition
A simple device consisting of two arms connected at a movable joint, with a scale that reads in degrees of rotation.
Term
OSTEOPOROSIS
Definition
Demonstrated on x-ray by bone volume loss of 50% or more.
Term
PSEUDOHYPERTROPHY
Definition
Enlargement of muscles affected by muscular dystrophy.
Term
STRUCTURAL SCOLIOSIS
Definition
Scoliosis affecting the vertebrae primarily.
Term
NONSTRUCTURAL SCOLIOSIS
Definition
Scoliosis occurring as a result of abnormality or disease other than in the affected vertebrae.
Term
FLUCTUANCY
Definition
The sensation of contained fluid on palpation.
Term
BAKER CYST
Definition
Fluctuant swelling of the bursa behind the knee joint, which communicates with the joint space, as a result of local trauma or disease.
Term
LAMINECTOMY
Definition
Cutting through the posterior arch of one or more vertebrae
Term
HNP
Definition
Herniated nucleus pulposus; slipped disk; herniated disk
Term
MENISCUS (PL. MENISCI)
Definition
Crescent or c-shaped pads of fibrocartilage within the knee joint, one medial and one lateral, that cushion shocks between the femur and tibia.
Term
MCMURRAY TEST
Definition
Extension of the knee from full flexion with the leg and foot externally rotated causes an audible or palpable snap in medial meniscus tear; extension with the leg and foot internally rotated causes a snap in lateral meniscus tear.
Term
QUADRICEPS MUSCLE
Definition
The large four-headed muscle on the front of the thigh that extends the knee joint.
Term
DEGENERATIVE CHANGES
Definition
Roughening, fraying, even complete loss of cartilage.
Term
CHONDROMALACIA PATELLAE
Definition
Trauma to the back of the patella with resultant degenerative changes. Principal symptom is pain with walking, especially on stairs, and with squatting.
Term
QUADRICEPS EXERCISE
Definition
Repeatedly bringing the knee into full extension, with tensing of the muscles of the front of the thigh.
Term
PATHOLOGIC FRACTURES
Definition
Fractures for which underlying abnormality of bone are partly responsible.
Term
SPA
Definition
Single-photon absorptiometry
Term
DEXA
Definition
Dual-energy x-ray absorptiometry
Term
DJD
Definition
Degenerative joint disease; osteoarthritis.
Term
URATE CRYSTALS
Definition
Crystals formed by high levels of uric acid in the blood.
Term
SJOGREN SYNDROME
Definition
An autoimmune disorder in which immune cells attack and destroy the exocrine glands that produce tears and saliva.
Term
LE
Definition
Lupus erythematosus
Term
ALKALINE PHOSPHATASE
Definition
An enzyme whose level in the serum is often increased in bone disease and obstructive liver disease.
Term
ANA (ANTINUCLEAR ANTIBODY)
Definition
An antibody detected by immunofluorescence in patients with RA, LE, and other autoimmune disease.
Term
ERYTHROCYTE SEDIMENTATION RATE (ESR, SED RATE)
Definition
The rate at which red blood cells settle to the bottom of a specimen of whole blood that has been treated with anticoagulant. The rate is expressed in millimeters per hour (mm/h), as measured in a standard glass column.
Term
LE CELL PREP
Definition
Lupus erythematosus cell test.
Term
RA TEST
Definition
Rheumatoid arthritis test
Term
RHEUMATOID FACTOR (RF)
Definition
An antibody present in the serum of patients with rheumatoid arthritis and other autoimmune disorders.
Term
SED RATE
Definition
ESR; acceptable brief form of erythrocyte sedimentation rate.
Term
URIC ACID, SERUM
Definition
A breakdown product of purine metabolism, increased in gout and other disorders.
Term
ANTERIOR DRAWER TEST
Definition
With the patient supine, the injured knee is bent to 90 degrees. The physician then grasps the upper end of the tibia and pulls it anteriorly. Excessive movement means the anterior cruciate ligament within the knee joint is damaged or torn.
Term
ARTHROSCOPY
Definition
A surgical procedure which involves an incision into a joint and the insertion of an arthroscope to view the structures inside the joint.
Term
BONE SCAN
Definition
A nuclear imaging test which, following the intravenous administration of radioisotope, uses a scanning device to detect areas of abnormal uptake in the bones to identify fractures.
Term
CROSSED (OR CONTRALATERAL) STRAIGHT LEG RAISING
Definition
With the patient supine, the unaffected leg is held straight and flexed at the hip. If sciatica is present, the patient will experience pain in the opposite, affected side.
Term
DENSITOMETRY
Definition
Determination of variations in density by comparison with that of another material or with a certain standard.
Term
DUAL PHOTON DENSITOMETRY
Definition
A quantitative assessment of a patient's bone density, and comparison with normal ranges for persons of the same age and sex.
Term
EMG (ELECTROMYOGRAM)
Definition
Test to determine the response pattern of muscles when stimulated by an electrical impulse from a needle electrode inserted into the muscle.
Term
IMAGING STUDIES
Definition
Including x-ray, the most common and least expensive diagnostic tool for assessing bone structure and integrity. AKA radiograph, film, roentgenogram, roentgenograph. MRI, CT scan, and nuclear medicine studies are also used for diagnostic studies.
Term
LACHMAN TEST
Definition
Similar to the anterior drawer test, but performed with the patient's knee flexed only to 15-20 degrees. Also used to evaluate anterior cruciate ligament stability.
Term
OPEN REDUCTION, INTERNAL FIXATION (ORIF)
Definition
A surgical procedure to correct a fracture that requires alignment and fixation with a plate, pin, or screw.
Term
PIVOT-SHIFT TEST
Definition
With the patient supine, the foot is held in the physician's hand. The physician then turns the foot inward while pushing on the outside of the knee with the opposite hand, at the same time flexing and extending the patient's leg. This test is also used to evaluate anterior cruciate ligament stability.
Term
SAUCERIZATION
Definition
Radical surgical excision of infected bone.
Term
STRAIGHT LEG RAISING
Definition
With the patient supine, the leg is elevated with the knee straight to the point where pain is experienced in the back or leg itself, or dorsiflexion of the foot causes an increase in pain. This test is done to determine if nerve root irritation is present. AKA Lasegue sign (or test).
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