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Musculoskeletal-lecture 1
Musculoskeletal dx/rx and testing
174
Nursing
Professional
02/18/2010

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Cards

Term
Functions of the skeletal system
Definition
Support
Protection
Movement
Mineral storage
Hematopoiesis
Term
What are the functions of the skeleton?
Definition
Support, Protection, Movement, Storage, and Hematopoiesis (Blood Formation)
Term
Bone tissue comes in two types. Compact bone and Spongy bone. What is a compact bone and spongy bone?
Definition
A compact bone is hard and dense. A spongy bone is composed of small bony plates.
Term
Spongy bone contain marrow, what are the two forms?
Definition
Yellow and red bone marrow
Term
Red bone marrow is found in the ends of 1.__________, in the bodies of the 2._________ and in the 3.__________.
Definition

1.Long bones

2.Vertebrae

3.Flat Bones

Term
Red bone marrow is responsible for manufacturing 1._____,2._____,and 3.______. This is called Hematopoisesis.
Definition

1.RBC's

2.WBC's

3.Platelets

Term
Hard, fibrous connective tissue membrane that covers most of the outside of the bone.
Definition
Periosteum
Term
Periosteum also merges with 1._______ and 2._______ and contains 3.________ that supply oxygen and nutrients to the bone cells keeping them alive.
Definition

1. tendons

2. ligaments

3.blood vessels

 

Term
1._______ shaft of the long bone, is hard and compact.
Definition
1.Diaphysis
Term
1.________ is spongelike and is covered by a shell of harder bone. Located at the end of the long bones.
Definition
1.Epiphysis
Term
The points at which bones attach to each other are called 1.___________ or 2.____________.
Definition

1.Joints

2. Articulation

Term
Fixed, immovable joints
Definition

Synarthroses

(i.e., bones in the skull)

Term
Strong fibrous bands called __________ hold bones together.
Definition

Ligaments

 

Ligaments also support internal organs and other structures.

Term
The skeleton has two divisions, what are those divisions?
Definition

Axial skeleton

Appendicular skeleton

Term
What regions of the skeleton contain the axial skeleton?
Definition

Skull, hyoid, middle ear, vertebral column, and the thoracic (rib) cage, make up the axial skeleton.

 

 

For more info check pg 174

Table 18-3 Divisions of the adult skeletal system

Term

Spine Abnormality

Abnormal lateral (sideways) curvature of the spine.

 

Definition

Scoliosis

 

It occures most commmonly during adolescence and is mroe frequently found in girls than in boys.

Term

Spine Abnormality

"Sway back," is an exaggeration of the normal lumbar spine curve in the small of the back.

Definition
Lordosis
Term

Spine Abnormality

"Widow's hump" or "Humpback," may occure in aging and is more commen in women.

Definition

Kyphosis

 

Kyphosis is often caused by osteoporosis

Term
These disks act as shock absorbers during walking, jump, or falling.
Definition

Intervertebral disks

 

A "slipped" disk refers to an intervertebral disk that has shifted out of position.

 

A "ruptured" disk occures when pressure forces some less dense tissue sideways, causing a protrusions in the walls of the disk (like a squashed grape).

Term
What regions of the skeleton are contained in the appendicular skeleton?
Definition

upper and lower extremities (limbs) and the pelvic girdle.

 

The upper extremities include:

4 bones from the shoulder girdle

60 bones from the arms

 

The lower extremities include:

60 bones from the legs

 

The pelvic (hip) girdle has 2 bones

Term
Osteoporosis
Definition
Bones lose calcium, thus body gets it from blood. Expect low serum calcium levels.
Term
Axial skeleton
Definition
It is composed of five parts; the human skull, the ossicles of the inner ear, the hyoid bone of the throat, the rib cage, and the vertebral column.
Term
osteoclasts
Definition
a type of bone cell that removes bone tissue
Term
know PQRST pain assessment
Definition
Provoking: What causes the pain?
Quality: What kind of pain (sharp, dull, etc)?
Region/Radiation: Where is it? Does it move?
Severity: How bad (1-10)?
Time: How long has it existed? How long does it last?
Term
most common location of femural fracture
Definition
trocanter
Term
osteoblasts
Definition
cells that are responsible for bone formation
Term
Muscles involved in chewing
Definition
Masseter and Temporalis
Term
Appendicular skeleton
Definition
divided into six major regions:
1) Pectoral Girdles
2) Arm and Forearm
3) Hands
4) Pelvis
5) Thigh and leg
6) Feet
Term
diarthrosis
Definition
joints allowing free motion
i.e., arm
Term
minerals stored in the bones
Definition
clacium and phosphorus
Term
the most mobile type of joint in the human body. They allow you to swing your arms and legs in many different directions.
Definition
ball-and-socket joint
Term
ampiarthrosis
Definition
joints allowing for limited motion
i.e., spine
Term
synarthrosis
Definition
joints allowing little to no motion
i.e., skull
Term
such as the joint at the base of your index finger, allow bending and extending, rocking from side to side, but rotation is limited.
Definition
ellipsoidal joint
Term
What is bone marrow is made of
Definition
hematopoietic tissue and fat cells
Term
Haversian system
Definition
The osteon, or Haversian system, is the fundamental functional unit of much compact bone.
Term
[image]
Definition
dorsiflexion
Term
occur between the surfaces of two flat bones that are held together by ligaments.
Definition
Gliding joints
Term
What does the skeleton support?
Definition
internal organs & tissues
Term
Protection of the brain
Definition
cranium
Term
protection of the spinal cord
Definition
vertebrae
Term
protection of the lungs and heart
Definition
ribs
Term
protection of digestive and reproductive organs
Definition
pelvis
Term
Skeleton as used for movement
Definition
skeletal muscles attached to bones allow for movement
Term
Mineral storage by bones
Definition
calcium and phosphorus are stored in bones. Released if body is not supplied.
Term
Hematopoiesis
Definition
Red bone marrow makes platelets, RBCs and WBCs
Term
site within bone for hematopoiesis
Definition
spongy bone, found on the ends of long bones
Term
Where is compact bone found?
Definition
in the shafts of long bones and outer surfaces of other bones
Term
a type of bone cell that removes bone tissue
Definition
osteoclast
Term
cells that are responsible for bone formation
Definition
osteoblasts
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
[image]
Definition
[image]
Term
Appendicular bones
Definition
hip and shoulder girdle, pelvic girdle, arms, thighs, legs
Term
Osteocytes surround large blood vessels. Area around filled with protein fibers, calcium & minerals.
Definition
Haversian system
Term
Each looks like a cylinder. Network of blood vessels provide blood supply.
Definition
Haversian system
Term
Bone tissue arranged in plates called trabeculae. Separated by irregular spaces
Definition
Haversian systems
Term
Their structure lowers the overall weight of bones, and they contain bone marrow
Definition
Haversian Systems
Term
Enlarged ends of long bones
Definition
epiphysis
Term
layered structure of epiphysis
Definition
thin layer of compact bone overlying spongy bone. Covered by Cartilage.
Term
bands of hyaline cartilage located at the ends of long bones. Locus of bone growth
Definition
epiphyseal disc or growth plate
Term
epiphyseal disc
Definition
bands of hyaline cartilage located at the ends of long bones. Locus of bone growth
Term
part of the bone that provides strength
Definition
diaphysis
Term
Hollow center of diaphysis
Definition
medullary cavity
Term
medullary cavity
Definition
Hollow center of diaphysis
Term
connective tissue lining the medullary cavity
Definition
endosteum
Term
endosteum
Definition
connective tissue lining the medullary cavity
Term
tough fibrous connective tissue membrane covering the outside of the diaphysis
Definition
periosteum
Term
periosteum
Definition
tough fibrous connective tissue membrane covering the outside of the diaphysis
Term
tough fibrous connective tissue membrane covering the outside of the diaphysis
Definition
periosteum
Term
functions of periosteum
Definition
- protection
- point of attachment for muscle
- contains blood vessels that nourish underlying bone.
Term
articular cartilage
Definition
outer surface of epiphysis. Forms smooth shiny surface. Reduces friction
Term
outer surface of epiphysis. Forms smooth shiny surface. Reduces friction
Definition
articular cartilage
Term
bones of the hand are examples of ___
Definition
short bones
Term
these cells migrate to regions of flat bones
Definition
osteoblasts
Term
vertebrae are what kind of bones?
Definition
irregular
Term
bones of the skull are what type of bones?
Definition
flat
Term
[image]
Definition
[image]
Term
Number of bones in the vertebral column
Definition
26
Term
Abnormal lateral curvature of the thoracic area
Definition
scoliosis
Term
Abnormal posterior curvature of the thoracic area - "hunchback"
Definition
kyphosis
Term
exaggerated lumbar curvature - "swayback"
Definition
lordosis
Term
Bones of shoulder
Definition
clavicle, scapula
Term
function of scapula
Definition
supports arms - attachment of muscle
Term
function of clavicle
Definition
collar bone - stabilizes shoulder
Term
shoulder blade wing bone
Definition
scapula
Term
concave portion of the scapula that articulates with the humerus
Definition
glenoid cavity
Term
glenoid cavity
Definition
concave portion of the scapula that articulates with the humerus
Term
Bones of upper extremeties
Definition
humerus
radial
ulna
Term
Components of the pelvic girdle
Definition
ilium
ischium
pubis
Term
turning hand downward
Definition
pronation
Term
turning hand upward
Definition
supination
Term
Portion of femur most often broken in elderly
Definition
greater and lesser trochanters (neck of femur)
Term
muscle action that creates motion
Definition
contraction and relaxation
Term
vital functions performed by muscle contraction
Definition
motion
maintenance of posture
heat production
helps blood flow back to heart
Term
voluntary muscle control
Definition
conscious control (ie, arms, legs)
Term
involuntary muscle control
Definition
responds to internal commands (ie, heart)
Term
energy source for muscle contraction
Definition
ATP - adenosine triphosphate
Calcium - muscle stimulation causes CA release, causing ATP, actin and myosin to react
Term
What happens to calcium when a contracted muscle relaxes?
Definition
Calcium returns to sarcoplasmic reticulum
Term
needed to transmit message across a neuromuscular junction
Definition
Acetylcholene
Term
Connective tissue that attaches muscle to bone
Definition
tendons
Term
tendons
Definition
attach muscle to bone
Term
connects bone to bone
Definition
ligaments
Term
ligament
Definition
connects bone to bone
Term
cartilage
Definition
connective tissue found in the joints between bones
Term
connective tissue found in the joints between bones
Definition
cartilage
Term
necrosed bone
Definition
dead bone
Term
circular muscle that opens and closes a tube/canal
Definition
sphincter
Term
calcium level
Definition
8.5-10.5
Term
ESR Sed rate test of CT)
Definition
shows that inflammatory process in the body.
Term
uric acid= Male-2.1-8.1 Female
Definition
check for gout or kidney failure,increase ETOH level,
Term
like in your knee and elbow, enable movement similar to the opening and closing of a door.
Definition
hinged joint
Term
joint in your neck that allows you to turn your head from side to side.
Definition
pivot joint
Term
your thumbs. can rock back and forth and from side to side, but they have limited rotation.
Definition
saddle joints
Term
[image]
Definition
Plantar flexion
Term
laminectomy
Definition
type of lumber decompession that exposes the spinal canal and allows for relief of compression of the spinal cord and spinal nerve roots.
Term
dislocation
Definition
subluxation
Term
Athrogram
Definition
x-ray of a joint
Term
electromyogram
Definition
test of electrical conductivity of the clients muscles.
Term
busitis
Definition
inflammation of the bursa
Term
kyphosis
Definition
humpback or hunchback
Term
artritis
Definition
joint inflammation.
Term
arthroscopy
Definition
invasive procedure using an endoscope designed to view joints.
Term
acrosclerosis
Definition
scleroderma of the distal extremeties and face.
Term
lordosis
Definition
swayback
Term
halo device
Definition
form of skeletal traction used for cervical fractures.
Term
gangrene
Definition
necrosis of tissue due to insufficient or lack of blood supply.
Term
compartment syndrome
Definition
results from inadequate or obstructed blood flow to muscles,nerves and tissues.
Term
Definition
metal pins or wires surgically inserted into client's bones so that traction is applied directly to them.
Term
Definition
adult vitamin D defficiency which results in softening of the bones.
Term
Definition
bone infection.
Term
Definition
narrowing of the intervertebral space.
Term
Definition
inflammation of the tendon sheath.
Term
Definition
speciality in medicine that examines and treats disease and injuries of the musculoskeletal system.
Term
Definition
excision of the synovial membrane.
Term
Definition
scleroderma of the fingers and toes.
Term
Definition
side-side or lateral angulation of the spinal column.
Term
Definition
frragments of dead bones loosen
Term
Definition
hard skin.
Term
Definition
disease that results from a defieciency of vitamin d during childhood.
Term
Definition
Magnetic resonance imagery is more expensive and invasive than biopsy,surgery,or the use of radioactive isotopes or dyes.
Term
Definition
during a mylogram,a contrast medium or air is injected into the spinal subarachnoid space,followed by x-ray examination.
Term
Definition
Ultrasound uses sound waves and their echos to display images to evaluate soft tissue masses,osteomylities,infection,congenital and acquired pediatric disorders.
Term
Definition
After an arthrosyntesis,the client will immiediately be able to ove the joint freely.
Term
Definition
the nurse should apply ice and elevate the clients joint following arthroscopy.
Term
Definition
to hold a half-cast splint in place,the nurse uses long strips of adhesive tape.
Term
Definition
inflatable splints are often used in emergency first aid to support th neck.
Term
Definition
A benefit of using splints is that they are light weight an do not need to be removed when x-rays are taken.
Term
Definition
plaster casts remain wet for up to 3 or 4 days.
Term
Definition
Synthetic casts are more lightweight but weaker than plaster casts.
Term
Definition
Metastatic bone tumors originate in the bone and are usually slow growing.
Term
Definition
one of the most significant signs of malignant bone tumor is pathologic fracture.
Term
Definition
a strain is an injury to the ligaments around a joint causing the ligaments to stretch and tear.
Term
Definition
Traction applied through a weight attached to a spreader bar below the foot.
Term
Definition
skin traction applied by means of a head halter.
Term
Definition
Buck's traction with the addition of the leg supported by a sling.
Term
Definition
Traction applied by belt or sling.
Term
Definition
traction that iserts skull tong device into the skull bone.
Term
Definition
skeletal traction with device drilled through shaft of a bone and attached to the traction apparatus.
Term
Definition
pain,pressure or itching sensations that occur in the area of the amputation.
Term
Definition
may be needed to relieve internal presure for a patient with compartment syndrome.
Term
Definition
An artificial device that replaces part or all of a missing extremety.
Term
Definition
is the reattachment of a completely severed body part back to the body.
Term
Definition
results from pressure to the spinal cord.
Term
osteopososis
Definition
is the condition in which bone mass is lost
Term
osteoporosis.
Definition
is the condition in which bone mass is lost
Term
Most types of arthritis are common in
Definition
Term
Definition
a condition of an immovable joint.
Term
people with gout may be placed in a diet low in
Definition
purines
Term
and
Definition
two types of bone tumors
Term
Definition
is a characteristic sign of systemic lupus erythematosus.
however a rash may appear over other body parts as well.
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