Lecture 7 - Bone Injuries Flashcards

1
Q

What are the 2 types of bone tissue?

A
  1. Trabecular (spongy - high porosity)
  2. Cortical (compact - low porosity)
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2
Q

What type of bone tissues forms outer shell of long bones?

A

Cortical bone

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3
Q

What type of bone marrow produces blood cells?

A

Red bone marrow

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4
Q

What type of bone marrow stores fat?

A

Yellow bone marrow

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5
Q

Where is red marrow found in adult and children?

A

Children: most bones
Adults: flat bones, vertebrae, long bones

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6
Q

Where is yellow bone marrow found in adults?

A

Long bones

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7
Q

What are the functions of bones?

A
  • mechanical purpose
  • mineral storage (calcium and phosphate)
  • blood cell production
  • fat storage
  • hormone regulation (osteocalcin)
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8
Q

What are the mechanical purposes of bones?

A
  • protect organs
  • facilitate movement
  • provide a framework for support
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9
Q

How do bones adapt to training?

A

Physical training that involves dynamic loading with increase bone mass (bone mineral density). It is site specific and only a short duration of loading is necessary

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10
Q

What is osteoclasts?

A

Removal of bone

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11
Q

What is osteoblasts?

A

Production of bone

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12
Q

What are the 6 types of bone injuries?

A
  • traumatic fracture (open or closed)
  • pathological (osteoporosis and cancer)
  • stress fracture
  • Bone contusion (acute traumatic injury without fracture)
  • osteitis (inflammation of bone)
  • periostitis (inflammation of periosteum)
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13
Q

What are the stages of bone healing? Briefly explain.

A
  1. Blood clotting and inflammation (3-7 days)
  2. Soft callus formation (2 weeks)
    - woven bone formed to stabilize bone, highly unorganized
  3. Hard callus formation (2 weeks)
    - lamellar bone formed, highly organized
  4. Bone remodelling (can last for many years)
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14
Q

What are high risk sports for spinal injuries in young athletes?

A
  • figure skating
  • gymnastics
  • weightlifting
  • wrestling
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15
Q

What is the spinal injury continuum?

A
  1. bone stress reaction (posterior element overuse syndrome)
  2. Stress fracture (spondylolysis)
  3. Slipping of vertebrae (spondylolisthesis)
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16
Q

What are risk factors for low back stress fractures in young athletes?

A
  • excessive extension and rotatition loads
  • improper technique
  • hyperlordosis (caused by weak hamstrings and glutes –> causes hip muscles to get shorter and pelvis tilts fwd)
17
Q

What is spondylolysis?

A

Stress fracture in the spine

18
Q

What is spondylolisthesis?

A

Slipping of the vertebrae caused by a stress fracture

19
Q

What is medial tibial stress syndrome?

A

periosteal inflammation along the tibia caused by repetitive loading (shine splints)

20
Q

How does pain differ between MTSS and tibial stress fracture?

A

MTSS: diffuse pain
Stress fracture: focal pain

21
Q

What causes tibial stress fractures?

A

Repetitive loading (running and jumping)

22
Q

How can we prevent stress fractures?

A
  • Sufficient recovery
  • proper technique
  • cross-training
  • calcium supplements