MSK pathology Flashcards

1
Q

what are osteophytes

A

bony outgrowths that develop along the edges of bones often where bones meet at joints

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2
Q

what do osteophytes form in response to

A

damaage such as when cartilage wears down causing bones to rub against another

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3
Q

what is eburnation

A

when cartilage covering the ends of bones wears away causing the exposed bone surfaces to rub directly against each other
friction smooths and polishes the bone giving it a dense ivory like appearance

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4
Q

radiological joint change features

A

Loss of joint space = cartilage loss
Subchondral sclerosis = eburnation etc
Subchondral cysts =. Synovial fluid accumulation
Osteophytes = disorganised bone remodelling

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5
Q

what is subchondral scleoris s

A

when the bone just beneath the cartilage surface known as the subchondral bone becomes hard and dense

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6
Q

examples of early joint changes

A

cracks in cartilage

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7
Q

later joint changes

A

eventually cartilage is worn away - bone on bone
eburnation occurs
cortical bone thickens to cope with load
leakage of synovial fluid through bone forming cysts
rapid remodelling of bone to cope with stress which is disorganised and produces osteophytes

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8
Q

what is osteomalacia

A

the softening of bones due to inadequate bone mineralization due to VIt D deficiency

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9
Q

clinical signs of osteomalacia

A

bowed legs, square heads, pigeon chest and rickety rosary

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10
Q

metabolic diseases

A

pagets
abnormality of bone turnover
osteomalacia
crystal arthropathies

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11
Q

pagets disease overvieq

A

Abnormal breakdown and formation of bone tissue
increased osteoclastic activity
leads to structurally abnormal enlarged and weak bones

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12
Q

3 stages of pagets

A

osteolytic; osteoclasts
mixed ; osteoclasts and osteoblasts
burnt out; chronic

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13
Q

role of osteoclasts

A

absorb bone

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14
Q

role of osteoblasts

A

form bone

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15
Q
A
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