Musculoskeletal Conditions Flashcards

1
Q

Bone cell term

A

Osteon

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2
Q

Organisation of compact/cortical bone

A

Few spaces
Provides protection, support and resists stresses produced by weight of movement

Repeated structural units ‘osteons’ - concentric ‘lamellae’ around a central ‘haversian canal’

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3
Q

Haversian canal

A

Contain blood vessels, nerves and lymphatics

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4
Q

Lacunae

A

Small spaces containing osteocytes

Tiny canaliculi radiate from lacunae filled with extracellular fluid

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5
Q

Volksmans canal

A

Transverse perforating canals

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6
Q

Joint classifications

A

Fibrous
-sutures
-syndesmosis
-interosseous membrane

Cartilaginous
-synchondroses
-symphyses

Synovial
-plane
-hinge
-condyloid
-pivot
-saddle
-hall and socket

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7
Q

Types of joint disease

A

Osteoarthritis - degenerative
Inflammatory - main type is rheumatoid

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8
Q

ACL injury tests

A

Anterior drawer
Lachmanns

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9
Q

Septic arthritis symptoms

A

Pain
Joint swelling/stiffness
Fever
Sweat
Weight loss
Usually one joint affected

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10
Q

Septic arthritis cause

A

Bacterial infection of a joint

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11
Q

Septic arthritis diagnosis

A

Joint aspiration - send sample for urgent gram stain and culture

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12
Q

Septic arthritis treatment

A

Surgical washout and intravenous antibiotics

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13
Q

Structure of long bones

A

Periosteum - connective tissue covering
Outer cortex
Cancellous bone - spongy
Medullary cavity - contain yellow bone marrow
Nutrient artery
Articular cartilage

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14
Q

Components of synovial joint

A

Synovium - 1-3 cell deep lining, type I collagen
Synovial fluid - hyaluronic acid rich viscous fluid
Articular cartilage - type ii collagen

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15
Q

Cartilage composition

A

Specialised cells (chondrocytes)
Extracellular matrix (water, collagen and proteoglycans)
Avascular - no blood supply

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16
Q

Aggrecan

A

Proteoglycan that possesses many chondroitin sulfate and keratin sulfate chains

Characterised by ability to interact with hyaluronan to form large proteoglycan

Form articular cartilage

17
Q

Radio graphic changes of osteoarthritis

A

Osteophyte
Loss of joint space
Subchondral cysts
Sclerosis

18
Q

Osteoarthritis management

A

Conservative
-analgesics
-physiotherapy
-walking aids

Operative
-replace
-realign
-excise
-fuse

19
Q

Bone infection

A

Osteomyelitis
-acute or chronic
-primary or secondary
-pain/swelling/discharge
-fever
-sweat
-weight loss

20
Q

Septic arthritis risk factors

A

Immunosuppressed, pre-existing joint damage, intravenous drug use

21
Q

Osteomyelitis treatment

A

Antibiotics - intravenous
Surgical drainage
Chronic - antibiotic suppression