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Normal healing time of fractures bone?
8-12 weeks
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What are the 5 stages of bone healing?
- 1. Inflammation - 2 days
- 2. Cellular proliferation - begins 2nd day
- 3. Callus formation - 3-4 weeks
- 4. Ossification - 3-4 months
- 5. Remodeling - normal bone maintenance
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What happens during the inflammation stage of bone healing?
Blood clot called fracture hematoma is formed.
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What happens during the cellular proliferation stage of bone healing?
- Macrophages debride injured area.
- Fibrin mesh allows for capillary and fibroblastic growth.
- Fibroblasts and osteoblasts form periosteal callus.
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What happens during the callus formation stage of bone growth?
Bone fragments grow together
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What happens during the ossification stage of bone healing?
New tissue calcifies.
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What processes can disrupt bone healing?
- -Inadequate immob.
- - Distraction of bone fragments
- - dec.blood supply
- - infection
- - interposition of soft tissue
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delayed union fracture
Lengthened healing time for bine
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Nonunion fracture
Fails to heal in resonable time frame due to poor positioning, improper immob
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Malunion fracture
Fx heals incorrect position
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Erythrocytes sedimentation test
Measrues how long it takes blood cells to settle on bottom of test tube. They settle faster during inflamm. Dx - inflamm conditions like RA
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Humanleukocyte antigens
- Proteins in white blood cells
- Dx - anklyosing spondylitis
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Latex fixation test
Detects rheumatoid factors for dx of RA
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Rheumatoid factors test
- Measure amount to rheumatoid factor in the blood.
- Dx - RA
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Alkaline phosphates
Needed for building new bone. Inc levels indicates bone disease.
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Calcium and phosphorus elevation dxs.
Dx of osteoporosis or osteomalacia
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Abnormally high levels of serum irate suggest
Gout
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High levels of urinary uric acid suggest
Gout
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Antinuclear antibody test
Dx of autoimmune disorders
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Bence jones protein
Produced by malignant plasma cells
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Cultures
- Used to id disease causing microorganisms
- Dx for infectious diseases
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What 5 conditions can occur with lymphedema?
- 1. Fibrosis
- 2. Erysipelas
- 3. Cornification
- 4. Keratosis
- 5. Edema
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Fibrosis
hardening of soft tissue
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erysipelas
result of acute strepococcal infection of the skin causing inflammation. Involves the fat underlying the skin.
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Cornification
change of normal skin cells into hard material such as keratin
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Keratosis
involves the growth of thick scaly bumps on skin
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Sagittal Plane
Vertical - divides body into right and left sections
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Coronal Plane
vertical plane which divides body into anterior and posterior
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Transverse Plane
horizontal - divides body into upper and lower
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Median Plane
A sagittal plane dividing the body through the median into right and left halves
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Fronal Plane
Also coronal plane - anterior and posterior
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Ankylosis
abnormal stiffness in a joint caused by injury or disease. Often results in RA
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Osteochondritis
inflamm of bone and cartilage
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Osteogenesis Imperfecta
genetic condition which results in production of defective Type 1 collagen in body. Deformed, brittle and easly fx bones.
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Osteogenesis
formation of bone
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Osteomalacia
- - abnormal softening of the bone due to loss of bone mineral.
- - Dec. amounts of calcium and phosphorus in the blood which results from dec. vitamin D.
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Osteoarthritis
- - disease of aging
- - articular cartilage wears away causing friction and pain
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Osteomylitis
- - infection of bone and bone marrow
- - bacterial or fungal
- - infection starts in another part of body and travels through bloodstream to bone
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Osteonecrosis
- - death of bone tissue
- - results from disease or trauma that destroys blood supply to the diseased area
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Osteoporosis
Loss of bone density due to loss of calcium
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Osteopenia
Loss of bone mass to an abnormally low level
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Arthroplasty
replacement of a joint
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Arthrotomy
surgically opening a joint by an incision
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Osteotomy
cutting of bone
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Osteoclasis
intentionally fracturing a bone in order to correct an abnormal structure
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Arthrodesis
surgical fusion of a joint
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Arthrocentesis
removal of synovial fluid from a joint by needle puncture.
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Laminectomy
removal of lamina of vertebrae to dec. pressure on nerve root
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Disarticulation of joint
amputation through joint
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Desotomy
incision of a ligament
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Myotomy
incision of a muscle
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Neurotomey
incision of a nerve
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Tenotomy
incision of tendon
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Arthrectomy
excision of a joint
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Sequestrectomy
excision of dead bone
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Synostosis
- - fusion of bones which are normally separate
- - cab be surgical or natural
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Allograft
transplant of cells, tissue or entire organ from one species to another of the same species
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Autograft
transplant of cells, tissue or entire organs from one part of the body to another site within the same body
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Xenograft
transplant of cells, tissue or organs from one species into another species
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Isograft
transplant of cells, tissues or organs from one organism to a genetically identical recipient
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Angulation
deviation of the broken bones from the normal position
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Chondrolysis
loss of articular cartilage due to breakdown of cartilage matrix and cells
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Chondroplasia
chondrocytes form cartilage
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Chondropathy
disease of cartilage
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Chondrotomy
surgical cutting of cartilage
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Chondroplasty
surgical repair of cartilage
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Chondroosteodystrophy
group of disorders of the cartilage and bone
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Dehiscience
separation of the edges of a wound
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Cauterization
- - use of healing to stop bleading
- - 2 types - electrocautery and chemical cautery
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Anastomosis
joining of 2 structures together
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Adhesion
joining together of 2 normally separate tissues
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Plica
fold, ridge or pleat in synovial tissue of the jt. capsule
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Bifurcation
splitting of an anatomical structure into 2 parts
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Condyle
rounded process at the end of bones which serve to articulate with another bone
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Epicondyle
process on a bone above condyle and serve as attachment sites for ligaments and tendons
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Foramen
natural opening in a bone through which nerves, ligaments and blood vessels pass
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Fossa
Depression on a bone
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Fovea
cup shaped depression on a bone. Smaller than a fossa
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Tuberosity
nodule on a bone which allows for attachment of muscles and ligaments
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physis
site of bone growth
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metaphysis
active formation occurs here in the bone
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periosteum
thin dense fibrous tissue covering the bone that contains blood vessels and nerves
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endosteum
lines the inner part of the bones that have a medulllary cavity
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Synovium
soft thin membrane lining the inside of a joint cavity
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