articular joint surface
apophyseal fragments torn from bone
avulsion tearing or pulling of a ligament
blow-out of orbital floor
boxer metacarpal neck
bucket-handle tear in cartilage - loop in intercondylar notch
burst-axial compression vertebra - usually spinal injury
butterfly looks like butterfly - comminuted fracture - 2 fragments on both sides main fracture
buttonhole-perforating  perforated by a missle
chisel head of radius - piece detaches
cleavage shelling off cartilage by small fragments
closed no open wound in skin
Colles displaces fragments - low end of radius
comminuted splintered or crushed
complete entirely broken
complicated injury adjacent to bones
compound open fractures
compression resulting from compression
condylar humerus - small fragments and condyle seperated from bone
dislocation near joint displacement
greenstick hickorystick one side broken other side bent
hangman's axis c2 through
impacted one fragment forced through another
indirect distant point of injury
insufficiency bone is of decreased deficiency
intra-articular within a joint
intracapsular within capsule of a joint
intrauterine fetal bone in utero
Le Fort I,II,III - maxilla
linear along length
longitudinal lengthwise direction
oblique slanted or inclined direction
open external wound - bone protrudes through skin
simple closed
spiral fracture-torsion bone twisted apart
torsion-spiral fracture bone twisted apart
spontaneous result from longstanding non-traumatic disease
stress distant point of injury
subcapital just below head of the bone
torus localized expansion of cortex - little or no displacement to lower end of bone
transverse occurs @ right angle to axis of bone
tuft distal phalanx - splintered fracture
scheuermann disease affects bone formation of vertebra
scoliosis sideways curvature of spine
achondroplasia cartilage and bone formation - hereditary disorder
ankylosing spondylitis rheumatoid arthritis of spine
arthritis inflammation of joints
inflammation inflammation of joints
rheumatoid most common arthritis
chondrosarcoma malignant tumor of cartilage
degenerative joint disease deterioration of articular cartilage
Ewing tumor malignant tumor on the shaft of bone
sarcoma malignant tumor
gout disease deposition of urate crystals
Hurler syndrome irregular formation of bone - overproduction of mucopolysaccharides (enlarged organs)
mucopolysaccharides enlarged organs
hypophosphatasia deficiency alkaline phosphatase
alkaline phosphatase alkaline metal, sodium or potassium
Legg-Calve-Perthes disease loss blood supply in head of femur
marfan syndrome abnormal formation of connective tissue
multiple myeloma most common bone neoplasm - tumor derived from blood cells
Osgood-Schlatter disease affects tibial tubercle - where patella tibia connect
osteochondritis dissecans involving joints
osteochondrosis adolescence developmental disorder affecting center bone formation
osteogenisis imperfecta abnormal formation of connective tissue
osteoid, osteoma benign lesion
osteomalacia softening of bone
osteomyelitis fungal bacteria infection of bone
Staphylococcus aureus bacterial infection of bone
osteoporosis occurs with adequate bone density
kyphosis forward hunching of the spine
Paget disease degenerative disorder of bone - softening and swelling of bone
psoriatic arthritis chronic skin disease
Reiter syndrome nonbacterial urethritis lesions
rickets overgrowth poorly mineralized bones and enlarged marrow cavities in infants
 
ALIF - Anterior lumbar interbody fusion. An operation for stabilization of the spine using an anterior approach. This is the standard approach for inserting cages in the lumbar disc spaces.

Antiglide plate - A hardware construct that uses weight bearing to provide dynamic compression of a fracture. It is usually employed for oblique fractures of the fibula. A plate with screws is affixed to the proximal fibula such that the tip of the distal fracture fragment is wedged between the plate and the proximal fragment. It is not necessary to place screws in the plate distal to the fracture, although an "anti-glide" screw can be placed at the apex of the fracture.

AO/ASIF - Arbeitsgemeinschaft fur Osteosynthesfragen/Association for the Study of Internal Fixation. An association founded in Germany to study and promote the use of internal fracture fixation. The association has an education program for teaching surgical methods. There are national branches of the association in several countries. In the United States, it is the Association for the Study of Internal Fixation. Several types of orthopedic hardware have been developed by AO, and they are given AO designations, e.g. an AO screw.

Arthroplasty - An operation that restore as far as possible the integrity and function of a joint. In general, an arthroplasty involves prosthetic replacement of one or both sides of a joint. A hemiarthroplasty involves replacement of only one side of a joint. A total joint arthroplasty involves replacement of both sides of a joint. A hemiarthroplasty may be unipolar of bipolar.

Austin-Moore Prosthesis - A metallic unipolar femoral prosthesis used in hip hemiarthroplasties. It was one of the earliest prosthetic devices. Femoral prostheses are sometimes referred to as Moore or Austin-Moore prostheses.

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Bipolar prosthesis - A two component prosthesis used for hemiarthroplasties in which one prosthetic component is fixed rigidly in place on one side of the joint and the second component with which the first articulates is inserted loosely on the other side of the joint. The prosthesis is named after the fixed component. Motion of the across the joint component puts less stress on bone and the articulating surfaces. As an example, one design of a femoral bipolar hemiarthroplasty consists of a prosthetic femoral head articulating with a polyethylene liner in the acetabular component. The liner is inside a metal shell and can move with respect to the shell. The shell is press fitted into the acetabulum either with or without reaming of the acetabulum. The shell can move within the acetabulum. It is important when reading x-rays of bipolar implants to be aware that the across the joint component is mobile and not to interpret a change in position of this component as necessarily indicative of loosening. See unipolar prosthesis.

Bone morphogenetic proteins - Bone morphogenetic proteins, BMPs, are a group of endogenous proteins that stimulate bone growth. Recombinant human bone morphogenetic protein two, rhBMP-2, is the only FDA approved BMP for human use. It is used with bone grafts and spinal cages for interbody fusion of vertebral bodies.

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Cancellous screw - A screw designed for placement in cancellous bone. The pullout strength of a screw is proportional to the amount of metal-bone contact. Because cancellous bone is porous, threads for cancellous bone screws have to be longer than for cortical screws to achieve the same degree of metal-bone contact and thus have the same pullout strength as cortical screws.

Cortical screw - A screw designed for placement in cortical bone. See cancellous screw.

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Dynamic compression - The compression of a fracture by weight bearing and/or muscle contraction. Fracture fixations that employ dynamic compression include dynamic hip screws, anti-glide plates, dynamized tibial and femoral nails, and tension band wiring.

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Ender nail - Also referred to as an Ender rod. A smooth, flexible rod used for intramedullary fixation of long bone fractures. The nail is used for diaphyseal fractures in patients whose epiphyseal growth plates are still open. It is inserted through the metadiaphyseal region, avoiding the epiphyseal plate so that the growth of the bone is not impaired.

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Fixate - To hold in place. Orthopedic hardware can be used to fixate bone, for example with fracture repairs. Bone can be used to fixate orthopedic hardware as with joint prostheses.

Food and Drug Administration - All implantable orthopedic hardware in the United States must be approved by the Food and Drug Administration (FDA). The FDA classification of hardware is specified in the code of federal regulations (CFR) under Title 21, part 888, Orthopedic Devices. Devices are classified by type and anatomic region. For joint replacements, the main classification areas are the degree of constraint, composition, cemented or noncemented., and a few subcategories. The classification can be found by searching the Center for Devices and Radiological Health Database at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm.

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Gerdy's tubercle - A bony projection on the anterolateral tibial plateau between the patellar tendon and fibular head that is used as a landmark for examining or operating on the knee.

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Hardware - A generic term that encompasses all metallic implants. By extension, it also includes nonmetallic materials associated with metallic components such as polyethylene components of joint prostheses. See implants.

Hemiarthroplasty - Replacement of one side of a joint with a prosthesis. The prosthesis in a hemiarthoplasty can have a unipolar or bipolar design. In a unipolar design, the prosthetic component is on only on side of the joint. In a bipolar design, there is a prosthetic component on the other side of the joint that is not fixed in place. In a total hip arthroplasty, the across the joint component is rigidly fixed in place. See bipolar hemiarthroplasty.

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Implant - Any surgically placed, nonbiological material whose purpose is to promote healing of tissues or serve as a replacement of structures such as joints.

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Judet views - Oblique x-ray images of the hips at approximately 45 degree angles that allow visualization of the anterior and posterior columns of the acetabulum and in particular, the anterior and posterior walls of the acetabulum.

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K-wires - The commonly used designation for Kirschner wires. These are thin wires that used for a variety of purposes. They can act as fixation devices for small bones, as guide wires for insertion of cannulated nails, and as accessory components with external fixation devices.

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Lag screw - A screw inserted across a fracture that provides compression to the fracture. Lag screws can provide static or dynamic compression. The term "lag" refers to the function of a screw. The physical design of the screw, the type of bone the screw is inserted into, and the manner in which it is inserted determine whether a screw functions as a lag screw. In the diaphyses of long bones, cortical screws are used as lag screws while cancellous screws function as lag screws for cancellous bone fractures.

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Modular - Composed of interchangeable parts. With respect to prostheses, femoral hip prostheses are most commonly modular in design. Different types of femoral implants have interchangeable heads, necks, and/or stems. See monoblock.

Monoblock - A single structure without interchangeable parts. See modular.

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Nonself-tapping screw - A screw that requires a tapping procedure in a predrilled guide hole before the screw can be inserted. See self-tapping screw, tap.

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Osteoconductive - Refers to any structure that facilitates the formation of bone structure. Commonly used to describe the properties of various types of bone grafts and bone graft substitutes.

Osteoinductive - Any substance that stimulates bone formation. Bone morphogenetic proteins are osteoinductive.

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Pitch - The distance between threads on a screw. Cancellous bone screws have a larger pitch than cortical bone screws.

Press fit - A method for implanting orthopedic devices. For a press fit, a device is inserted without cement or hardware fixation. The geometry of adjacent structures holds the device in place. The acetabular component of a bipolar femoral prosthesis is press fitted into the acetabulum. The stem of uncemented femoral prostheses are press fitted into the medullary canal of the proximal femur. Also referred to as interference fit.

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Ream - The process of enlarging a cavity so that a prosthesis can be inserted. Reaming most commonly is performed in the femur for insertion of a femoral nail.

Reconstruction nail - A femoral intramedullary nail used to fixate femoral neck, intertrochanteric, and subtrochanteric fractures. There is a proximal hold for an interlocking femoral screw that is placed in the femoral neck or head.

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Screws - One of the most commonly used orthopedic fixation devices. Screws are designed for different uses and for placement in different types of bone. Screws can be used as single standalone devices, as components of hardware constructs (e.g. plates with screws), or as separate devices complementing other hardware (e.g. interfragmentary screws and plates with screws for fracture fixation).

Self-tapping screw - A screw that cuts its own thread holes in bone as it is screwed into place. Prior to inserting a screw in cortical bone, a guide hole is first drilled that has the same diameter as the core diameter of the screw to be inserted. For a  nonself-tapping, a tap is then inserted which cuts the thread holes for the screw. The screw is then inserted. A self-tapping screw has one or more cutting edges at the screw tip that cut the threads holes in the side of the guide hole in which the screw is inserted. Thus, a separate tapping step is eliminated shortening operative time. See nonself-tapping screw.

Stress riser - Places where stress lines from applied forces concentrate within a structure. Breakage is most likely to occur at these places. In long bones or orthopedic plates, for example, stress lines from forces applied at the ends tend to produce uniform cross sectional stress lines. Discontinuities, such as screw holes, redistribute these forces concentrating them close to the holes where fracture is most likely to occur.

Stress shielding - The removal of forces or stresses that normally act on bone. Stress shielding eventually leads to osteopenia.  A common site for stress shielding is the proximal femoral diaphysis after placement of a femoral prosthesis. The more tightly the stem of the prosthesis fits into the distal medullary canal, the greater the shift of body weight to the prosthetic stem from the proximal femoral cortex. This causes loss of the normal remodeling forces above the level at which the stem is fixated against the endosteal surface of the medullary canal resulting in osteopenia of the proximal femoral diaphysis.

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Tap, Tapping - A tap is an instrument used to create threads holes in a hole drilled in bone. Tapping is process of using a tap to create the thread holes. Tapping is used for inserting screws in cortical bone. To insert a cortical screw, a pilot hole is first drilled in the bone that has the same diameter as the core diameter of a screw. The tap is then inserted creating the thread holes for the screw. Finally the screw is inserted. The type of screw inserted is called a nonself-tapping screws. See self-tapping screw.

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Ultrahigh molecular weight polyethylene - UHMWPE. A type of highly durable polyethylene used for replacement of joint surfaces or as entire components in prosthetic joints.

Unipolar prosthesis - A prosthesis used for hemiarthroplasties with no across the joint articulating component. Hip and shoulder prostheses are often unipolar. A unipolar device can be of monoblock or modular design. See bipolar prosthesis.

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Vertebroplasty - Generic term for any repair or reconstruction of a vertebral body. Titanium vertebral cages or bone allografts are common ways of replacing damaged vertebral bodies.

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Wires - The term can refer to thin diameter, fully flexible wires with minimal resistance to bending or thicker diameter wires, such as K-wires, that can be used as rigid fixation devices.

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XIP - X-ray in plaster. Refers to an x-ray study performed while the examined part is in a cast.

XOP - X-ray out of plaster. Refers to an x-ray study performed after the examined part has been removed from a cast.

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Yasargil clip - A commonly used clip for cerebral aneurysms. The clip has relatively long tongs that permit insertion around the neck of an aneurysm.

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What is the most commonly fractured carpal bone, and how is it treated? Scaphoid fracture. Treat with thumb spica.  
What is the most commonly broken bone in children and how is it treated? clavicle fracture, treated with sling and swath or figure of 8 dressing.  
What does the descriptive term Salter-Harris III mean? Fracture through the epiphysis into the physis not involving the diaphysis. Accounts for 6% of long bone pediatric fractures.  
Are all fat pads in the elbow pathologic? No. A small anterior fat pad may be seen in a normal elbow.  
A child presents with elbow pain after a fall and has a posterior fat pad but no visualized fracture. What is the injury? Usually this represents a nondisplaced supracondylar fracture.  
An adult presents with elbow pain after a fall and has a posterior fat pad but no visualized fracture. What is the injury? Usually this represents a nondisplaced radial head fracture.  
What artery and nerve may be injured in an elbow dislocation? Brachial artery, Ulnar nerve involvement in 10-20%.  
What artery may be injured in a shoulder dislocation? Axillary artery, usually presenting with an axillary hematoma.  
What is the feared complication of a scaphoid fracture? Avascular necrosis of the proximal fracture segment.  
What is the feared complication of supracondylar fractures? Volkmann's ischemic contracture. This is why these injuries should all be admitted and preferably not reduced by the ED staff.  
what is the most common bone broken in children? Clavicle  
A 25-year-old patient presents with a swollen, painful elbow. She can't range it without significant pain. She also has a nontender maculopapular rash on her trunk, arms, and legs. She does not have a fever. What diagnosis should you consider, and how is it diagnosed? You should consider gonococcal arthritis, and it may be diagnosed by vaginal swab. The organism is not recovered in the joint fluid.  
What is the most common septic joint in children? Hip  
A patient presents with septic sternoclavicular joints as well as evidence of sacroiliac involvement. What does the patient do for fun? The patient is likely an IV drug user.  
Who is at risk for polyarticular septic arthritis? IVDA as well as anyone with multiple abnormal joints, such as those with RA or severe psoriatic arthritis. These can be difficult to diagnose because the course can be more indolent and the patient may lack fever.  

Identify the bones of the wrist.

As shown
 

Which bone is the scaphoid?

as labelled
 
What is the normal volar tilt of the wrist?
11 degrees. When reducing a wrist, you want to restore the volar tilt to 0 degrees to 11 degrees to preserve function.
 
In reducing a wrist, what is most important to restoring function? Restoring radial length.  

What is the usual ulnar inclination of the wrist?

22 degrees. This is part of the rule of 11. The radial styloid is 11mm tall. The wrist has 11 degrees of volar tilt and 22 degrees of ulnar inclination.
 

What is this injury?

Scapholunate dissociation. Note the wide space between the scaphoid and lunate, also known as the terry thomas sign. on a lateral film, the scapholunate angle will be increased to greater than 60 degrees.
 

What is the complication of this injury?
This is a supracondylar fracture, and the feared complication is Volkmanns ischemic contracture of the forearm.  
what is the difference between a comminuted fracture and a segmental fracture? a segmental fracture means multiple transverse fractures and a free segment of long bone. comminuted is shattered.  
you have a patient with pain in the elbow, and you diagnose her with lateral epicondylitis. how do you treat her? with a WRIST splint.  
which midshaft humerus fracture is more likely to require operative repair, and why, oblique or transverse? transverse, because it has less surface area of injury to heal to the other bone segment.  
which elbow fat pad is always abnormal, anterior or posterior? posterior

 

A

ankylosing spondylitis - a disease that affects the spine, causing the bones of the spine to grow together.

anterior cruciate ligament (ACL) - the ligament, located in the center of the knee, that controls rotation and forward movement of the tibia (shin bone).

anterolateral shin splint - a type of shin splint that affects the front and outer part of the muscles of the shin and is caused by a congenital (present at birth) imbalance in the size of opposite muscles.

arthritis - inflammation of a joint, usually accompanied by pain, swelling, and sometimes change in structure.

arthrogram - an x-ray to view bone structures following an injection of a contrast fluid into a joint area. When the fluid leaks into an area that it does not belong, disease or injury may be considered, as a leak would provide evidence of a tear, opening, or blockage.

arthroscopy - a minimally-invasive diagnostic and treatment procedure used for conditions of a joint. This procedure uses a small, lighted, optic tube (arthroscope) which is inserted into the joint through a small incision in the joint. Images of the inside of the joint are projected onto a screen; used to evaluate any degenerative and/or arthritic changes in the joint; to detect bone diseases and tumors; to determine the cause of bone pain and inflammation.

B

bursa - a sac filled with fluid located between a bone and a tendon or muscle.

bursitis - repeated small stresses and overuse that cause the bursa to swell and become irritated.

bunion - an inflammation and thickening of the bursa in the joint of the big toe.

C

carpal tunnel syndrome - a condition in which the median nerve is compressed as it passes through the carpal tunnel in the wrist, a narrow confined space. Since the median nerve provides sensory and motor functions to the thumb and three middle fingers, many symptoms may result.

cartilage - a smooth material that covers bone ends of a joint to cushion the bone and allow the joint to move easily without pain.

cast - a cast holds a broken bone in place as it heals, prevents, or decreases muscle contractures, or provides immobilization, especially after surgery. Casts immobilize the joint above and the joint below the area that is to be kept straight and without motion.

computed tomography scan (Also called a CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.

congenital - present at birth.

contusion - bruise.

corn - a yellowish, callus growth that develops on top of the toes.

cubital tunnel - a tunnel of muscle, ligament, and bone on the inside of the elbow.

D

dislocation - a dislocation occurs when extreme force is put on a ligament causing the two bone ends to separate. Dislocations can also affect a joint, the point where two or more bones come together. The joint is created as a "ball-and-socket" joint. A dislocated joint causes the head of the bone (ball) to partially or completely come out of the socket.

E

electromyogram (EMG) - a test to evaluate nerve and muscle function

F

femur - thighbone.

fibromyalgia (Also called fibrositis.) - a chronic, widespread pain in muscles and soft tissues surrounding the joints throughout the body.

fracture - a break in a bone.

G

ganglion cysts - non-cancerous, fluid-filled cysts are common masses or lumps in the hand and usually found on the back of the wrist.

gout - a result of a defect in body chemistry (such as uric acid in the joint fluid), this painful condition most often attacks small joints, especially the big toe. It can usually be controlled with medication and changes in diet.

H

hammertoe - a permanent sideways bend in the middle toe joint.

heat exhaustion - a form of heat-related illness that is more severe than heat cramps and results from a loss of water and salt in the body. It occurs in conditions of extreme heat and excessive sweating without adequate fluid and salt replacement. Heat exhaustion occurs when the body is unable to cool itself properly. If left untreated, heat exhaustion can progress to heat stroke.

heel spur - a bone growth on the heel bone.

humerus - the bone of the upper arm.

I

inflammation - a normal reaction to injury or disease, which results in swelling, pain, and stiffness.

J

joint - where the ends of two or more bones meet.

juvenile rheumatoid arthritis (JRA) - a form of arthritis in children ages 16 or younger that causes inflammation and stiffness of joints for more than six weeks. Unlike adult rheumatoid arthritis, which is chronic and lasts a lifetime, children often outgrow juvenile rheumatoid arthritis. However, the disease can affect bone development in the growing child.

K

L

lateral collateral ligament (LCL) - the ligament that gives stability to the outer knee.

lateral epicondylitis (Also known as tennis elbow.) - pain is caused by damage to the tendons that bend the wrist backward away from the palm.

ligaments - a white, shiny, flexible band of fibrous tissue that binds joints together and connects various bones and cartilage.

M

magnetic resonance imaging (MRI) - a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body.

medial collateral ligament (MCL) - the ligament that gives stability to the inner knee.

medial epicondylitis (Also known as golfer's elbow, baseball elbow, suitcase elbow, or forehand tennis elbow.) - pain caused by damage to the tendons that bend the wrist toward the palm.

menisci - two crescent-shaped discs of connective tissue between the bones of the knees that act as shock absorbers to cushion the lower part of the leg from the weight of the rest of the body.

Morton's neuroma - A pinched nerve that usually causes pain between the third and fourth toes.

muscular dystrophy (MD) - a broad term that describes a genetic (inherited) disorder of the muscles. MD causes the muscles in the body to become very weak. The muscles break down and are replaced with fatty deposits over time. The most common form of MD is called Duchenne muscular dystrophy (DMD).

musculoskeletal system - the complex system involving the body's muscles and skeleton, and including the joints, ligaments, tendons, and nerves.

myelogram - involves the injection of a dye or contrast material into the spinal canal; a specific x-ray study that also allows careful evaluation of the spinal canal and nerve roots.

N

O

orthopaedic surgeon (Also called an orthopaedist.) - a physician who diagnoses, treats, manages the rehabilitation process, and provides prevention protocols for patients who suffer from injury or disease in any of the components of the musculoskeletal system.

orthopaedic surgery (Also called orthopaedics.) - the medical specialty devoted to the diagnosis, treatment, rehabilitation, and prevention of injuries and diseases of the body's musculoskeletal system.

osteoarthritis - a condition caused by wear and tear that causes inflammation of the joint, causing swelling, pain, and stiffness.

osteoporosis - a condition that develops when bone is no longer replaced as quickly as it is removed.

overuse conditions - injuries due to minor trauma involving soft-tissue injuries - injuries that affect the bone, muscles, ligaments, and/or tendons.

P

patella - kneecap.

plantar fascia - a long band of connecting tissue running from the heel to the ball of the foot.

plantar warts - warts that occur on the sole of the foot and look like calluses as a result of an infection or a specific virus.

posterior cruciate ligament (PCL) - the ligament, located in the center of the knee, that controls backward movement of the tibia (shin bone).

posteromedial shin splint - a type of shin splint that affects the back and inner part of the muscles of the shin and is caused by running and/or by wearing inappropriate footwear.

prosthesis - an artificial body part replacement.

Q

R

radionuclide bone scan - a nuclear imaging technique that uses a very small amount of radioactive material, which is injected into the patient's bloodstream to be detected by a scanner. This test shows blood flow to the bone and cell activity within the bone.

radius - the shorter of the two bones of the forearm.

rheumatoid arthritis - an inflammatory disease that involves the lining of the joint (synovium). The inflammation often affects the joints of the hands and the feet and tends to occur equally on both sides of the body.

rheumatologist - a physician who specializes in the treatment of arthritis and other rheumatic diseases that may affect joints, muscles, bone, skin and other tissues.

R.I.C.E. - Rest, Ice, Compression, and Elevation.

S

scleroderma - a very serious disease of the body's connective tissue that causes thickening and hardening of the skin.

scoliosis - a lateral, or sideways, curvature and rotation of the back bones (vertebrae), giving the appearance that the person is leaning to one side.

shin splints - damage to one of two groups of muscles along the shin bone that cause pain.

soft tissues - the ligaments, tendons, and muscles in the musculoskeletal system.

sprain - a partial or complete tear of a ligament.

strain - a partial or complete tear of a muscle or tendon.

stress fracture - a bone injury caused by overuse.

synovial fluid - a clear, sticky fluid that is released by the synovial membrane and acts as a lubricant for joints and tendons.

systemic lupus erythematosus (lupus) - a very serious, chronic, autoimmune disorder characterized by periodic episodes of inflammation of and damage to the joints, tendons, other connective tissues, and organs, including the heart, lungs, blood vessels, brain, kidneys, and skin.

T

tendon - the tough cords of tissue that connect muscles to bones.

tendonitis - an inflammation in a tendon or the tendon covering.

tibia - shin bone or larger bone of the lower leg.

trigger finger - an irritation of the digital sheath that surrounds the flexor tendons of the finger. When the tendon sheath becomes thickened or swollen it pinches the tendon and prevents it from gliding smoothly. In some cases, the tendon catches and then suddenly releases as though a trigger were released.

U

ulnar bone - the longer of the two bones in the forearm.

ultrasound - a diagnostic technique which uses high-frequency sound waves to create an image of the internal organs.

V

W

X

x-ray - a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.

Y

Z

A

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adhesions - abnormal bands of tissue that grow between joint surfaces, restricting motion.

allodynia - pain due to a stimulus that does not normally provoke pain.

analgesia - absence of pain in response to stimulation that would normally be painful.

antibody - a special protein produced by the body's immune system that recognizes and helps fight infectious agents and other foreign substances that invade the body.

arthralgia - pain in a joint, usually due to arthritis or arthropathy.

arthritis - inflammation of a joint, usually accompanied by pain, swelling, and sometimes change in structure.

arthroplasty - total joint replacement.

arthroscopy - a minimally-invasive diagnostic and treatment procedure used for conditions of a joint. This procedure uses a small, lighted, optic tube (arthroscope) which is inserted into the joint through a small incision in the joint. Images of the inside of the joint are projected onto a screen; used to evaluate any degenerative and/or arthritic changes in the joint; to detect bone diseases and tumors; to determine the cause of bone pain and inflammation.

atrophy - wasting away of a body part or tissue.

B

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bacteremia - the presence of bacteria in the bloodstream.

benign - non-cancerous; mild disease or condition that is not life threatening.

bone - living tissue that makes up the body's skeleton.

bone graft - a surgical procedure in which healthy bone is transplanted from another part of the patient's body into the affected area.

bursa - a sac filled with fluid located between a bone and a tendon or muscle.

C

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cancellous tissue - the sponge-like tissue inside bones.

cartilage - a smooth material that covers bone ends of a joint to cushion the bone and allow the joint to move easily without pain.

chondroblasts - immature cartilage-producing cells.

compact tissue - the harder, outer tissue of bones.

computed tomography scan (Also called CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.

congenital - present at birth.

contusion - a bruise caused by a blow to the muscle, tendon, or ligament; caused when blood pools around the injury and discolors the skin.

corticosteroids - potent anti-inflammatory hormones that are made naturally in the body or synthetically for use as drugs; most commonly prescribed drug of this type is prednisone.

D

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E

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electromyogram (EMG ) - a test to evaluate nerve and muscle function.

F

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femur - thighbone.

fracture - a breaking of a body part, usually a bone.

G

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gangrene - a death of body tissue that usually occurs when there has been an interruption of blood supply, followed by bacterial invasion.

H

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humerus - the bone of the upper arm.

I

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immune system - complex network of specialized cells and organs that work together to defend the body against attacks by "foreign" invaders such as bacteria and viruses; in some rheumatic conditions, it appears that the immune system does not function properly and may even work against the body.

incidence - statistic that equals the number of new cases of a particular disease that occur in a population during a defined period of time, usually one year.

inflammation - a normal reaction to injury or disease, which results in swelling, pain, and stiffness.

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joint - where the ends of two or more bones meet.

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ligaments - a white, shiny, flexible band of fibrous tissue that binds joints together and connects various bones and cartilage.

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magnetic resonance imaging (MRI) - a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body.

musculoskeletal system - the complex system involving the body's muscles and skeleton, and including the joints, ligaments, tendons, and nerves.

myelogram - involves the injection of a dye or contrast material into the spinal canal; a specific x-ray study that also allows careful evaluation of the spinal canal and nerve roots.

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neuralgia - pain in distribution of nerve or nerves.

neuritis - inflammation of a nerve or nerves.

NSAID - abbreviation for nonsteroidal anti-inflammatory drug, which do not contain corticosteroids and are used to reduce pain and inflammation; aspirin and ibuprofen are two types of NSAIDs.

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orthopaedic surgeon (Also called an orthopaedist.) - a physician who diagnoses, treats, manages the rehabilitation process, and provides prevention protocols for patients who suffer from injury or disease in any of the components of the musculoskeletal system.

orthopaedic surgery (Also called orthopaedics.) - the medical specialty devoted to the diagnosis, treatment, rehabilitation, and prevention of injuries and diseases of the body's musculoskeletal system.

osteoblast - cell found in bone; its function is to form the tissue and minerals that give bone its strength.

osteoclast - very large cell formed in bone marrow; its function is to absorb and remove unwanted tissue.

osteocyte - cell found within the bone; its function is to help maintain bone as living tissue.

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pain - an unpleasant sensory or emotional experience primarily associated with tissue damage.

pain threshold or pain tolerance level - the least experience of pain that a person can recognize.

pelvis - a basin-shaped structure that supports the spinal column and contains the sacrum, coccyx, and hip bones (ilium, pubis, and ischium).

periosteum - the compact and cancellous tissues of bone together; beneath the hard outer shell of the periosteum, there are tunnels and canals through which blood and lymphatic vessels run to carry nourishment for the bone; muscles, ligaments, and tendons may attach to the periosteum.

prevalence - statistic that equals the total number of people in a population with a certain disease at a given time.

prosthesis - an artificial body part replacement.

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radionuclide bone scan - a nuclear imaging technique that uses a very small amount of radioactive material, which is injected into the patient's bloodstream to be detected by a scanner. This test shows blood flow to the bone and cell activity within the bone.

radius - the shorter of the two bones of the forearm.

range of motion - measurement of the extent to which a joint can go through all its normal spectrum of movements.

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sepsis - the presence of bacteria, virus, fungus, or other organism in the blood or other tissues and the toxins associated with the invasion.

soft tissue - generally, the ligaments, tendons, and muscles in the musculoskeletal system.

somatosensory - refers to sensory signals from all tissues of the body including skin, viscera, muscles, and joints.

sprain - a partial or complete tear of a ligament.

strain - a partial or complete tear of a muscle or tendon.

stress fracture - a bone injury caused by overuse.

subchondral tissue - the smooth tissue at the ends of bones, which is covered with another type of tissue called cartilage.

synovitis - inflammation of the synovial membrane, the tissue that lines and protects the joint.

synovial fluid - a clear, sticky fluid that is released by the synovial membrane and acts as a lubricant for joints and tendons.

synovium - a fibrous envelope that produces a fluid to help to reduce friction and wear in a joint.

systemic - disease or symptoms that affect many different parts of the body.

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tendon - the tough cords of tissue that connect muscles to bones.

tendonitis - an inflammation in a tendon or the tendon covering.

tibia - shin bone or larger bone of the lower leg.

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ulnar bone - the longer of the two bones in the forearm.

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x-ray - a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.

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