JC

Untitled Flashcards Set

Musculoskeletal System:

  • Anatomy

    • Includes 

      • Bones

      • Joints

      • Muscles

    • Provides framework for body

    • Provides protection for nervous system and organs

    • Muscles allows skeletal movement at joints



  • Bones

    • Growth and development

      • Minerals

        • Calcium and phosphorus

        • Provide hardness to bones

      • Protein

        • Collagen

        • Provides flexibility to bone

      • Living Cells 

        • Osteocytes

          • Mature bone cells

        • Osteoblasts

          • Bone building cells

        • Osteoclasts

          • Bone resorbing cells

    • Bones are long, flat irregularly shaped

      • Covered with bone tissue (compact bone)

      • Spongy bone contains marrow  filled spaces

        • Red marrow found in spaces at the end of long bones

        • Blood cell formation

    • Medullary cavity

      • Hollow cavity with yellow marrow

        • Consists primarily of fat

    • Epiphyseal Plate (growth plate)

      • Cartilage near each expanded end of bone

      • Cartilage is converted into bone through ossification

        • Bone grows

        • Located in Metaphysis


  • Periosteum

    • Forms new bone tissue

    • Attaches tendons

    • Vascular layer of fibrous connective tissue

      • Covers surface of bone

  • Joints

    • Amount of movement and type of movement at a joint defines bone shape & connective tissue

    • Freely moving joints and articulating bones

      • Held together by Ligaments

      • Dense strands of collagen

  • Synovial fluid

    • Inner surface of joint capsules have synovial membrane

    • Secretes synovial fluid (lubricant)

  • Bursae 

    • Sacs of synovial fluid near frequently moved joints

      • Shoulder, knee

      • Reduce friction

  • Muscle types

Skeletal muscle (voluntary muscle)

  • Found in muscles firmly attached to bones by tendons

    • Consist muscle fiber bundles

    • Held by connective tissue

  • Myoneural junction stimulates nerves

    • Muscle fibers contract and shorten to move bones

Smooth muscle (involuntary muscle)

  • Found in walls of blood vessel

Cardiac muscle

  • Involuntary striated muscle found in the heart

  • Diagnosis

    • X rays & CT (computed tomography)

      • Reveals 

        • Fractures

        • Joint dislocations

        • Bone deformities

        • Calcification

    • Magnetic Resonance Imaging (MRI)

      • Strong magnetic fields

        • Visualizes bones

        • Joints

        • Soft tissues

    • Arthroscopy

      • Visualizes joint cavity

      • Join fluid can be taken out for chemical analysis

    • Electromyography (EMG)

      • Measures electrical activity of muscles



Bone Diseases

Disease Name

Etiology

Signs/Symptoms

Important Points

Infectious Bone Diseases

Osteomyelitis

  • Bacterial Infection  of the bone

  • Caused by Bone Trauma  or in Diabetics



Tuberculosis

  • Infection of bacterium “Mycobacterium Tuberculosis”

  • Infection spread from the lung to the bone


Osteomyelitis

  • Pain 

  • Redness

  • Chills

  • Fever

  • Leukocytosis 


Tuberculosis

  • Signs and symptoms of tuberculosis of the lungs

Osteomyelitis

  • Treatments

    • Antibiotics

    • Surgery to remove necrotic bone tissue

  • Prevention

    • Treating fractures and infections properly and swiftly


Tuberculosis

  • Treatments

    • Antibiotics

    • Surgery

  • Prevention

    • Treatment of pulmonary tuberculosis

    • Limits spread to  bone

  • Typical affects ends of long bones/ vertebrae

Vitamin & Mineral Deficiency: Osteoporosis

  • Lack of Vitamin D

  • Lack of vitamin D

    • Soft, malformed, fragile bones

    • Porous bone

    • Abnormally fragile

    • Fractures

  • No exact signs

    • Bone loss until fracture

  • Prevention

    • Diet rich in vitamin D

    • Daily weight bearing exercises

      • Bone development

    • Avoid smoking

    • Limit alcohol 

    • Limit caffeine

  • Bone resorption exceeds bone formation

Vitamin & Mineral Deficiency: 

Rickets

  • Bones do not ossify properly in early childhood

  • Soft and bendy bones

  • Becomes deformed over time

  • Prevention

    • Vitamin D fortified milk

    • Exposure to sunlight

Vitamin & Mineral Deficiency: 

Osteomalacia

  • Inadequate dietary vitamin D, calcium and phosphorous 

  • Softening and decalcification of bones in adults

  • Muscle Weakness

  • Weight loss 

  • Bone pain

  • Treatment 

    • Vitamin D supplements

    • Calcium supplements

Paget’s disease (Osteitis Deformans)

  • Overproduction of bone

    • Skull

    • Vertebrae

    • Pelvis

  • New bone tissue fractures easily and is abnormal

  • Excessive bony growth —> Enlarged skull

    • Presses against Cranial Nerves —> vision and hearing impairment

    • Curvatures in leg and spinal column


  • Treatments

    • Calcitonin

    • Etidronate

      • Reduces bone resorption

    • Mithramycin

      • Decreases calcium

Scoliosis

  • Abnormal lateral curvature of the spine

    • Fusion of the vertebrae during development

    • Neuromuscular abnormality

    • Weak back muscle development

  • Lower back pain

  • Fatigue

  • Visible observation of spinal curvature

  • Diagnosis

    • Physical Exam

    • History

    • X-ray

  • Treatment

    • Back Braces

    • Surgery

  • No prevention

Kyphosis

  • Exaggerated posterior curve of thoracic spine

    • Osteoporosis induced vertebral collapse

    • Degenerative arthritis 

  • Mild back pain

  • Fatigue

  • Tenderness

  • Difficulty breathing

  • Diagnosis

    • Physical exams

    • X rays

  • Treatment

    • Limited

    • No current cure

Bone Cancer (Malignant bone tumors)

  • Osteogenic Sarcoma

    • Unknown cause

    • Bone cancer that arises in the bony tissue

    • Affects the ends of long bones

  • Dull localization pain

    • Intensified at night

  • Bony masses sarcoma (Cancer that affects soft tissues and bones)

  • Fractures near the sarcoma