click below
click below
Normal Size Small Size show me how
Chapter 32
MSK System 32
| Question | Answer |
|---|---|
| sprain | partial or complete Ligament tear from trauma Most common: ankle, knee, wrist |
| dislocation | stretching and tearing of ligaments around a joint with complete displacement of a bone |
| subluxation | partial dislocation - common sites are the shoulder, knee, hip, ankle, and temporomandibular joint |
| strain | pulling or tearing of a muscle, a tendon, or both - commonly strained muscles are the back muscles, hamstrings, quadriceps, and calf muscles |
| Bursitis | inflammation of the bursae, the saclike structures that line freely movable joints - commonly occurs in the elbow, shoulder, hip, or knee |
| bunion | most common foot problem, is a painful swelling of the bursa that occurs when the great toe deviates laterally at the metatarsophalangeal joint |
| Complete fracture | when a bone breaks into two parts that are completely separated |
| incomplete fracture | when a bone breaks into two parts that are not completely separated |
| comminuted fracture | the bone is broken and shattered into more than two fragments - open reduction is needed |
| closed (simple) fracture | no break in the skin |
| open (compound) fracture | break in the skin through which the fragments of broken bone protrude - open reduction is needed |
| greenstick fracture | common in children, is one in which the bone is partially bent and partially broken |
| Pathological fractures | fractures that occur in bones that have been weakened by an underlying disease process |
| reduction of the fracture | bringing the two fragments of bone into proper alignment |
| closed reduction | bone is manipulated into alignment; no surgical incision is made |
| open reduction | performed after a surgical incision is made through the skin and down to the bone at the site of the fracture |
| 4 methods of stabilizing | 1. Internal fixation 2. External fixation 3. Casts, splints, or braces 4. Traction |
| Internal fixation | pins, nails, screws, rods, or metal plates are used to stabilize the position of the two broken ends - older adults whose bones are brittle and may not heal properly |
| open reduction and internal fixation (ORIF) | An incision is made, the fracture is realigned, and the bone is secured with pins, screws, nails, or plates |
| arthroplasty | an implantable device |
| External fixation | involves the use of a device composed of a sturdy external frame to which are attached pins that have been placed into the bone fragments - commonly used for fractures of an extremity or of the pelvis |
| cast | used for stabilizing a fracture after a closed reduction |
| spica cast | (usually used in children) covers the trunk of the body and one or two extremities |
| Traction | mechanical pull to a part of the body for the purpose of extending and holding that part in a certain position during immobilization |
| Skeletal traction | surgeon inserts pins, wires, or tongs directly through the bone at a point distal to the fracture - uses 10lb or more weight, and the body acts as the countertraction (hangs freely) |
| skin traction | (aka moleskin or a foam traction boot) applied to the limb below the site of fracture and pull is exerted on the limb No more than 7-10lbs weight |
| nonunion | failure to heal - treated non-surgically by electrical bone growth–stimulating device |
| osteogenesis | electrical bone growth–stimulating device stimulates growth of bone cells |
| Fat embolism | complication of a fracture of a bone that has an abundance of marrow fat SYMPTOMS: Change in mental status Respiratory distress Petechiae Rapid pulse, fever |
| Venous Thrombosis | pelvis and lower extremities are very vulnerable to this formation after fracture, especially hip fracture. Immobility and surgical procedures contribute to venous stasis. |
| compartment syndrome | restriction of blood flow that occurs in one or more muscle compartments of the extremities, caused by external or internal pressure |
| Six P's (neurovascular assessment) | Pain, Pallor, Paresthesia, Pulselessness, paralysis, poikilothermia |
| bivalved | split through all layers of the material |
| fasciotomy | linear incisions in the fascia down the extremity to relieve the pressure on the nerves and blood vessels if other measures do not relieve the problem |
| complications of immobility | skin breakdown, urinary tract infection, constipation, atelectasis, or deep vein thrombosis (DVT) |
| fracture pre-treatment | Assess 6 Ps Splint Ice Cover any wounds |
| fracture post-treatment | Pain control: priority Neurovascular checks: fresh fracture, assess every 2-4 hours Prevent immobility problems |
| nutrition for immobile MSK pt | Protein is essential to healing, Vitamins D, B, and C and calcium are included in well-balanced meals, fluid intake, high fiber |
| types of arthritis | A. osteoarthritis B. Rheumatoid arthritis C. Gouty arthritis |
| osteoarthritis | degenerative joint disease - Typically affects only one or two joints; asymmetrical |
| bunion (hallux valgus) | toe deformity treat with steroid injection if bursitis is present surgical: remove boney overgrowth (bone realignment) |
| Lyme Disease/arthritis | occurs from a systemic infection caused by the spirochete Borrelia burgdorferi (blacklegged tick) |
| crepitus | cracking popping with movement |
| osteomyelitis | bacterial infection of the bone - has a sudden onset with severe pain and marked tenderness at the site, high fever with chills, swelling of adjacent soft parts, headache, and malaise |
| Type of braces | knee immobilizer walking boot hinged brace |
| brace | provides support for healing removable support |