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Orthopedics

Terms

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vitamin D
needed to absorb calcium; comes from milk and the sun
articular cartilege
protective/connective tissue lying on the ends of bones
homeostasis of blood calcium
occurs through ossification/remodeling; Ca is impt for heart and muscle function
what leads to knee problems?
lack of muscle strength (leads to injuries of ligaments); lack of flexibility (patella will rub on joint if too tight); lack of proper shoe/orthotics
osteoclasts
remodeling: when blood calcium level is low, these cells break down bone to release calcium and phosphorous
back problems
can be caused by poor muscular balance/strength in abdominals and erectors; poor posture due to fat in stomach region can lead to different curvature in lumbar region
joint types (3)
immovable (synarthrosis, skull); slightly movable (amphiarthrosis, pelvis); freely movable (diarthrosis, knee, elbow, hip)
synovial membrane
produces synovial fluid to lubricate the joint
spinal column
33 vertebrae that protect the spinal cord
osteoarthritis
degeneration of articular cartilege; ends of bone exposed; calcium spurs accumulate; very painful when rubbing on bone; cause is unknown; most likely environmental factors
osteoblasts
ossification; when blood calcium levels are high, these cells deposit calcium and phosphosous into the bone
epiphysis
ends of bones
back make-up
cervical, thoracic, lumbar, sacral
bone f(x)s-5
support the body in an upright position; protect organs; movement; mineral storage (calcium makes up the matrix of bones that gives it its rigidity); production of blood cells
causes of osteoperosis (9)
lack of estrogen (stimulates the osteoblasts to store more calcium); dietary calcium deficiency; lack of exercise (weight training stimulates osteoblasts to lay down bone to strengthen it); excessive protein intake (in post menopausal women); excessive alcohol intake (is a diuretic, calcium is excreted); smoking (decreases activity of osteoblasts); diabetes; medications (that are diuretics); lack of vitamin D
diaphysis
shaft or long part of the bone; contains marrow
ligaments
connect bone to bone
patella
sits on top of the knee joint and protects it
periosteum
outside layer that covers the bone; white shiny substance
rheumatoid arthritis
genetically inherited arthritis; autoimmune disease (attacks the joint tissue and causes inflammation of the synovial membrane and the formation of pannus); can improve through diet and exercise; omega 3 fatty acids may help due to its effect on the immune system
knee parts (6)
patella, articular cartilege, meniscus, ligaments, fibrous capsule, synovial membrane
synovial fluid
lubricates joints
epiphysial plate
where bones lengthen during growth phase (once maturation is reached, the epiphysial plate closes and bones stop growing, but undergo remodeling continuously)
osteoperosis
excessive loss of calcium from the bones; blood cacium levels are depleted and bones lose their mineral mass, becomming progressively porus and vulnerable to fracture; common in older women
meniscus
sponge like tissue for shock absorbtion
how many people does arthritis affect?
40 million in the US
bone parts (6)
articular cartilage; epiphysis; epiphysal plate; periosteum; diaphysis; marrow
solutions to back problems
strengthen abs and lose abdominal fat; strengthen lower back muscles; incorporate flexibiity in back exercises
fibrous capsole
encloses entire knee joint
Gouty arthritis
result of uric acid crystal deposits on joints (result of DNA breakdown); genetic link; big toe most often affected; dietary factors seem to exacerbate the problem if people have a genetic predisposition; red wine and tomatoes increase production; regular exercise and diet lower uric acid production
remodeling
bone is continually being broken down and rebuilt; strength depends on osteoblasts and osteoclasts
pinched nerves
due to ruptured/herneated disk that leads to bones pinching the nerves

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