Osteocyte
mature bone cell
osteoblast
cells that secrete materials needed to form bone
osteoclast
cells that breakdown or resorb bone tissue
ABC's
Alignment, Bone density, Cartilage, Soft Tissues
Osteophyte
outgrowth of bone near joint margins
Bone spur
osteophyte that is isolated, pointed, and forms at a soft tissue attachment site (i.e. heel spur)
subluxation
a partial dislocation where joint surfaces are no longer aligned
on a radiograph how should corticol bone look
white/bright and appears lighter than cancellous bone because it is more dense
what are the four textural abnormalities
fluffy, smudged, coarsened, lacy
fluffy
random proliferation of osteoblast and osteoclast activity and looks like cotton wool. (i.e. Paget's disease)
smudged
indistinct trabeculae (i.e. osteomalacia)
coarsening
emphasis of trabecular bone due to loss of bone (i.e osteoperosis)
lacy
delicate trabeculae (i.e. thalassemia)
what does sclerosis look like on a radiography?
whiter/brighter due to increase in bone density
subchondral bone
bone beneath articular cartilage layer
osteomyelitis
bone infection
osteonecrosis
bone death (avascular necrosis)
can soft tissues be seen on a radiograph?
no, too difficult to parse out between muscles etc
oblique fracture
angular cut through bone
spiral fracture
twisting/looping fracture
what are the consequences of an intraarticular fracture?
damage to intraarticular cartilage can create joint difficulties later in life
stress fracture
fracture due to normal loading on abnormal bone or repeated and minor trauma on normal bone
pathological fracture
a fracture that occurs due to disease (i.e. tumor on bone)
nonunion
bone healing stops at soft callous phase, fail to unite
malunion
fracture heals in poor alignment (angular or rotation)
S
slipped (type 1)
M
metaphyseal (type 2)
A
articular-epiphyseal (type 3)
C
complete metaphysis and epiphysis (type 4)
K
crushed (type 5)
5 P's of compartment syndrome
pain, pallor (lack of color), paresthesia, paralysis, pulselessness
5 stages of fracture healing
cellular stage, vascular stage, primary callus, bony callus, mature callus
avulsion fracture
fragment of bone pulled away from body due to loading via muscle or ligamentous structure
greenstick fracture
shaft is fractured on the tension side, cortex and periosteum remain intact on compression side
torus fracture
impaction fracture that results in buckling of the cortex
plastic bowing
deformation of bone