Ribbing Disease: A Case Study

Because of the potential displacement of bone fragments there was the possibility that the wrist would not look normal on the x-rays and that it may not have been possible to get a perfect lateral wrist. This was potentially problematic because it meant that the doctor may not have been able to measure the amount of displacement or the degree of angulation accurately. The doctor not being able to measure displacement and angulation properly may cause a problem when they are considering treatment options. Another thing that would be a potential problem while the x-rays were being taken is that the patient was in a lot of pain around the distal area of the radius and ulna. The pain in her wrist meant that she was not able to move it into the ideal positions without either her wrist hurting more or the potential to displace bone fragments even more. The patient had known osteoporosis which is a decrease in bone density (or bony tissue) (Knipe & Prasad Pant, 2015, para. 4). Because of the decrease in bone density the pathology was more likely to be a fracture because the bones would not be able to

The shaft of the bone which surrounds the medullary cavity. In this patients case the diaphysis (shaft) of the humerus has been fractured

Gorham’s disease is an extremely rare musculoskeletal disease of unknown origin that is characterized by the uncontrolled production of distended, thin-walled vascular or lymphatic channels within bone, which leads to resorption and replacement of bone with angiomas and/or fibrosis and the destruction of bone (Lymphangiomatosis and Gorham’s Disease Alliance [LGD Alliance] 2016). This disease usually occurs in children or younger adults that are forty years or younger. Diagnosis and treatment is usually delayed due to the rarity of this disease and due to the fact that many physicians do not have the chance to learn about this disease (Patel, 2005). Because of the loss of the affected bone, the condition is also called disappearing bone disease, vanishing bone disease, and massive osteolysis. Osteolysis means the breaking down of bone. The word is broken up into bone (osteo) and breaking down or destruction (lysis) (LGD Alliance 2016). Fewer than 200 accounts of Gorham’s Disease are reported in the medical literature (National Organization of Rare Disease [NORD] 2008). The condition got its name when Gorham and his colleagues discovered two patients with massive osteolysis in 1954. In 1955, Gorham and Stout discovered further information on these cases and named the disease Gorham’s disease, sometimes called Gorham-Stout disease (Patel, 2005).

Per medical report dated 01/23/15, the patient reported of middle and lower back pain and bilateral leg pain with tingling. He was diagnosed with thoracic compression fracture and lumbar spondylolisthesis.

Anderson. He said he has had good relief from the tailbone injection. The Si joint has not had much improvement. Mr. Anderson is under the impression that where ever he points Dr. Rampersaud should give the injection at. He wants to speak with him about this at the next appointment. I spoke at length with Mr. Anderson regarding physical therapy. He said he was not given a prescription for therapy after his injection. I asked him to contact physical therapy since it is in Dr. Rampersaud’s building and they would contact Dr. Rampersaud.

Dr. Leonard diagnosis of Mr. Duszynski include Multi-trauma with rib fractures and bilateral closed ankle fractures. Mr. Duszynski lower extremities were splinted and he was admitted to trauma. Mr. Duszynski was placed on non-weight bearing status to his lower extremities and Dr. Edwards was also consulted.

He was subjected to several CT scans, and ultimately diagnosed with a fracture of the spinous process of the thoracic vertebra. The radiologist notes indicate the fracture was non displaced and could even possibly be congenital.

Osgood-Schlatter; Robert Osgood and Carl Schlatter independently described this painful overuse condition of the tibial tuberosity in 1903. “The Osgood-Schlatter disease is common in active adolescents, possibly caused by multiple small avulsion fractures from contractions of the quadriceps muscles at their insertion into the proximal tibial apophysis.” (Ilgen, 2013, p. 1). When a child complains about the pain and swelling under their patella, it’s suspected that the juvenile may have Osgood-Schlatter (Moore, 2012).

This is called a flare-up. These nodules often develop after a child experiences some sort of trauma to the body, such as a bump or fall. In most cases, the nodules transform into bone during a painful process known as heterotopic ossification (HEO). A flare-up is the first clinical indication of the tissue metamorphosis, which involves the catabolism of soft connective tissues (including aponeuroses, fascia, ligaments, tendons and skeletal muscles) and their replacement by extraskeletal bone through heterotopic ossification. When the body starts to generate this new bone, the patient usually experiences tissue swelling, joint stiffness and serious discomfort. These flare-ups can last as long as six to eight weeks and usually a small fever accompanies them. Heterotopic ossification is typically seen first in the dorsal, axial, cranial and proximal regions of the body, and later in the ventral, appendicular, caudal and distal regions. These lesions slowly replace the body's muscles with normal-looking

Management 515 consulting team of California State University San Bernardino has been asked by the Rib Doctor, LLC TRD to assess its strategic market position and to make recommendations for improving the company’s placement into the retail market. The Rib Doctor, LLC TRD seeks to increase their presence in the health conscience retail outlet market industry such as Trader Joe’s. As markets change and develop, so does the strategy used to enter them, and companies must be able to choose the correct way to enter markets in order to remain competitive.

Paget’s disease (also known as osteitis deformans) is a chronic disease that affects bone growth, causing bones to become deformed and to be weaker than normal. In normal function, bone is continually being broken down and replaced by new bone, to keep the skeleton strong. In Paget’s disease, the cells called osteoclasts that break down bone, are overactive. This makes the cells that produce new bone, called osteoblasts, to work faster than normal. The resulting new bone is weak and of poor quality. The cause of the disease is unknown, but there is a strong genetic influence. Paget’s disease predominately affects people over the age of 40 years, and can occur asymptomatic. Early diagnosis can be made by X-ray, bone scan, and alkaline phosphatase

A few days later he was screened by a physician. The doctor located anterior pain on his anterior spine. Eventually he was given a CT and X-ray which both confirmed an avulsion of part of the iliac crest apophysis which is another word for an outgrowth or projection of a bone. The surgery team performed an open reduction and internal fixation with two titanium fixed screws. A CT scan was given and confirmed adequate screw placement following the procedure.

The severity of this condition can be classified into 4 different types based on the Brooker classification. But the simpler classification model only has 3 levels, going from grade A all the way to grade C. Grade A is the least severe, to be classified as this the bone fragments have to be less than 1 centimeter and there has to be at least 1 bone island. Grade A basically means the presence of a bone fragment in the tissue but it is so small it is practically irrelevant. Grade A is the only classification where heterotopic ossification is not present. Grade B on the other hand is classified when there is still at least 1 bone island but they are at least 1 centimeter in length instead of less than 1 centimeter. There also has to be a presence of bone spurs in the femur or pelvis, plus the different bone surfaces have to be 1 centimeter apart. The final of the simpler, 3 grade,

These clinical abnormalities are related to interposition of more or less calcified synovial tissue in the joint space. They are often associated with bone and soft tissue abnormalities.

Bone at the tissue level undergoes remodeling: it is continuously being resorbed and rebuilt (or formed). A negative balance between bone resorption and formation, frequently due to excessive resorption, is the basis of many bone diseases.