Remember Mrs. DeStephano? When we last heard about her she was being admitted for further studies. Relative to her skeletal system, the following notes have been added to her chart. Mrs. DeStephano, a 45-year-old woman badly injured in a traffic accident, is being admitted for further studies after initial treatment in the ER. Among her injuries, several relate to her skeletal system, according to her chart:
Fracture of superior right tibia (shinbone of leg); skin lacerated; area cleaned and protruding bone fragments subjected to internal (open) reduction and casted
Nutrient artery of tibia damaged
Medial meniscus (fibrocartilage disc) of right knee joint crushed; knee joint inflamed and painful
Relative to these notes:
What new techniques might be used to enhance fracture repair if healing is delayed or impaired?
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EBK ANATOMY & PHYSIOLOGY
- JL, a 50-year-old woman, fell and broke the left tibia at the ankle. She is in the emergency department, waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is red and swollen. A diagnosis of a simple fracture and sprain (damage to ligaments) is made. Describe the pathophysiology of her pain and swelling as related to both the fracture and the strainarrow_forwardTypes of Fractures Using the X-RAYS at each station, answer the following questions: 1. A 23-year-old male comes to the ER with a gunshot wound in the distal femoral region. The x-ray reveals the bone is shattered into multiple pieces. Pieces of lead can be seen in the x-ray. The ER doctor recommends the patient see orthopedic doctor for surgical repair. What type of fracture is this? 2. A 24-month-old pediatric patient comes into the clinic. Mom states that the child was running on the concrete at the park and fell with her arms outstretched. Her frontal region has a hematoma and there is swelling in the lower arm. X-rays reveal an oblique fracture. What bone is broken? 3. 7-year-old girl comes into the ER with an injury cause from a four-wheeler accident. The patient was a rider not the driver of the vehicle. Patients states that "brother slung her off" and she tried to catch herself with an outstretched arm. Mom states that patient's arm was hyperextended at the elbow joint.…arrow_forwardGive the medical names for the following bones: 1. shoulder blade - 2. collarbone - 3. upper arm bone - 4. wrist bones - 5. breastbone 6. backbone - 7. thigh bone - 8. shin bone (larger of 2 lower leg bones) - 9. finger bones - 10. kneecap - Complete the medical term from its meaning and word parts given: 11. inflammation of a tendon: 12. doctor specializing in joint disorders: 13. tumor (benign) of cartilage: 14. incision of a joint: 15. suture of a tendon: 16. softening of cartilage: 17. tumor (malignant) of cartilage: 18. inflammation of a sac of fluid near a joint: 19. abnormal condition of a stiffened, immobile joint 20. abnormal condition of blood in the joint:arrow_forward
- Look at the skeleton Patient Name: Patient Age: Scenario: You are a physician and your patient has broken a bone (chose the bone using proper A&P terminology) located in the (axil or appendage) skeletal system. The break is part of (compact bone and/or the joint system). The break is a (transverse fracture, greenstick, comminuted, oblique, spiral or avulsed). You need to decide how the break happened, the age of your patient, and what you will do to heal the bone. Today: Research the different types of bone breaks and pick a type of break. Then create a story of how the break happened. The story needs a date, place, time, and what the person was doing. Your to assessment is to fill out a doctor's report explaining the nature of the break Doctor's Report: Incident: (Movement happening and joint)arrow_forwardWhat are the following disorders of the skeletal system: osteoporosis fractures scoliosis kyphosis osteosarcomaarrow_forwardJL, a 50-year-old woman, fell and broke the left tibia at the ankle. She is in the emergency department, waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is swelling. A diagnosis of a simple fracture and sprain (damage to ligaments) is made. What is the cause of pain and swelling? --- don't need this --- I need question #2 answered What can JL expect in the days to come as inflammation resolves and healing begins?arrow_forward
- A fracture is a partial or complete break in the bone. Fractures range from small partial cracks to complete breaks and can occur in any bone. Give meanings for the below types of bone fractures: 1. Closed fracture - 2. Open fracture - 3. Comminuted fracture - 4. Greenstick fracture - 5. Stress fracture - 6. Pathologic fracture -arrow_forwardza Name: Year and Section: EXERCISE NO. 6 The Skeletal System MUSCUL SYSTE QUESTIONSOMY POST-DISCUSSION QUESTIONS Date Submitted: Group No.:. Clinical Case A 9-year-old male was brought to a clinic because of a fracture. He engaged in active play with brothers and sister and accidentally fractured his tibia. On X-ray, the fracture was complete and clean. Which of the following statements is correct about the case? Explain your answer. A. Bone remodelling at this age is not possible because all the bones have fused. B. The damaged bone can be remodelled via endochondral ossification. C. The fractured bone will be remodelled via intramembranous ossification D. Bone repair is unlikely to occur. 123arrow_forwardA 72-year-old female is brought to the emergency department due to severe pain in her left hip after a fall from stairs this morning. She has smoked one pack of cigarettes daily for the past 45 years. Her only medication is enalapril for hypertension. On physical examination, the left leg is externally rotated and appears shorter than her right leg. An x-ray of pelvis shows a fracture of the neck of femur. Which of the following changes in bone is the most likely underlying cause of the patient's condition? Answers A - E A Accumulation of unmineralized osteoid B Haphazard laying down of bony lamellae C Loss of cortical bone mass and thinning of the trabeculae D Overgrowth of cortical bone and reduced marrow space E Subperiosteal bone resorption and cystic degeneration O O Oarrow_forward
- Answer the following multiply choice questions don't need to explain? 1. This structure is responsible for the growth in length of long bones and is broken down into 4 different zones: reserve, proliferative, maturation and hypertrophy, and calcified matrix. It is called the: A. epiphyseal plate B. metaphysis C. diaphysis D. joint space 1A. Positioning of the lacunae within bone tissue helps classify the type of bone. Please complete the comparison: Osteon is to compact bone as ____________ is to spongy bone. A. periostium B. canaliculli C. central canal D. trabeculae (maybe) 1B. This part of the anatomy of long bone is the tubular shaft that lies between the proximal and distal ends of the bone. A. diaphysis (maybe) B. metaphysis C. articular region D. epiphysis 1C What kind of tissue is produced first during long bones formation and then replaced by bone tissue? A. fibrocartilage B. elastic connective tissue C. dense fibrous connective tissue D. hyaline cartilage (maybe)…arrow_forwardTypes of Fractures Using the X-RAYS at each station, answer the following questions: 1. A 23-year-old male comes to the ER with a gunshot wound in the distal femoral region. The x-ray reveals the bone is shattered into multiple pieces. Pieces of lead can be seen in the x-ray. The ER doctor recommends the patient see orthopedic doctor for surgical repair. What type of fracture is this? a child was running on thearrow_forwardFOOSH is an acronym that stands for FAll on Outstretched Hand. Discuss possible fractures and dislocations that might occur with an injury of this type.arrow_forward
- Medical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage Learning