Test 4 Module 7 Flashcards Preview

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Flashcards in Test 4 Module 7 Deck (94)
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1
Q

What are fractures?

A

cracks or breaks in bones caused by physical stress

2
Q

What are the 3 ways fractures are categorized?

A
  1. By external appearance
  2. Their location
  3. The nature of the damage to the bone
3
Q

What is a closed fracture?

A

A fracture that does not break through skin

4
Q

What is a open fracture?

A

A fracture that does break through skin

5
Q

What are the 4 basic steps bone repair are broken into?

A
  1. Hematoma (blood clot) formation
  2. Fibrocartilaginous callus formation
  3. Bony callus formation
  4. Remodeling
6
Q

What are the 4 steps of bone repair are broken into in depth?

A
  1. Hematoma (blood clot) formation: A mass of clotted blood forms at fracture site. Bone cells begin to die. Tissue becomes swollen, painful, and inflamed
  2. Firocartilaginous callus formation: Capallaries grow into the area and macrophages clean up debris. Fibroblasts and osteoblasts migrate to the area from periosteum. The fibroblasts become chondrocytes which make cartilage n some areas of fracture. Osteoblasts begin forming spongy bone in other areas of fracture. The repair tissue now consists of both cartilage and spongy boine and is called the fibrocartliginous callus.
  3. Bone callus formation: Osteoblasts remove the cartilage from fracture site and convert the fibrocartilage callus to a hard bone callus entirely of spongy bone. This begins 3-4 weeks per injury and continues until a firm union forms 2-3 months later.
  4. Remodeling: remodeling occurs during bony callus formation and continues for several months after the bony callus has formed. (remodeling can take years to finish completely) Excess material outside the shaft is removed. Osteoclasts remove excess bone and any spongy bone that needs to be replaced with compact bone. Osteoblasts lay down compact bone to reconstruct the shaft. The final structure resembles unbroken bone, although sometimes there is a slight swelling at location of original fracture.
7
Q

How do infant bone fractures heal?

A

They heal without intervention sue to muscle contractions and tissue growth that together move the bone frags back into place, like a mechanical jack

8
Q

What are the 4 steps of infant bone fractures?

A
  1. clot forms at fracture
  2. the fibrocartliginous callus forms at the fracture site
  3. Growth of tissue on one side provides force to realign the bone frags
  4. The bony callus forms allowing bone to heal
9
Q

What is a callus?

A

any mass of cells

10
Q

When an infant is born the skull bones haven’t finished ______, especially those of the _____?

A

forming and Cranium

11
Q

Some of the cranial bones in an infant are in pieces and haven’t yet even _______ ?

A

combined to form a single bone yet

12
Q

What is the cranium?

A

the brain case

13
Q

The cranial bones form by _____?

A

intramembraneous ossification

14
Q

What do all of the cranial bones start out as?

A

Flexible fibrous connective tissue proper

15
Q

Cranial bones start out entirely composed of a _____ and undergo intramembranous ossification to convert to bone?

A

flexible fibrous connective tissue proper

16
Q

The flexible fibrous connective tissue left in the cranium at the time of birth will continue undergoing intramembranous ossification to finish converting to _____?

A

bone

17
Q

Once all cranial bone has formed, dense connective tissue proper will be used to create _____ that bind all the cranial bones?

A

sutures

18
Q

What is the line of junction or an immovable joint between 2 bones, especially of the skull?

A

suture

19
Q

How many sutures are in the head?

A

3

20
Q

What are the fontanels?

A

At birth they are the remaining sections of flexible fibrous connective tissue proper that have not yet converted to bone

21
Q

Why do babies need fontanels?

A

They allow the skull to flex during birth which can be important while traveling down the birth canal and this is can result in “football head” after birth

22
Q

_____ aren’t all the flexible fibrous connective tissue in the cranium, but are the largest, most detectable areas of it?

A

Fontanels

23
Q

What are the 4 fontanels?

A
  1. Anterior fontanel
  2. Occipital fontanel
  3. Sphenoidal fontanels
  4. Mastoid fontanels
24
Q

What are the 2 fontanels that last around 2 years?

A

Anterior fontanel and the occipital fontanel

25
Q

What are 2 fontanels that last about 2 months?

A

Sphenoidal fontanels and mastoid fontanels

26
Q

Which fontanel junctions the frontal, sagittal, and coronal sutures?

A

Anterior fontanel

27
Q

Which fontanel junctions the lambdoid and sagittal sutures?

A

Occipital fontanel

28
Q

Which fontanel junctions the squamous and coronal sutures?

A

Sphenoid fontanel

29
Q

Which fontanel junction the nascent squamous and lambdoid sutures?

A

Mastoid fontanels

30
Q

Which fontanel is the most visible and often the only one noticed and is often referred to as the “soft spot”

A

Anterior fontanel

31
Q

Which fontanel is smaller and posterior the anterior fontanel?

A

Occipital fontanel

32
Q

After about 5 years the flexible fibrous connective tissue proper between cranial bones is replaced with the dense connective tissue proper that makes up?

A

sutures

33
Q

The cranial bones develop zig-zags like the teeth of a zipper so they can be interlaced very closely and tightly by the dense connective tissue proper that forms after 5 yrs of age called what?

A

sutures

34
Q

How old are you when your flexible fibrous connective tissue proper between cranial bones is replaced with the dense connective tissue proper AKA sutures?

A

5 years

35
Q

What are 3 things the vertebral column do?

A
  1. protect the spinal cord
  2. Supports the head and body
  3. Helps maintain an upright body position
36
Q

What is 2 other names the vertebral column is also commonly referred to to?

A

backbone or spine

37
Q

The vertebral column contain how many bones?

A

26 bones:

14 vertebrae, 1 sacrum, and 1 coccyx

38
Q

What are the 4 curvatures of the adult vertebral column when viewes from the side?

A
  1. cervical curve
  2. thoracic curve
  3. lumbar curve
  4. sacral curve
39
Q

What are the 2 primary/accommodation curves of the vertebral column?

A

Thoracic and sacral curves

40
Q

Why are the thoracic and sacral curves considered primary/accommodation curves?

A

because they are preset during fetal development

41
Q

Why are thoracic and sacral curves also referred to as accommodation curves?

A

Because they curve out from the body, creating more room to accommodate internal organs

42
Q

What is another name for the primary curves?

A

Accommodation curves

43
Q

What are the 2 secondary/compensation curves of the vertebral column?

A

Cervical and lumbar curves

44
Q

Why are the cervical and lumbar curves referred to as secondary/compensation curves?

A

Because they appear after birth

45
Q

Why are cervical and lumbar curves also referred to as compensation curves?

A

Because shift in body weight towards center for upright posture

46
Q

What is one of the largest and most complex joints of the body?

A

knee

47
Q

What is the group of structures that join the tibia and fibula bones and allows the lower leg to move with respect to the thigh?

A

the knee

48
Q

The tibia an fibula are connected to the femur by what 4 ligaments?

A

Anterior cruciate ligament ACL
Posterior cruciate ligament PCL
Medial collateral ligament MCL
Lateral collateral ligament LCL

49
Q

What are ligament made of?

A

Regular dense connective tissue proper?

50
Q

What do ligaments do?

A

Connect bone to bone

51
Q

What is the ACL’s purpose?

A

The ACl prevents the tibia bone from extending too far forward from the femur

52
Q

What does the ACL prevent the tibia from doing?

A

extending to far forward

53
Q

What is the PCL’s purpose?

A

The PCL prevents the tibia bone from extending too far backwards from the femur

54
Q

What is the MCL’s purpose?

A

To connect the femur to the tibia on the medial side of the two bones

55
Q

What is the LCL’s purpose?

A

To connect the femur to the fibula, on the lateral side of those two bones

56
Q

What is a common sport injury of the knee ligaments?

A

A torn or damaged ACL

57
Q

A damaged ACL can: (3)

A
  • Cause pain
  • Cause the knee to buckle when attempting to change directions
  • Leads to damage of cartilage padding of knee (leading o further pain)
58
Q

The “knee cap” is the _____ bone?

A

patella bone

59
Q

What is the name of the tendon that encases the patella?

A

The patellar ligament

60
Q

The patella acts as a ____ changing direction the thigh muscles can pull across?

A

pulley

61
Q

The patella also ensures the ______ doesn’t get damaged?

A

patellar ligament (tendon)

62
Q

What are the 2 types of cartilage in the knee?

A
  • Hyaline cartilage

- Fibrous cartilage

63
Q

Which knee cartilage lines the femur, patella, and tibia where the bones slide against one another?

A

Hyaline cartilage

64
Q

Which cartilage serves as a shock absorber between the femur and tibia?

A

Fibrous cartilage

65
Q

Which cartilage prevent bone mineral from directly rubbing against bone mineral?

A

Hyaline cartilage

66
Q

In the knee, the hyaline cartilage on the femur, patella, and tibia is called _____?

A

articular cartilage

67
Q

The hyaline cartilage allows bone to what?

A

move smoothly against each other

68
Q

What do we call the cartilage on the femur, patella, and tibia, where they rub against each other?

A

articular cartilage

69
Q

The fibrous cartilage is found in a pair of c-shaped discs on top of the _____?

A

tibia

70
Q

What is menisci?

A

The c-shaped discs of fibrous cartilage in the knee

71
Q

What are the names of the 2 menisci of the knee?

A

Lateral meniscus o the lateral side and medial meniscus on the medial side

72
Q

When athletes have damaged knee cartilage, it is usually damage to or degradation of their _____, rather than to the articular cartilage?

A

menisci

73
Q

What is a joint?

A

anywhere two bones come together, whether they move with respect to one another or not

74
Q

Most joints in the arms and legs which allow the two bones involved to move freely (articulate) are in a fluid-filled covering called a _____?

A

synovial capsule

75
Q

The _____ is a synovial joint in a fluid filled synovial capsule?

A

knee

76
Q

Where are synovial capsules always found?

A

at joints

77
Q

What are the 2 membranes that line the synovial joints?

A
  1. fibrous membrane

2. synovial membrane

78
Q

The outer layer called the _____ is made from dense connective tissue proper that is outside of the synovial capsule and can be continuous with ligaments and tendons at the joint?

A

fibrous membrane

79
Q

The inner layer is the _____ that is under the fibrous membrane but also covers the parts of the bones not covered with articular cartilage (where two bones are in proximity, those parts of the bones will be covered with a thin layer of articular cartilage)?

A

synovial membrane

80
Q

The inner synovial membrane is made up of _____ over a single layer of fibroblasts and macrophages not encased in connective tissue extracellular matrix?

A

areolar loose connective tissue proper

81
Q

It is the layer of fibroblasts and macrophages within the synovial membrane which does what that fills the capsule creating by the synovial membrane lining?

A

secretes the fluid

82
Q

Synovial fluid in the synovial capsule contains: (3)

A

proteins, lipids, and hyaluronan polysaccharides

83
Q

The _____ especially makes the fluid viscous and slimy allowing it to serve as lubricant for the articulating bones?

A

hyaluronan

84
Q

What do bones “crackle”?

A

crackling joints results from pulling the bones apart and creating (not popping) a bubble of gas in the extra space just created

85
Q

The synovial fluid in the capsule around joints has two main roles:

A
  1. It lubricates the joints where the cartilage-covered bones slide over one another.
  2. It provides nutrients for the articular & fibrous cartilage that cover the bones the slide over one another.
86
Q

The synovial capsule of the knee also contains several ?

A

bursae

87
Q

What is a self-contained fluid-filled sac surrounded by synovial membranes surrounded by harder tissues (bone or muscle); sometimes within a larger synovial capsule, sometimes outside?

A

Bursa

88
Q

What do bursae sacs do?

A

Elevate some of the tissues laying on top of the bone around the joint

89
Q

How many bursae are in the knee?

A

11

90
Q

What reduce the friction created when muscles, tendons, or skin would otherwise rub directly on bone when the bones in the joint move?

A

bursae

91
Q

what is bursitis?

A

an inflammation of a bursae, usually in shoulder, hip, elbow, or knee joints

92
Q

What is symptoms of bursitis?

A

pain and stiffness at the joint

93
Q

What cannot be consistently determined from skeletal remains?

A

race

94
Q

Examining bones in the absence of information about the person they belonged to can reveal things about the person: (4)

A
  • Muscle strength and mass (bone ridges, bone mass)
  • Medical history (condition of teeth, healed fractures)
  • Sex and age (bone measurements and fusion)
  • Body size