Skeletal System Diseases and Disorders. Arthritis Rheumatoid Rheumatoid Osteoarthritis...
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Transcript of Skeletal System Diseases and Disorders. Arthritis Rheumatoid Rheumatoid Osteoarthritis...
Skeletal SystemSkeletal System
DiseasesDiseases and Disordersand Disorders
ArthritisArthritis
RheumatoidRheumatoid
OsteoarthritisOsteoarthritis
Juvenile Rheumatoid ArthritisJuvenile Rheumatoid Arthritis
Rheumatoid ArthritisRheumatoid Arthritis
Chronic disease Chronic disease Joints become inflamed and painfulJoints become inflamed and painful Small joints of hands and feet Small joints of hands and feet
affected first and moves to larger affected first and moves to larger jointsjoints
More common in womenMore common in women ETIOLOGY – Thought to be ETIOLOGY – Thought to be
autoimmuneautoimmune
Rheumatoid ArthritisRheumatoid Arthritis
Diagnosed by blood test – Diagnosed by blood test – rheumatoid factor present ANDrheumatoid factor present AND
X-rays – boney changesX-rays – boney changes TX: Heat and medications to TX: Heat and medications to
reduce inflammation and painreduce inflammation and pain
Rheumatoid ArthritisRheumatoid Arthritis
Rheumatoid ArthritisRheumatoid Arthritis
OsteoarthritisOsteoarthritis
Chronic diseaseChronic disease Joints have loss of articular Joints have loss of articular
cartilage and hypertrophy of bone cartilage and hypertrophy of bone at articular surfacesat articular surfaces
Mainly in hips and knees of older Mainly in hips and knees of older peoplepeople
ETIOLOGY: Can be due to “old” ETIOLOGY: Can be due to “old” injuriesinjuries
OsteoarthritisOsteoarthritis
Tx: Medication to reduce pain Tx: Medication to reduce pain and inflammationand inflammation
Physical Therapy to loosen Physical Therapy to loosen impaired jointsimpaired joints
Most common reason for joint Most common reason for joint replacement surgeryreplacement surgery
Normal Knee Knee with Normal Knee Knee with OAOA
OsteoarthritisOsteoarthritis
OsteoarthritisOsteoarthritisNormal knee in figure 1Normal knee in figure 1
Narrow joint space and bone spur in figure 2Narrow joint space and bone spur in figure 2
Juvenile Rheumatoid Juvenile Rheumatoid ArthritisArthritis
Most common form of arthritis in Most common form of arthritis in children under age 16children under age 16
Joint pain, swelling, and stiffnessJoint pain, swelling, and stiffness Fever, rash, swollen lymph glandsFever, rash, swollen lymph glands Can cause growth problems and Can cause growth problems and
eye inflammationeye inflammation ETIOLOGY: AutoimmuneETIOLOGY: Autoimmune
Juvenile Rheumatoid Juvenile Rheumatoid ArthritisArthritis
TreatmentTreatment
Controlling painControlling pain
Improving functionImproving function
Preventing joint damagePreventing joint damage
JRAJRAKelly Rouba, a communications and emergency management specialist for the state of New Jersey, has been coping with JRA from a very young age, and her experiences inspired her to write the book Juvenile Arthritis: The Ultimate Teen Guide.
OsteomyelitisOsteomyelitis
Infection or inflammation of a Infection or inflammation of a bonebone
FeverFever Pain in area of infectionPain in area of infection Swelling, warmth and redness Swelling, warmth and redness
over area of infectionover area of infection
OsteomyelitisOsteomyelitis
ETIOLOGY: Most cases are caused ETIOLOGY: Most cases are caused by Staphylococcus bacteriaby Staphylococcus bacteria
Can enter through the Can enter through the bloodstreambloodstream
Nearby infection such as an Nearby infection such as an infected puncture woundinfected puncture wound
Direct contamination such as with Direct contamination such as with a compound fracture and surgeriesa compound fracture and surgeries
OsteomyelitisOsteomyelitis
TreatmentTreatment Antibiotics through IV for 4 to 6 Antibiotics through IV for 4 to 6
weeksweeks
Surgery to removed infected bone Surgery to removed infected bone
OsteomyelitisOsteomyelitis
Osteomyelitis of proximal phalanx of 4Osteomyelitis of proximal phalanx of 4thth digit.digit.
OsteoporosisOsteoporosis
New bone growth does not keep New bone growth does not keep up with old bone removalup with old bone removal
Bones become weak and brittleBones become weak and brittle Bending over or coughing can Bending over or coughing can
cause fracturecause fracture Hip, wrist and spine – most Hip, wrist and spine – most
common places of fracturecommon places of fracture
OsteoporosisOsteoporosis
SymptomsSymptoms Asymptomatic in early stagesAsymptomatic in early stages Back painBack pain Loss of heightLoss of height Stooped postureStooped posture Bone fractures occur more easily Bone fractures occur more easily
than expectedthan expected
OsteoporosisOsteoporosis
TreatmentTreatment BisphosphonatesBisphosphonates
Estrogen in post menopausal Estrogen in post menopausal women women
OsteoporosisOsteoporosisNormal Bone Osteoporotic Normal Bone Osteoporotic BoneBone
Carpal TunnelCarpal Tunnel
Compression of median nerve on Compression of median nerve on anterior side of wrist.anterior side of wrist.
Burning, tingling, and itching Burning, tingling, and itching numbness of palm, thumb, index numbness of palm, thumb, index and 3and 3rdrd fingers, and radial side of fingers, and radial side of the 4the 4thth finger finger
Carpal TunnelCarpal Tunnel
ETIOLOGYETIOLOGY Predisposition: Carpal tunnel Predisposition: Carpal tunnel
smaller in some peoplesmaller in some people Injury to wristInjury to wrist Repetitive movements of wristRepetitive movements of wrist Vibrating hand toolsVibrating hand tools IdiopathicIdiopathic
Carpal TunnelCarpal Tunnel
TreatmentTreatment Anti-inflammatory medicationsAnti-inflammatory medications Cortisone injection into carpal Cortisone injection into carpal
tunneltunnel Splints to immobilizeSplints to immobilize If above does not work, surgical If above does not work, surgical
release of carpal ligamentrelease of carpal ligament
Carpal TunnelCarpal Tunnel
Ankylosing SpondylitisAnkylosing Spondylitis
Inflammatory disease that can Inflammatory disease that can cause vertebrae to fusecause vertebrae to fuse
Can result in hunched forward Can result in hunched forward postureposture
Ankylosing SpondylitisAnkylosing Spondylitis
EtiologyEtiology
No known specific causeNo known specific cause
Appears to be geneticAppears to be genetic
Ankylosing SpondylitisAnkylosing Spondylitis
TreatmentTreatment Medication to reduce pain, Medication to reduce pain,
inflammation and stiffnessinflammation and stiffness
Physical Therapy for Physical Therapy for strengthening and flexibilitystrengthening and flexibility
Ankylosing SpondylitisAnkylosing Spondylitis
Progression of Ankylosing SpondylitisProgression of Ankylosing Spondylitis
ScoliosisScoliosis
Lateral curvature of the spineLateral curvature of the spine TreatmentTreatment
Bracing to prevent progressionBracing to prevent progression Surgery: fusion of vertebraeSurgery: fusion of vertebrae Harrington rods if child is still Harrington rods if child is still
growing.growing.– Rods can be lengthened every 6 Rods can be lengthened every 6
monthsmonths
Scoliosis-before/afterScoliosis-before/after
Kyphosis- humpbackKyphosis- humpbackoften due to often due to osteoporosisosteoporosis
Lordosis-swaybackLordosis-swayback