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Terminology - Musculoskeletal

AB
Dislocationdisplacement of a bone from its normal articulation with a joint
Subluxationpartial dislocation from a joint
Ankylosisstiffness, immobility and fixation of a joint due to disease, injury, or condition such as rheumatoid arthritis
Ataxiainability to perform coordinated movements
Bursaenclosed sac filled with viscous fluid located in joint areas of potential friction
Contractureshortening of a muscle leading to limited ROM of joint
Dupuytren's contractureflexion contractures of the fingers due to chronic hyperplasia of the palmar fascia
Goniometerinstrument to measure joint angles
Crepitationpalpable crunching or grating that accompanies movement (occurs with articular surfaces of joints are roughened)
Articulationjoining of bones at a joint
Ganglion cystround, cystic, nontender nodule overlying a tendon sheath or joint capsule, usually on dorsum of wrist
Hallux valguslateral or outward deviation of the toe
Subcutaneous nodulesraised, firm, nontender nodules beneath skin - common at olecranon bursa and along extensor surface of ulna with RA
Kyphosisconvex curvature fo the thoracic spine ("hunchback")
Ligamentfibrous bands running directly from one bone to another bone that strengthens the joint
Lordosisinward or concave curvature of the lumbar spine (common with pregnancy, muscular dystrophy, and rickets)
Nucleus pulposuscenter fo the intervertebral disc
Olecranon processbony projection of the ulna at the elbow
Patellakneecap
Plantarsurface fo the sole of the foot
Thenar eminencerounded mound of palm proximal to the thumb
Ulnar deviationdrift of fingers toward ulnar side (common in RA)
Range of Motion (ROM)extent of movement of a joint
Heberden's nodeshard nontender cartilaginous or bony enlargement of distal interphalangeal (DIP) joint of fingers - may be seen with osteoarthritis
Rheumatoid arthritis (RA)chronic systemic inflammatory disease of joints and surrounding connective tissue
Sciaticanerve pain along the course of the sciatic nerve that travels down from the back or thigh through the leg and into the foot
ScoliosisS-shaped curvature fo the thoracic spine
Bouchard's nodeshard nontender cartilaginous or body enlargement of a proximal interphalangeal (PIP) joint of a finger - may be seen with osteoarthritis
Talipes equinovaruscongenital deformity of the foot in which it is plantar flexed and inverted (clubfoot)
Tendonstrong fibrous cord that attaches skeletal muscle to a bone
Torticolliscontraction of the cervical neck muscles, producing torsion of the neck (wryneck)
Phalen's testtest for carpal tunnel syndrome - holding hands back to back with wrists flexed at 90 degress produces numbness and burning
Tinel's signdirect percussion of median nerve in wrist - burning and tingling along its distribution indicated carpal tunnel syndrome
Genu varumspace between the knees is > 2.5 cm when medial malleoli are together "bow-legs"
Genu valgum> 2.5 cm between medial malleoli when knees are together "knock knees"
Bulge signtests for effusion in suprapatellar pouch
McMurray testtest for a torn meniscus
Herniated nucleus pulposusWeakness or tear in annulus of intervertebral disc allows nucleus pulposus to herniate and press on spinal nerve roots
Metatarsus varusadduction and inversion of forefoot
Polydactylypresence of extra fingers or toes
Syndactylywebbing between adjacent fingers or toes
Simian creaseSingle palmar crease (occurs with Down syndrome)
Pes planus lack of arch "flat foot"
Osteoarthritisdegenerative joint disease
Osteophytesformation of new bone at joint surfaces (bone spurs) - seen with osteoarthritis
Osteoporosisdecrease in skeletal bone mass due to bone resorption greater than bone formation
Joint effusionswelling from excess fluid in joint capsule
Adhesive capsulitisfibrous tissue forms in joint capsule of shoulder causing stiffness and paint ("frozen shoulder")
Lateral epicondylitispain at lateral epicondyle of humerus that radiates down extensor surface of forearm - occurs secondary to activities of excessive pronation and supination of forearm with extended wrist (tennis elbow)
Gout (gouty arthritis)caused by sodium urate crystal deposition in joints and tissues causing pain, redness, localized heat. Common site is great toe.
Swan-neck deformitydeformity common in RA - hyperextension at PIP joint with flexion contracture at DIP and MCP joint
DIP jointdistal interphalangeal
PIP jointproximal interphalangeal
MCP jointmetacarpophalangeal joint
Butonniere deformitycommon deformity of RA - caused by flexion of PIP joint with hyperextension of DIP joint
Carpal tunnel syndromepain in wrist and hands due to compressin on median nurve between the inelastic carpal ligament and other structures
Bursitisinflammation of bursa
Functional scoliosisnot a "true" scoliosis - lateral curvature occurs to compensate for other problems (e.g. short leg) and will disappear when leaning forward
Allis testtest for hip dislocation in infant - if dislocated, one knee will be lower when feet are placed flat on table and knees flexed
Ortolani maneuvertest for congenital hip dislocation and hip instability
Effusioncollection of fluid in a joint space


Jackie Burchum

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