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Ch.22 Musculoskeletal System
Health Assessment--Jarvis 5th Edition
75
Nursing
Professional
12/19/2010

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Term
Abduction
Definition
moving a body part away from an axis or the median line
Term
Adduction
Definition
moving a body part toward the center or toward the median line
Term
Ankylosis
Definition
immobility, consolidation, and fixation of a joint because of disease, injury, or surgery; most often due to chronic rheumatoid arthritis
Term
Ataxia
Definition
inability to perform coordinated movements
Term
Bursa
Definition
enclosed sac filled with viscous fluid located in joint areas of potential friction
Term
Circumduction
Definition
moving the arm in a circle around the shoulder
Term
Crepitation
Definition
dry crackling sound or sensation due to grating of the ends of damaged bone
Term
Dorsal
Definition
directed toward or located on the surface
Term
Dupuytren's contracture
Definition
flexion contractures of the fingers due to chronic hyperplasia of the palmar fascia
Term
Eversion
Definition
moving the sole of the foot outward at the ankle
Term
Extension
Definition
straightening a limb at a joint
Term
Flexion
Definition
bending a limb at a joint
Term
Ganglion
Definition
round, cystic, nontender nodule overlying a tendon sheath or joint capsule, usually on dorsum of wrist
Term
Hallux valgus
Definition
lateral or outward deviation of the great toe
Term
Inversion
Definition
moving the sole of the foot inward at the ankle
Term
Kyphosis
Definition
outward or convex curvature of the thoracic spine, hunchback
Term
Ligament
Definition
fibrous bands running directly from one bone to another bone that strenghten the joint
Term
Lordosis
Definition
inward or concave curvature of the lumbar spine
Term
Nucleus pulposus
Definition
center of the intervertebral disc
Term
Olecranon process
Definition
bony projection of the ulna at the elbow
Term
Patella
Definition
kneecap
Term
Plantar
Definition
surface of the sole of the foot
Term
Pronation
Definition
turning of the forearm so that the palm is down
Term
Protraction
Definition
moving a body part forward and parallel to the ground
Term
Range of motion (ROM)
Definition
extent of movement of a joint
Term
Retraction
Definition
moving a body part backward and parallel to the ground
Term
Rheumatoid arthritis
Definition
chronic systemic inflammatory disease of joints and surrounding connective tissue
Term
Sciatica
Definition
nerve pain along the course of the sciatic nerve that travels down from the back or thigh through the leg and into the foot
Term
Scoliosis
Definition
s-shaped curvature of the thoracic spine
Term
Supination
Definition
turning the forearm so that the palm is up
Term
Talipes equinovarus
Definition
(clubfoot)congenital deformity of the foot in which it is plantar flexed and inverted
Term
Tendon
Definition
strong fibrous cord that attaches a skeletal muscle to a bone
Term
Torticollis
Definition
(wryneck)contraction of the cervical neck muscles, producting torsion of the neck
Term
C7 and T1
Definition
the vertebral spinous processes that are prominent at the base of the neck
Term
T7 and T8
Definition
the inferior angle of the scapula is normally at the level of the interspace between these two vertebrae
Term
L4
Definition
an imaginary line connecting the highest point on each iliac crest crosses this vertebra
Term
nonsynovial joint
Definition
a joint in which the bones are united by fibrous tissue or cartilage and are immovable or only slightly movable
Term
synovial joint
Definition
a joint that is freely movable because it has bones that are separated from each other and are enclosed in a joint cavity
Term
fasciculi
Definition
bundles of muscle fibers that makeup skeletal muscle
Term
osteoporosis
Definition
the loss of bone density during the aging process
Term
Ulnar deviation
Definition
fingers list to ulnar side
Term
Heberden's/Bouchard's nodules
Definition
hard, nontender nodules that occur with osteoarthritis
Term
Metatarsus varus
Definition
adduction and inversion of forefoot
Term
Polydactyly
Definition
the presence of extra fingers or toes
Term
Syndactyly
Definition
webbing in between adjacent fingers or toes
Term
Simian crease
Definition
a single palmar crease that occurs with Down syndrome, accompanied by short, broad fingers, and low-set thumbs
Term
Genu varum
Definition
"bowlegged" stance; a lateral bowing of the legs
Term
Genu valgum
Definition
"knock knees"; present when there is more than 2.5 cm between the medial malleoli when the knees are together
Term
Pes planus
Definition
"flatfeet"; pronation of teh medial side of the foot
Term
"waddling" gait
Definition
when a woman's pregnancy is at term, the protuberant abdomen and the relaxed mobility in the joints create this characteristic gait
Term
Osteoarthritis
Definition
noninflammatory, localized, progressive disorder involving deterioration of the articular cartilages and subchondral bone and formation of new bone (osteophytes) at joint surfaces
Term
Ankylosing spondylitis
Definition
chronic progressive inflammation of spine, scroiliac, and larger joints of the extremities, leading to bony ankylosis and deformity
Term
Atrophy
Definition
loss of muscle mass that occurs from disuse, muscle tissue damage, or motor nerve damage
Term
Joint effusion
Definition
swelling from excess fluid in the joint capsule
Term
Adhesive capsulitis
Definition
frozen shoulder; fibrous tissue form in the joint capsule, causing stiffness, progressive limitation of motion, and pain
Term
Subacromial bursitis
Definition
inflammation and swelling of subacrimonial bursa over the shoulder cause limited ROM and pain with motion
Term
Olecranon bursitis
Definition
large soft knob, or "goose egg," and redness from inflammation of olecranon bursa
Term
Gouty arthritis
Definition
joint effusion or synovial thickening, seen first as bulge or fullness in grooves on either side of olecranon process
Term
Subcutaneous nodules
Definition
raised, firm, nontender nodules that occur with rheumatoid arthritis; common sites are in the olecranon bursa and along extensor surface of arm
Term
Epicondylitis
Definition
tennis elbow; chronic disabling pain at lateral epicondyle of humerus, radiates down extensor surface of forearm
Term
Ganglion cyst
Definition
round, cystic, nontender nodule overlying a tendon sheath or joint capsule, usually on dorsum of wrist
Term
Carpal tunnel syndrome
Definition
atrophy occurs from interference with motor function from compression of the median nerve inside the carpal tunnel; caused by chronic repetitive motion; occurs between 30 and 60 years of age and is five times more common in women than in men
Term
Colles' fracture
Definition
nonarticular fracture of distal radius, with or without fracture of ulna at styloid process; usually from a fall on an outstretched hand; wrist looks puffy, with "silver fork" deformity
Term
Swan's neck
Definition
flexion contraction of metacarpophalangeal joint, then hyperextension of the proximal interphalangeal joint, and flexion of teh distal interphalangeal joint; occurs with chronic rheumatoid arthritis and is often accompanied by ulnar drift of the fingers
Term
Boutonniere deformity
Definition
knuckle looks as if it is being pushed through a button hole; includes flexion of proximal interphalangeal joint with compensatory hyperextension of distal interphalangeal joint
Term
Osgood-Schlatter disease
Definition
painful swelling of the tibial tubercle just below the knee, probably from repeated stress on teh patellar tendon; occurs most in puberty during rapid growth and most often in males
Term
Chondromalacia patellae
Definition
degeneration of the articular surface of patellae; joint motion is painless, but crepitus may be present; occurs most often in females
Term
Achilles tenosynovitis
Definition
inflammation of the tendon sheath near the ankle produces a superficial linear swelling and a localized tenderness along the route of the sheath; movement of the involved tendon usually causes pain
Term
Tophi with chronic gout
Definition
hard, painless nodule (tophi) over metatarsophalangeal joint of first toe; they sometimes burst with a chalky discharge
Term
Plantar wart
Definition
vascular papillomatous growth is probably due to a virus and occurs on teh sole of the foot, commonly at the ball; condition is extremely painful
Term
Callus
Definition
hypertrophy of the epithelium develops because of prolonged pressure, commonly on the plantar surface of the first metatarsal head in teh hallux valgus deformity; condition is not painful
Term
Herniated nucleus pulposus
Definition
the nucleus pulposus ruptures into the spinal canal and puts pressure onthe local spinal nerve root; usually occurs from stress, such as lifting, twisting, continuous flexion with lifting, or fall on buttocks
Term
Spina bifida
Definition
incomplete closure of posterior part of vertebrae results in a neural tube defect; seriousness varies from skin defect along the spine to protrusion of teh sac containing meninges, spinal fluid, or malformed spinal cord
Term
Legg-Calve-Perthes syndrome (coxa plana)
Definition
avascular necrosis of the femoral head primarily in males between 3 and 12 years of age, with peak at age 6; in initial phase, interruption of blood supply to femoral epiphysis occurs, halting growth; revascularization and healing occur later, but significant residual deformity and dysfunction may be present
Term
Prepatellar bursitis
Definition
localized swelling on anterior knee between patella and skin; condition is limited to the bursa, and the knee joint itself is not involved
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