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BONE 3
Renal
Osteodystr.
The diseases
Osteitis fibrosa cystica
Osteomalacia
Osteoporosis
Osteosclerosis
Patho
Chr. Renal
Disease
hypocalcemia
hi phosphate
Compensatory hi PTH --> OFC
Loss of renal mass --> osteomala.
Aluminum inhib. bone resorption
Steroid therapy --> osteoporosis
Paget's
Disease
Feature
Common esp. in elder
"Collagen matrix madness"
More common in whites
Patho
Three phases
1 = initial osteolytic phase (reduce bone defor)
2 = mixed osteolytic-osteoblastic
3 = quiescent osteosclerotic (gain mass)
Morpho. = "mosaic pattern"
Complic.
Bone pain
Fractures (bone grow too fast)
Deformity
Nerve or cord compression (e.g. deafness)
Osteonecrosis
Infarction of bone & marrow
Cause = ischemia
trauma
thrombosis/ embolism
steroid therapy
radiation
Major site = head of femur, scaphoid
Fracture
Types
Complete VS Greenstick (incomplete)
Simple VS Compound (protrude thru skin)
Comminuted or Displaced or Spiral
Complicated or Depressed or Stress
Pathologic fracture
Pathologic
Fracture of weakened bone
osteomalacia, osteoporosis, paget's
Healing
of bone
Haematoma formation
Organisation of haematoma
Osteoprogen. cells become osteoblast
Prolif. & produce osteoid
External callus bridge the outside
Internal callus bridge in the medul. cavity
Then ossification & remodelling
Factors of
bone healing
Type of fracture
Alignment
Degree of immobilisation
Blood supply
Steroid, DM, nutrition
Complic.
Delayed union
Malunion
Non union
Osteomyelitis
Tx
Immobilisation
Internal fixator
External fixator
BONE 3.mmap - 06/01/2010 - Mindjet

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Bone 3

  • 1. BONE 3 Renal Osteodystr. The diseases Osteitis fibrosa cystica Osteomalacia Osteoporosis Osteosclerosis Patho Chr. Renal Disease hypocalcemia hi phosphate Compensatory hi PTH --> OFC Loss of renal mass --> osteomala. Aluminum inhib. bone resorption Steroid therapy --> osteoporosis Paget's Disease Feature Common esp. in elder "Collagen matrix madness" More common in whites Patho Three phases 1 = initial osteolytic phase (reduce bone defor) 2 = mixed osteolytic-osteoblastic 3 = quiescent osteosclerotic (gain mass) Morpho. = "mosaic pattern" Complic. Bone pain Fractures (bone grow too fast) Deformity Nerve or cord compression (e.g. deafness) Osteonecrosis Infarction of bone & marrow Cause = ischemia trauma thrombosis/ embolism steroid therapy radiation Major site = head of femur, scaphoid Fracture Types Complete VS Greenstick (incomplete) Simple VS Compound (protrude thru skin) Comminuted or Displaced or Spiral Complicated or Depressed or Stress Pathologic fracture Pathologic Fracture of weakened bone osteomalacia, osteoporosis, paget's Healing of bone Haematoma formation Organisation of haematoma Osteoprogen. cells become osteoblast Prolif. & produce osteoid External callus bridge the outside Internal callus bridge in the medul. cavity Then ossification & remodelling Factors of bone healing Type of fracture Alignment Degree of immobilisation Blood supply Steroid, DM, nutrition Complic. Delayed union Malunion Non union Osteomyelitis Tx Immobilisation Internal fixator External fixator BONE 3.mmap - 06/01/2010 - Mindjet