This document provides an overview of musculoskeletal and soft tissue disorders including definitions, epidemiology, clinical findings, and treatment strategies for various conditions. Key points discussed include osteogenesis imperfecta, achondroplasia, osteopetrosis, osteoporosis, Paget's disease, osteomyelitis, neoplastic bone disorders, joint disorders, synovial fluid analysis, classification of joint diseases, signs and symptoms of joint diseases, and osteoarthritis.
The document discusses infection of bone and joint, including osteomyelitis, septic arthritis, and tuberculosis. It provides details on the mechanisms, symptoms, investigations, and treatments for acute and chronic osteomyelitis. It describes how septic arthritis can infect joints via the bloodstream or skin. Tuberculosis is caused by Mycobacterium tuberculosis and can infect synovial joints, tendon sheaths, and vertebrae, leading to granuloma formation, joint destruction, and abscesses. Treatment involves chemotherapy with rifampicin and isoniazid.
Introduction to radiological diagnosis of osteomyelitis for undergraduatesGirendra Shankar
This document discusses different types of bone infections seen in musculoskeletal radiology. It describes osteomyelitis as bacterial infection of bone that most commonly affects the long bones of children. Pott's disease refers to tuberculosis infection of the spine that causes vertebral body destruction. Congenital infections like rubella and syphilis can result in characteristic radiographic findings in newborns such as celery stalking of the metaphysis.
Paget disease and osteomyelitis are bone disorders characterized by abnormal bone remodeling. Paget disease commonly affects individuals over 40 and involves thickening and deformity of bones from excessive bone resorption and formation. Osteomyelitis is a severe bone infection that can be caused by trauma, poor vascular supply, or hematogenous spread. It involves infection of the bone marrow and can lead to bone death, impaired growth, and skin infections if left untreated. Treatment involves antibiotics and sometimes surgery to remove infected bone.
This document provides information about osteomyelitis, including:
1) Osteomyelitis is an inflammation of bone caused by an infecting organism that may remain localized or spread through the bone. Common causes are bacteria or fungi entering through a break in the skin or spreading via blood.
2) It can be classified as acute (less than 2 weeks), subacute (2-6 weeks), or chronic (over 6 weeks) based on duration of symptoms. It can also be classified based on mechanism of infection such as exogenous (from outside trauma/surgery) or hematogenous (from another infectious site).
3) Staphylococcus aureus is the most common pathogen. Risk factors
Osteoarthritis is a chronic degenerative joint disease characterized by the breakdown of articular cartilage. It commonly affects weight-bearing joints like the hips and knees, causing pain and stiffness. While the exact causes are unknown, risk factors include aging, obesity, joint injury, and genetic factors. The pathogenesis involves structural and biochemical changes to cartilage and surrounding bone and tissues that disrupt the normal balance between degradation and regeneration of cartilage. Treatments aim to reduce pain and inflammation, maintain joint function, and may include medications, weight loss, exercise, bracing, and joint replacement surgery in severe cases.
1) Osteoarthritis is a progressive degenerative disease affecting synovial joints that results from stresses that damage joint tissues.
2) It is most common in people over 40 and prevalence increases with age, making it a major cause of disability in the elderly.
3) Treatment involves both non-pharmacologic options like exercise and weight loss as well as pharmacologic options like acetaminophen, NSAIDs, and opioids to manage pain.
This document provides an overview of bone infections including osteomyelitis, Pott's disease, and congenital infections. It discusses the incidence, etiology, locations, and radiographic features of osteomyelitis. Common causative organisms include Staphylococcus and Streptococcus bacteria. Pott's disease refers to tuberculosis of the spine. Congenital infections like rubella and syphilis can result in a radiographic finding called "celery stalking" seen as linear bands in the metaphysis. MRI and nuclear medicine scans like gallium and technetium bone scans can help identify bone infection.
This document discusses chronic infections of the jaws, including:
- Types of infections like periostitis, osteitis, and osteomyelitis and their characteristics.
- Causative factors like bacteria, trauma, and dental infections.
- Classification systems based on features like pathogenesis, clinical presentation, and anatomy.
- Presentation and management of specific types like acute suppurative osteomyelitis, chronic sclerosing osteomyelitis, and Garre's osteomyelitis.
- Role of predisposing conditions like diabetes and factors like poor vascularity that increase risk.
The document discusses infection of bone and joint, including osteomyelitis, septic arthritis, and tuberculosis. It provides details on the mechanisms, symptoms, investigations, and treatments for acute and chronic osteomyelitis. It describes how septic arthritis can infect joints via the bloodstream or skin. Tuberculosis is caused by Mycobacterium tuberculosis and can infect synovial joints, tendon sheaths, and vertebrae, leading to granuloma formation, joint destruction, and abscesses. Treatment involves chemotherapy with rifampicin and isoniazid.
Introduction to radiological diagnosis of osteomyelitis for undergraduatesGirendra Shankar
This document discusses different types of bone infections seen in musculoskeletal radiology. It describes osteomyelitis as bacterial infection of bone that most commonly affects the long bones of children. Pott's disease refers to tuberculosis infection of the spine that causes vertebral body destruction. Congenital infections like rubella and syphilis can result in characteristic radiographic findings in newborns such as celery stalking of the metaphysis.
Paget disease and osteomyelitis are bone disorders characterized by abnormal bone remodeling. Paget disease commonly affects individuals over 40 and involves thickening and deformity of bones from excessive bone resorption and formation. Osteomyelitis is a severe bone infection that can be caused by trauma, poor vascular supply, or hematogenous spread. It involves infection of the bone marrow and can lead to bone death, impaired growth, and skin infections if left untreated. Treatment involves antibiotics and sometimes surgery to remove infected bone.
This document provides information about osteomyelitis, including:
1) Osteomyelitis is an inflammation of bone caused by an infecting organism that may remain localized or spread through the bone. Common causes are bacteria or fungi entering through a break in the skin or spreading via blood.
2) It can be classified as acute (less than 2 weeks), subacute (2-6 weeks), or chronic (over 6 weeks) based on duration of symptoms. It can also be classified based on mechanism of infection such as exogenous (from outside trauma/surgery) or hematogenous (from another infectious site).
3) Staphylococcus aureus is the most common pathogen. Risk factors
Osteoarthritis is a chronic degenerative joint disease characterized by the breakdown of articular cartilage. It commonly affects weight-bearing joints like the hips and knees, causing pain and stiffness. While the exact causes are unknown, risk factors include aging, obesity, joint injury, and genetic factors. The pathogenesis involves structural and biochemical changes to cartilage and surrounding bone and tissues that disrupt the normal balance between degradation and regeneration of cartilage. Treatments aim to reduce pain and inflammation, maintain joint function, and may include medications, weight loss, exercise, bracing, and joint replacement surgery in severe cases.
1) Osteoarthritis is a progressive degenerative disease affecting synovial joints that results from stresses that damage joint tissues.
2) It is most common in people over 40 and prevalence increases with age, making it a major cause of disability in the elderly.
3) Treatment involves both non-pharmacologic options like exercise and weight loss as well as pharmacologic options like acetaminophen, NSAIDs, and opioids to manage pain.
This document provides an overview of bone infections including osteomyelitis, Pott's disease, and congenital infections. It discusses the incidence, etiology, locations, and radiographic features of osteomyelitis. Common causative organisms include Staphylococcus and Streptococcus bacteria. Pott's disease refers to tuberculosis of the spine. Congenital infections like rubella and syphilis can result in a radiographic finding called "celery stalking" seen as linear bands in the metaphysis. MRI and nuclear medicine scans like gallium and technetium bone scans can help identify bone infection.
This document discusses chronic infections of the jaws, including:
- Types of infections like periostitis, osteitis, and osteomyelitis and their characteristics.
- Causative factors like bacteria, trauma, and dental infections.
- Classification systems based on features like pathogenesis, clinical presentation, and anatomy.
- Presentation and management of specific types like acute suppurative osteomyelitis, chronic sclerosing osteomyelitis, and Garre's osteomyelitis.
- Role of predisposing conditions like diabetes and factors like poor vascularity that increase risk.
Osteomyelitis is a bone infection that can occur through the bloodstream, from a nearby infected site, or due to injury or surgery exposing the bone. It is characterized by bone destruction seen on imaging and confirmed by bone biopsy. Treatment involves long-term antibiotics, often along with surgical debridement to remove infected bone and tissue. Extensive debridement is important for reducing the risk of persistent infection, especially in compromised patients. Management of residual dead space is also necessary to promote healing and prevent ongoing infection.
This document discusses subacute osteomyelitis, which is a distinct type of osteomyelitis with milder symptoms than acute osteomyelitis. It most commonly affects the distal femur and proximal/distal tibia. Staphylococcus aureus is the most common causative organism. Clinical features include pain over several weeks/months, limping, swelling, and tenderness without fever. Radiological findings include Brodie's abscess appearing as an oval cavity surrounded by sclerosis. Treatment involves antibiotics, biopsy, and surgery if diagnosis is uncertain or conservative treatment fails.
Osteoarthritis is a degenerative joint disease characterized by breakdown of articular cartilage and surrounding bone changes. It is the most common form of arthritis. Risk factors include age, obesity, genetics, and joint trauma. Symptoms include joint pain, stiffness, and loss of function. Diagnosis is based on clinical and radiographic findings of joint space narrowing, osteophytes, and subchondral sclerosis. Treatment focuses on pain management, physical therapy, weight control, and joint replacement for severe cases. Gout and pseudogout are forms of inflammatory arthritis caused by urate and calcium pyrophosphate crystals respectively, leading to acute attacks of pain and inflammation.
Arthritis and arthroplasty- dr. Mahmoud Abdel KareemAhmed-shedeed
This document provides information about osteoarthritis (OA), including its definition, prevalence, risk factors, pathology, diagnosis, natural history, differential diagnosis, and treatment. It notes that OA is the most common form of arthritis, affecting over 20 million people in the US. Risk factors include age, obesity, family history, and previous joint injury or disorder. Diagnosis is typically based on symptoms like pain and stiffness, physical exam findings, and x-ray evidence of cartilage loss, bone spurs, and bone changes. Treatment includes conservative options like medications, exercise, and weight loss, as well as intra-articular injections or surgery for advanced cases.
Inflammatory diseases of the musculoskeletal systemBossmanKuffour
1. Osteomyelitis is an infectious inflammatory process that damages bone elements including the bone marrow. It can be classified based on etiology, form, localization, and clinical course.
2. Acute hematogenous osteomyelitis occurs in four phases: acute bone marrow inflammation, breakthrough to the periosteum, bone necrosis, and sequestration/repair. Chronic osteomyelitis leads to necrotic bone surrounded by new bone formation.
3. In children, osteomyelitis is often acute hematogenous osteomyelitis due to their richly vascular bones. It commonly starts in the metaphyses and can spread to joints or subperiosteal spaces if untreated.
1) Osteomyelitis and osteoradionecrosis of the jaw bones are inflammatory conditions that can develop due to infections, trauma, radiation therapy or bisphosphonate use.
2) They are characterized by necrosis of bone tissue which fails to heal properly and can lead to exposed bone, pain, swelling and draining fistulas.
3) Treatment involves controlling infections, relieving pain, removing devitalized bone tissue surgically if needed, and reconstructing the affected area with grafts or flaps. Preventing these conditions involves minimizing invasive dental procedures for those at high risk.
1. The document discusses several skeletal developmental and genetic disorders including osteogenesis imperfecta, as well as metabolic bone diseases such as osteoporosis, renal osteodystrophy, osteomalacia, rickets, and hyperparathyroidism.
2. Inflammatory bone disorders including osteomyelitis, sarcoidosis, Paget's disease of bone, and osteonecrosis are described. Trauma and fracture repair processes are also summarized.
3. Several primary bone tumors are discussed including osteoid osteoma, osteosarcoma, chondroma, osteochondroma, and chondroblastoma.
1. The document discusses several skeletal developmental and genetic disorders including osteogenesis imperfecta, as well as metabolic bone diseases such as osteoporosis, renal osteodystrophy, osteomalacia, rickets, and hyperparathyroidism.
2. Inflammatory bone disorders including osteomyelitis, sarcoidosis, Paget's disease of bone, and osteonecrosis are described. Trauma and fracture repair processes are also summarized.
3. Several primary bone tumors are discussed including osteoid osteoma, osteosarcoma, chondroma, osteochondroma, and chondroblastoma.
Osteomyelitis has been recognized since ancient times. It is an infection of bone that can be caused by bacteria, fungi, or other microbes entering through the bloodstream or directly through trauma. The most common type is acute hematogenous osteomyelitis, which typically affects children under 15 and presents as a rapidly destructive infection of the metaphysis of long bones. Staphylococcus aureus is the primary causative organism. Diagnosis involves blood tests, imaging like x-rays, ultrasound, bone scans or MRI, and tissue sampling. Treatment involves antibiotics along with surgical drainage and debridement if abscesses form or the infection fails to respond to antibiotics alone. Chronic osteomyelitis can develop if not properly
Osteomyelitis is an inflammatory process of bone and bone marrow caused by a bacterial infection. It can be acute, subacute, or chronic depending on the duration of infection. Acute osteomyelitis most commonly affects children and is usually caused by Staphylococcus aureus in the metaphysis of long bones. Chronic osteomyelitis results from inadequate treatment of acute osteomyelitis and is characterized by persistent infection, bone necrosis, sinus tract formation, and bone destruction seen on imaging. Treatment involves long-term antibiotics and surgical debridement to remove infected bone. Physical therapy focuses on restoring range of motion, strength, and mobility while protecting the infected bone during recovery.
Osteomyelitis is an inflammatory process of bone caused by bacterial infection. It can be acute, subacute, or chronic depending on duration. The most common causative organism is Staphylococcus aureus. Acute osteomyelitis typically affects children and causes fever, pain, and swelling near the infected bone. Chronic osteomyelitis results from inadequate treatment of acute osteomyelitis and causes persistent infection, bone necrosis, and sinus tract formation. Surgical debridement along with long-term antibiotics is usually required to treat chronic osteomyelitis. Rehabilitation focuses on restoring range of motion and strength through exercises.
This document discusses bone destruction patterns caused by periodontal disease. It identifies the main causes of bone destruction as the extension of gingival inflammation, trauma from occlusion, and systemic disorders. It describes several patterns of bone loss seen in periodontal disease, including horizontal, vertical, osseous craters, bulbous contours, reversed architecture, ledges, and furcation involvement. The rate and episodic nature of bone destruction in periodontal disease is also covered.
Jean-Martin Charcot first described neuropathic arthropathy in 1868. It is a progressive joint condition characterized by dislocations, fractures, and deformities that results from sensory or autonomic neuropathy from various conditions like diabetes, MS, alcoholism, etc. The pathophysiology involves both repetitive microtrauma from loss of sensation and an inflammatory process induced by neurovascular changes. It commonly affects the foot, knee, and hip. Diagnosis is made clinically and radiographically, showing features like joint destruction and deformity. Treatment involves casting, bracing, and surgery like fusion for advanced cases.
This document discusses osteoporosis and metabolic bone disorders. It defines osteoporosis as a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue microarchitecture, leading to fragile bones that are prone to fracture. It notes the risk factors for osteoporosis and classifies it as either primary/involutional (related to aging) or secondary (caused by underlying conditions). Radiographic features include decreased bone density, trabecular changes, cortical thinning and vertebral deformities. The document outlines evaluation of secondary osteoporosis and describes spinal manifestations visible on imaging.
BONE LOSS AND PATTERNS OF BONE DESTRUCTION ishu.pptxDr. Ishu SINGLA
Presentation on topic Bone Loss And Patterns of Bone Destruction.
This is for reading and knowledge purpose only. Text is taken from Standard books only.
Osteomyelitis is an infection of bone that can affect the jaws. It originates from Greek words meaning "bone marrow infection". The infection causes ischemia and necrosis of the infected bone. It can be acute or chronic, suppurative or nonsuppurative. Common causes are odontogenic infections, trauma, surgery, and hematogenous spread. Symptoms include swelling, pain, and draining sinus tracts. Treatment involves antibiotics, surgical drainage, debridement of necrotic bone, and hyperbaric oxygen therapy in some cases.
Hydatid cyst, caused by echinococcus granulosa, can produce tissue cyst everywhere in body.Skeletal cystic lesion is rare specially in long bones like femur and because of its unusual presentation, its diagnosis may easily be missed, unless be kept in mind. Hydatid disease is a parasitic infestation of the humans that can practically affect any part of the body. It commonly affects liver, lung and muscles. Bone hydatid is less common occurring in only 0.5e2% of cases and humans act as an intermediate host. In the patient evaluated by us, the plain x-ray showed
multiple osteolytic lesions along the lower one third of the femur and the upper end of tibia.
This document discusses osteomyelitis, an inflammation of bone tissue. It begins with definitions of osteomyelitis and classifications based on course, suppuration, and anatomical location. Etiology and pathogenesis are then reviewed, noting that osteomyelitis can arise from contiguous infections, hematogenous spread, or underlying bone diseases. Clinical features include pain, swelling and sinus tract formation. Investigations include imaging modalities like CT, MRI and scintigraphy to identify bone changes. Treatment involves antibiotics, surgery and supportive care to eliminate pathogens and promote healing.
Osteomyelitis is a bone infection that can occur through the bloodstream, from a nearby infected site, or due to injury or surgery exposing the bone. It is characterized by bone destruction seen on imaging and confirmed by bone biopsy. Treatment involves long-term antibiotics, often along with surgical debridement to remove infected bone and tissue. Extensive debridement is important for reducing the risk of persistent infection, especially in compromised patients. Management of residual dead space is also necessary to promote healing and prevent ongoing infection.
This document discusses subacute osteomyelitis, which is a distinct type of osteomyelitis with milder symptoms than acute osteomyelitis. It most commonly affects the distal femur and proximal/distal tibia. Staphylococcus aureus is the most common causative organism. Clinical features include pain over several weeks/months, limping, swelling, and tenderness without fever. Radiological findings include Brodie's abscess appearing as an oval cavity surrounded by sclerosis. Treatment involves antibiotics, biopsy, and surgery if diagnosis is uncertain or conservative treatment fails.
Osteoarthritis is a degenerative joint disease characterized by breakdown of articular cartilage and surrounding bone changes. It is the most common form of arthritis. Risk factors include age, obesity, genetics, and joint trauma. Symptoms include joint pain, stiffness, and loss of function. Diagnosis is based on clinical and radiographic findings of joint space narrowing, osteophytes, and subchondral sclerosis. Treatment focuses on pain management, physical therapy, weight control, and joint replacement for severe cases. Gout and pseudogout are forms of inflammatory arthritis caused by urate and calcium pyrophosphate crystals respectively, leading to acute attacks of pain and inflammation.
Arthritis and arthroplasty- dr. Mahmoud Abdel KareemAhmed-shedeed
This document provides information about osteoarthritis (OA), including its definition, prevalence, risk factors, pathology, diagnosis, natural history, differential diagnosis, and treatment. It notes that OA is the most common form of arthritis, affecting over 20 million people in the US. Risk factors include age, obesity, family history, and previous joint injury or disorder. Diagnosis is typically based on symptoms like pain and stiffness, physical exam findings, and x-ray evidence of cartilage loss, bone spurs, and bone changes. Treatment includes conservative options like medications, exercise, and weight loss, as well as intra-articular injections or surgery for advanced cases.
Inflammatory diseases of the musculoskeletal systemBossmanKuffour
1. Osteomyelitis is an infectious inflammatory process that damages bone elements including the bone marrow. It can be classified based on etiology, form, localization, and clinical course.
2. Acute hematogenous osteomyelitis occurs in four phases: acute bone marrow inflammation, breakthrough to the periosteum, bone necrosis, and sequestration/repair. Chronic osteomyelitis leads to necrotic bone surrounded by new bone formation.
3. In children, osteomyelitis is often acute hematogenous osteomyelitis due to their richly vascular bones. It commonly starts in the metaphyses and can spread to joints or subperiosteal spaces if untreated.
1) Osteomyelitis and osteoradionecrosis of the jaw bones are inflammatory conditions that can develop due to infections, trauma, radiation therapy or bisphosphonate use.
2) They are characterized by necrosis of bone tissue which fails to heal properly and can lead to exposed bone, pain, swelling and draining fistulas.
3) Treatment involves controlling infections, relieving pain, removing devitalized bone tissue surgically if needed, and reconstructing the affected area with grafts or flaps. Preventing these conditions involves minimizing invasive dental procedures for those at high risk.
1. The document discusses several skeletal developmental and genetic disorders including osteogenesis imperfecta, as well as metabolic bone diseases such as osteoporosis, renal osteodystrophy, osteomalacia, rickets, and hyperparathyroidism.
2. Inflammatory bone disorders including osteomyelitis, sarcoidosis, Paget's disease of bone, and osteonecrosis are described. Trauma and fracture repair processes are also summarized.
3. Several primary bone tumors are discussed including osteoid osteoma, osteosarcoma, chondroma, osteochondroma, and chondroblastoma.
1. The document discusses several skeletal developmental and genetic disorders including osteogenesis imperfecta, as well as metabolic bone diseases such as osteoporosis, renal osteodystrophy, osteomalacia, rickets, and hyperparathyroidism.
2. Inflammatory bone disorders including osteomyelitis, sarcoidosis, Paget's disease of bone, and osteonecrosis are described. Trauma and fracture repair processes are also summarized.
3. Several primary bone tumors are discussed including osteoid osteoma, osteosarcoma, chondroma, osteochondroma, and chondroblastoma.
Osteomyelitis has been recognized since ancient times. It is an infection of bone that can be caused by bacteria, fungi, or other microbes entering through the bloodstream or directly through trauma. The most common type is acute hematogenous osteomyelitis, which typically affects children under 15 and presents as a rapidly destructive infection of the metaphysis of long bones. Staphylococcus aureus is the primary causative organism. Diagnosis involves blood tests, imaging like x-rays, ultrasound, bone scans or MRI, and tissue sampling. Treatment involves antibiotics along with surgical drainage and debridement if abscesses form or the infection fails to respond to antibiotics alone. Chronic osteomyelitis can develop if not properly
Osteomyelitis is an inflammatory process of bone and bone marrow caused by a bacterial infection. It can be acute, subacute, or chronic depending on the duration of infection. Acute osteomyelitis most commonly affects children and is usually caused by Staphylococcus aureus in the metaphysis of long bones. Chronic osteomyelitis results from inadequate treatment of acute osteomyelitis and is characterized by persistent infection, bone necrosis, sinus tract formation, and bone destruction seen on imaging. Treatment involves long-term antibiotics and surgical debridement to remove infected bone. Physical therapy focuses on restoring range of motion, strength, and mobility while protecting the infected bone during recovery.
Osteomyelitis is an inflammatory process of bone caused by bacterial infection. It can be acute, subacute, or chronic depending on duration. The most common causative organism is Staphylococcus aureus. Acute osteomyelitis typically affects children and causes fever, pain, and swelling near the infected bone. Chronic osteomyelitis results from inadequate treatment of acute osteomyelitis and causes persistent infection, bone necrosis, and sinus tract formation. Surgical debridement along with long-term antibiotics is usually required to treat chronic osteomyelitis. Rehabilitation focuses on restoring range of motion and strength through exercises.
This document discusses bone destruction patterns caused by periodontal disease. It identifies the main causes of bone destruction as the extension of gingival inflammation, trauma from occlusion, and systemic disorders. It describes several patterns of bone loss seen in periodontal disease, including horizontal, vertical, osseous craters, bulbous contours, reversed architecture, ledges, and furcation involvement. The rate and episodic nature of bone destruction in periodontal disease is also covered.
Jean-Martin Charcot first described neuropathic arthropathy in 1868. It is a progressive joint condition characterized by dislocations, fractures, and deformities that results from sensory or autonomic neuropathy from various conditions like diabetes, MS, alcoholism, etc. The pathophysiology involves both repetitive microtrauma from loss of sensation and an inflammatory process induced by neurovascular changes. It commonly affects the foot, knee, and hip. Diagnosis is made clinically and radiographically, showing features like joint destruction and deformity. Treatment involves casting, bracing, and surgery like fusion for advanced cases.
This document discusses osteoporosis and metabolic bone disorders. It defines osteoporosis as a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue microarchitecture, leading to fragile bones that are prone to fracture. It notes the risk factors for osteoporosis and classifies it as either primary/involutional (related to aging) or secondary (caused by underlying conditions). Radiographic features include decreased bone density, trabecular changes, cortical thinning and vertebral deformities. The document outlines evaluation of secondary osteoporosis and describes spinal manifestations visible on imaging.
BONE LOSS AND PATTERNS OF BONE DESTRUCTION ishu.pptxDr. Ishu SINGLA
Presentation on topic Bone Loss And Patterns of Bone Destruction.
This is for reading and knowledge purpose only. Text is taken from Standard books only.
Osteomyelitis is an infection of bone that can affect the jaws. It originates from Greek words meaning "bone marrow infection". The infection causes ischemia and necrosis of the infected bone. It can be acute or chronic, suppurative or nonsuppurative. Common causes are odontogenic infections, trauma, surgery, and hematogenous spread. Symptoms include swelling, pain, and draining sinus tracts. Treatment involves antibiotics, surgical drainage, debridement of necrotic bone, and hyperbaric oxygen therapy in some cases.
Hydatid cyst, caused by echinococcus granulosa, can produce tissue cyst everywhere in body.Skeletal cystic lesion is rare specially in long bones like femur and because of its unusual presentation, its diagnosis may easily be missed, unless be kept in mind. Hydatid disease is a parasitic infestation of the humans that can practically affect any part of the body. It commonly affects liver, lung and muscles. Bone hydatid is less common occurring in only 0.5e2% of cases and humans act as an intermediate host. In the patient evaluated by us, the plain x-ray showed
multiple osteolytic lesions along the lower one third of the femur and the upper end of tibia.
This document discusses osteomyelitis, an inflammation of bone tissue. It begins with definitions of osteomyelitis and classifications based on course, suppuration, and anatomical location. Etiology and pathogenesis are then reviewed, noting that osteomyelitis can arise from contiguous infections, hematogenous spread, or underlying bone diseases. Clinical features include pain, swelling and sinus tract formation. Investigations include imaging modalities like CT, MRI and scintigraphy to identify bone changes. Treatment involves antibiotics, surgery and supportive care to eliminate pathogens and promote healing.
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
The chapter Lifelines of National Economy in Class 10 Geography focuses on the various modes of transportation and communication that play a vital role in the economic development of a country. These lifelines are crucial for the movement of goods, services, and people, thereby connecting different regions and promoting economic activities.
B. Ed Syllabus for babasaheb ambedkar education university.pdf
musculoskeletal and soft tissue disorder.pptx
1. WELCOME TO
Course Title Pharmacology
Topic Name :musculoskeletal and soft
tissue disorder
By Ms. Fouzia karim
Pharm D, M phil
Hajvery University (HU)
3. musculoskeletal
• Bone disorder
A. Osteogenesis imperfecta (brittle bone disease)
1. Definition: Inherited generalized disorder of connective tissue characterized by defective
synthesis of type I collagen
2. Epidemiology
a. MC type is autosomal dominant (AD) disease
b. Increase in perinatal death. Families with severe postmenopausal osteoporosis should be
evaluated for possible osteogenesis imperfecta.
3. Clinical findings
a. Pathologic fractures occur at birth with minimal trauma (Link 24-1).
b. Patients have blue sclera. Reflection of the underlying choroidal
veins through the thin sclera. Sclera is thin because of the lack of type I
collagen.
c. Presenile deafness occurs in patients in their 20s and 30s.
d. Other findings: short stature, scoliosis, brittle teeth, short limbs
4. Achondroplasia
• Definition: Hereditary condition associated with impaired proliferation of
cartilage at the
growth plate; results in very short limbs and sometimes a face that is small
in relation to the
(normal-sized) skull
2. Epidemiology
a. AD disease
b. Mutation in the fibroblast growth factor receptor 3 (FGFR3) gene. Gene
mutations
increase with paternal age.
3. Clinical and laboratory findings (Fig. 24-1 B; Link 24-2)
a. Macrocephaly, depressed nasal bridge
b. Shortened arms and legs, redundant skin folds in arms and legs
c. Normal serum growth hormone (GH) and insulin-like growth factor 1
(IGF-1) levels
5. Osteopetrosis (marble bone disease
• Definition: Rare inherited disease caused by a failure of the osteoclasts to
reabsorb bone; net result is the formation of dense but disorganized bone,
resulting in bone fractures
2. Epidemiology
a. The three distinct clinical forms of the disease are infantile (autosomal
recessive [AR]),
intermediate (AR), and adult onset (AD).
b. Adult form has a good prognosis; the other types have a poor prognosis.
c. Overgrowth and sclerosis of the cortical bone (“too much bone”)
3. Clinical findings
a. Pathologic fractures
b. Anemia caused by replacement of marrow cavity by bone
c. Cranial nerve compression causing visual and hearing loss
6. Osteoporosis
• Definition: The progressive loss of both organic bone matrix (osteoid) and mineralized
bone
Epidemiology
a. MC metabolic abnormality of bone
b. Risk factors
(1) Family history of osteoporosis; currently smoking cigarettes
(2) Thin body habitus; current use of corticosteroids (MC secondary cause)
(3) Sedentary life tyle, premature menopause, heavy alcohol intake
c. Bone mass peaks at age 30 years and is slightly greater in men than women.
d. During the fourth and fifth decades of life, both sexes start losing bone.
e. Loss of both organic bone matrix (osteoid) and mineralized bone produces decreased
bone mass and density.
(1) Decreased thickness of the cortical and trabecular bone (Link 24-4)
(2) Radiographs of osteoporotic bone show osteopenia (a washed-out appearance).
f. Osteoporosis is more common in women than men. Men have greater bone mass to
begin with; therefore, it takes longer for them to develop osteoporosis.
g. Primary osteoporosis
(1) Affects 80% of women and 60% of men
(2) Subdivided into idiopathic (not discussed), type I (postmenopausal women), and type
II (involutional involving men and women)
h. Secondary osteoporosis
(1) Accounts for 20% to 40% of osteoporosis in both men and women
(2) Refers to osteoporosis that exists in other disease processes, inherited disease, or as a
result of a medication side effect
7. Paget disease (osteitis deformans)
• 1. Definition: Focal disorder of chaotic bone remodeling (both formation and resorption) that
results in thick, weak bone at risk for pathologic fractures
2. Epidemiology
a. Primarily occurs in men >50 years of age. Family history positive in 40% of cases.
b. Sites of involvement in descending order: pelvis, lumbar spine, sacrum or femur, skull,
tibia, humerus, scapula; uncommon in hand, foot, and fibula .
Pathogenesis
(1) Possible association with paramyxovirus infection of osteoclasts; possible genetic
factors
(2) Early phase of osteoclastic resorption of bone; produces shaggy-appearing lytic
lesions in the bone
(3) Late phase of increased osteoblastic bone formation
(a) Produces a markedly increased level of serum alkaline phosphatase (ALP)
(b) Produces thick, weak bone in a mosaic pattern (Link 24-10 A)
3. Clinical findings in Paget disease
a. Bone pain is the MC complaint.
b. Headaches and hearing loss occur if the skull is affected.
c. Hat size is increased with skull involvement. As an integration point, recall that
acromegaly caused by GH excess also increases hat size.
d. Clinical findings and complications
(1) Pathologic bone fractures
(2) Pain and swelling overlying the bone
(3) Increased risk for developing osteosarcoma or fibrosarcoma, malignancies of bone
(<1%)
(4) Increased risk for developing high-output heart failure (see Chapter 11); caused by
numerous arteriovenous (AV) connections in the vascular bone
•
8. Osteomyelitis
Definition:
Acute or chronic infection of bone; most commonly caused by a bacterium
and less commonly by fungi and viruses
1. Acute osteomyelitis
a. Staphylococcus aureus is the overall MC pathogen causing acute
osteomyelitis (70% to 89%) followed by Streptococcus (Streptococcus
pyogenes, viridans Streptococcus, Streptococcus pneumoniae).
Clinical feature;
• Bone pain with systemic sign of infection.( fever, leukocytosis).
• Lytic focus surrounded sclerosis of bone on x ray .
• diagnosis is made by blood culture.
9. • (a) S. paratyphi is the usual causative agent (50%–70% of cases).
.
(b) Common organisms include P. aeruginosa and Serratia marcescens.
Other pathogens include S. aureus and Eikenella spp.
• Direct implantation
(1) Direct implantation of P. aeruginosa caused by puncture of a foot through
rubber footwear produces a localized osteomyelitis.
(2) Prosthetic joints: microorganisms typically grow in biofilm, which protects
bacteria from antimicrobial treatment and the host immune response.
10. Chronic osteomyelitis; epidemiology
a.Treatment of refractory acute osteomyelitis (osteo) is the most frequent cause.
b. Approximately 10% to 30% of acute osteomyelitis progresses into chronic
osteomyelitis.
c. In elective trauma surgery, chronic osteomyelitis occurs in 1% to 5% after closed
fractures and, depending on severity, 3% to 50% after open fractures.
. Clinical findings of osteomyelitis include abrupt fever, bone pain (usually back in
86% of cases), and swelling.
. Diagnosis
Imaging studies: plain radiography, magnetic resonance imaging (MRI;
is the most accurate (test of choice for vertebral osteomyelitis),
technetium bone scan (detects early lesions), gallium scintigraphy with single-photon
emission computed tomography (SPECT).
11. Neoplastic disorders of bone; epidemiology
• 1. Metastasis is the MC malignancy of bone. Breast
cancer is the MC primary tumor that metastasizes to
bone.
2. Primary malignant tumors of bone, in descending
order of frequency
• Multiple myeloma , osteosarcoma, chondro sarcoma,
and Ewing sarcoma.
12. Joint Disorders
• A. Synovial fluid analysis
1. Routine studies performed on synovial fluid
include WBC count and differential, crystal
analysis, culture, and Gram stain.
2. Crystal identification
a. Monosodium urate (MSU)
(1) Definition: Needle-shaped (monoclinic) crystal
(2) Special polarization of the crystals shows negative
birefringence.
• Definition: A crystal that is yellow when parallel to
the slow ray of the compensator
13. • b. Calcium pyrophosphate
(1) Definition: Monoclinic-like or triclinic (rhomboid)
crystal
(2) Special polarization of the crystals shows positive
birefringence.
• Definition: A crystal that is blue when parallel to the
slow ray of the compensator
14. Classification of joint disorders
1. Group I
Noninflammatory joint disease
Examples: OA, neuropathic joint
2. Group II
Inflammatory joint disease
Examples: rheumatoid arthritis (RA), gout
15. Classification of joint disorders
3. Group III
Septic joint disease
Examples: Lyme disease (LD), disseminated
gonococcemia (GC)
4. Group IV
Hemorrhagic joint disease
Examples: trauma, hemophilia A and B
16. Signs and symptoms of joint disease
• 1. Arthralgia is a general term for joint pain.
2. Arthritis connotes inflammation of the joint associated with
pain, swelling, tenderness, and warmth.
3. Morning stiffness
Definition: Pain or stiffness in the joints that lasts >30
minutes.
Examples: RA, systemic lupus erythematosus (SLE),
polymyalgia rheumatic.
4. Abnormal joint mobility
Caused by damage to ligaments and the joint capsule
Example: a tear of the anterior cruciate ligament (ACL) in the
joint.
17. 5. Swelling of the joint (effusion)
Caused by increased joint fluid. Examples: exudate
(protein- and neutrophil-rich fluid),
blood.
6. Redness (rubor) and warmth (calor; “hot joint”) of
the joint
Examples: septic arthritis, RA
7. Joint crepitus with motion; refers to a crackling
feeling .
18. Osteoarthritis (OA)
Definition:
Progressive degeneration of articular cartilage that mainly targets
weight-bearing joints or joints that are used very frequently (e.g.,
joints in the hands and feet).
Epidemiology
a. Noninflammatory joint disease; no sex predilection
b. Almost universally present in those older than 65 years of age
20. • Common sites
(1) Femoral head, knee
(2) Cervical and lumbar vertebrae
(3) Hands (usually genetic)
• Less common sites.
(1) Shoulder, elbow
(2) Feet with the exception of the first metatarsophalangeal (MTP) joint
MTP joint is the site for bunion formation.
• Pathogenesis
Components of normal articular cartilage
(1) Proteoglycans (provide elasticity)
(2) Type II collagen (provides tensile strength)
21. • Clinical findings
(1) Osteophytes irritate the synovial lining.
(2) Bone rubs on bone.
(3) Hip OA may refer pain to the groin.
(4) Pain is aggravated with movement of the joint. Pain is caused by a secondary
synovitis from osteophytes
• Diagnosis of OA
a. Plain radiographs (Link 24-33 B)
b. MRI is good for synovial tissue abnormalities and effusions.
c. ESR and CRP are usually normal.
d. Synovial fluid is noninflammatory
22. Neuropathic arthropathy
Definition:
Noninflammatory joint disease secondary to a
neurologic disease. Loss of proprioception
(unconscious sense of position) and deep pain
sensation (loss of pain in the joint) leads to
recurrent trauma.
23. • Epidemiology; causes
a. Diabetes mellitus
b. Syringomyelia: degenerative disease of the cervical spinal cord
characterized by the presence of a fluid-filled cavity; primarily affects the
shoulder, elbow, and wrist joints.
c. Tabes dorsalis ;posterior columns of the spinal cord causing a loss of pain
sensation that primarily affects the hip, knee, and ankle joints
24. Rheumatoid arthritis
Definition:
Systemic disorder associated with chronic joint inflammation that most
commonly affects the peripheral joints (wrists, hands, feet).
Epidemiology
a. Female-to-male ratio is 3:1; prevalence, 1% of population.
b. In women, it typically occurs in the 30- to 50-year age bracket; MC joint disease in
women.
c. Various human leukocyte antigen (HLA) associations (HLA-DR4) that involve
intracellular signaling and production of certain types of synovial citrullinated
proteins.
25. Rheumatoid arthritis
Epidemiology
d. Microbial inciting agents that initiate synovial
inflammation include Epstein-Barr virus (EBV),
parvovirus B19, human herpesvirus 6, and Mycoplasma
spp.
e. Risk factors include age, female sex, tobacco use,
obesity.
26. Pathogensis(RA)
• Pathogenesis of joint disease may involve both type III and type IV
reactions.
a. One proposed mechanism is CD4+ helper T cells (cell-mediated type IV)
are activated, leading to release of pro inflammatory agents (e.g., TNF).
b. Inflamed synovial cells express an antigen that triggers B cells to
produce rheumatoid factor (RF). RF is an IgM autoantibody that has
specificity for the Fc portion of IgG.
c. Chronic synovitis and pannus formation eventually occur .
f. Pannus is granulation tissue that is formed within the synovial tissue by
fibroblasts and inflammatory cells.
d. Destroy the articular cartilage, leading to fusion of the joint by scar
tissue (called ankylosis). Bone erosions are caused by osteoclasts
27. Sjögren syndrome (SS)
Definition:
Autoimmune disease characterized by the destruction of minor salivary glands
(dry mouth) and the lacrimal glands (dry eyes).
Epidemiology
a. Primary and secondary subtypes (associated with other autoimmune diseases)
b. Female-dominant autoimmune disease (10:1 female-to-male ratio).
Clinical findings
Dry eyes described by the patient as “sand in my eyes”
Autoimmune destruction of the lacrimal glands
Xerostomia or dry mouth
28. Laboratory findings in SS
Anti–SS-A antibodies (anti-Ro; 60%-70%) and
anti–SS-B (anti-La; 40%-60%).
Anti–SS-B antibodies (anti-La) are present in
60% to 90% of cases.
Confirmation of SS is secured with a lip biopsy
showing lymphoid destruction of the minor
salivary gland.
29. Juvenile idiopathic arthritis
A type of arthritis in children <17 years of age that has
several subgroups with different clinical characteristics,
pathogenesis, and response to therapy.
Epidemiology
(1) Accounts for ~10% of all cases of JIA
(2) Peak age of onset is 2 to 4 years of age.
(3) Male:female sex ratio is equal (1:1).
30. Clinical findings
• Commonly presents as an “infectious disease” with fever
spikes once or twice a day,
sore throat, rash, polyarthritis, and generalized painful
lymphadenopathy.
• ( Extra articular features include rash, hepatomegaly, and
splenomegaly.
• persistent fever,prolonged prothrombin time and partial
thromboplastin time, liver dysfunction, hypertriglyceridemia,
and central nervous system (CNS) signs (coma, seizures).