Summary of bone and joint comments in Visual Studio .NET

Generator EAN13 in Visual Studio .NET Summary of bone and joint comments

Summary of bone and joint comments
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In this book, we can only provide a brief overview of some of the main bones and joints Please consult our close cousins, ANATOMY DEMYSTIFIED and PHYSIOLOGY DEMYSTIFED, for many more fun and interesting details!
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DISORDERS OF BONES AND JOINTS
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Now that we have looked at the biological order (normal A&P) of bones and joints, it is time we became more clinical Speci cally, we need to address some of the common biological disorders that can occur in these organs
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Bone fractures
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What is the rst thing that comes to mind when we speak of bone disorders Probably bone fractures, right A fracture is a break in a bone What causes this break or fracture The answer is: excessive bone stress or bone strain Bone stress is the amount of physical force being applied to a bone It can be measured in units of pounds of pressure per square inch of bone surface Every time you get up out of your chair, for example, and rise into a standing position, the amount of femoral stress greatly increases This increased stress
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PART 3
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Bones and Muscles
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exerted upon the femur is a result of such things as the force of gravity acting upon your body weight Nevertheless, normostress (NOR-moh-stress) bone stress that remains within a normal range is a quite appropriate and even healthy situation (Figure 76, A) [Visualization suggestion: Imagine a long wooden stick or tree limb Now bend both ends of the stick with your hands This creates a condition of stick stress] Bone strain is the amount of deformation or change in shape that occurs as a result of bone stress If you could observe your femurs closely enough when you rst stand up, for instance, you would see them undergo a small
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(Pulling) tension (A) UNL UNL
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Bone stress Hyperstress (B) UNL
Bone strain Hyperstrain UNL
Bone collagen fibers get stretched
Bone stress
Bone strain
Excessive tension
Femur ("thigh bone")
Bone fractures
Bone collagen fibers snap and rupture, then pull apart
Fig 76 Bone stress, bone strain, and bone fracture (A) Bone normostress results in
bone normostrain Tension is placed upon bone collagen bers, but only up to the upper normal limit (UNL), not enough to make them snap (B) Bone hyperstress results in bone hyperstrain (beyond the UNL) Excessive tension upon bone collagen bers makes them snap, rupture, and pull apart Bone fracture results
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amount of bone strain, bending and bowing out a bit But like normostress, bone normostrain (NOR-moh-strain) is quite ordinary and appropriate in everyday life [Visualization suggestion: Take that imaginary stick of yours and again apply force to both ends of it When you see the stick bend, it represents the occurrence of stick strain] The potential problems arise when bone stress rises far above its upper normal limit (Figure 76, B) This situation might occur, say, if you fell off a high roof and landed on both feet! The resulting impact with the ground would result in hyperstress (HIGH-per-stress) an excessive or above normal (hyper-) amount of bone stress Such large impact forces upon the femur would likely result in bone hyperstrain This word means, of course, an excessive or above normal amount of bone strain Such an excessive amount of bone strain would probably overstretch and tear the many collagen bers located within the bone matrix (Visualize collagen bers as thick ropes that snap when overstretched) When the overstretched collagen bers rupture and separate, the resulting crack shows up on the surface as a bone fracture
DIFFERENT TYPES OF BONE FRACTURES
As you might suspect, bones can fracture in several different ways Figure 77 provides an orienting framework One way of classifying fractures is by the degree of bone breakage A complete fracture is a break all the way through a bone, such that two or more separate pieces result Conversely, an incomplete or greenstick fracture is a break that extends only partway through a bone, such that the bone still remains in one piece The colorful term, greenstick, suggests a comparison to a young, green stick growing on a tree When you apply hyperstress and hyperstrain to the green stick with both your hands, it usually doesn t fracture cleanly More likely, it will just partially tear and shred [Thinking suggestion: Who would be more likely to suffer a greenstick fracture of the femur: an adult, or a young child Explain your reasoning] Another way of classifying fractures is according to the amount of damage to the overlying skin A simple fracture is one that involves only a break in a bone, with no damage to the overlying skin A compound fracture, in comparison, is a fracture where a break in the bone is compounded or made worse by a break in the overlying skin [Thinking probe: Toxemia (tahk-SEE-mee-uh) is a condition of blood (-emia) poisoning (tox) Bacterial toxemia, for instance, occurs when the poisons of infecting bacteria get into the bloodstream Now, which type of fracture is most likely to lead to a case of bacterial toxemia: simple fractures, or compound fractures Why ]
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