Musculoskeletal system Chapter 21

Howjsay Abduction Adduction Amputation Arthritis Bursae Bursitis Cartilage Flexion Fracture Full weight-bearing FWB Ligaments

Howjsay Muscles Muscular dystrophy Non-weight-bearing NWB Osteoarthritis Osteoporosis Partial Weight-bearing PWB Phantom limb pain Phantom sensation Prosthesis

Howjsay Rheumatoid arthritis Sling Tendons Total hip replacement THR Total knee replacement TKR

Abbreviations 1. FWB full weight bearing 2. PWB partial weight bearing 3. NWB non-weight-bearing 4. THR total hip replacement 5. TKR total knee replacement 6. ORIF open reduction internal fixation 7. CPM continuous passive motion machine 8. RICE rest ice compression elevation 9. SCD sequential compression device

Severe degenerative vs rheumatoid arthritis

Total hip replacement THR Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Radical treatment for severe arthritis or injury which prevents patient from walking without having pain.

Osteoporosis

Osteoporosis

Hip fracture The combined lifetime risk for hip, forearm and vertebral fractures coming to clinical attention is around 40%, equivalent to the risk for cardiovascular disease

Hip fracture

ORIF Definition: O.R.I.F. is an abbreviation for Open Reduction Internal Fixation. It is a method of surgically repairing a fractured bone. Generally, this involves either the use of plates and screws or a rod to stabilize the bone. If you are having a broken bone treated by ORIF, you will be taken to the operating room, given anesthesia so that you will not feel the surgery, and have your bones repaired by an orthopedic surgeon.

Hip protection http://www.youtube.co m/watch?feature=ends creen&NR=1&v=SM2 Y7S_hWh8

Hip fracture pre and post operative care Pre and post operative care by Nursing Assistant http://www.youtube.co m/watch?v=XZq1gEx Gh8k

Rehabilitation after hip replacement Read the article http://www.healthpages.or g/surgical-care/hip- precautions-after-hip- replacement-surgery/ Name at least two rules for a standing and sitting positions. Name at least three rules for lying patient. What is NAC role in care in nursing home and home health settings? Demonstrate NWB, PWB and FWB transfers.

CPM machine after total knee replacement http://www.youtube.co m/watch?v=QWfyspe9 2n0

Atrophy - Decrease in size or wasting away of a body part or tissue

Duchenne Muscular Dystrophy – genetic disorder Our boy Christopher 35 min https://www.youtube.c om/watch?v=SeRfWp0 eNGM

Fractures - classification https://www.youtube.c om/watch?v=tXFFaM dNNJk&list=PLdsqqX ltsisGaWCw75lv53bW BA7o2vjow 3 min First Aid with an open fracture 5 minhttps://www.youtu be.com/watch?v=wIFc IjnIsMo

Ankylosing Spondylitis https://www.khanacad emy.org/science/health -and- medicine/muscular- skeletal- diseases/arthritis/v/an kylosing-spondylitis 10 min

Test of context 1. What is voluntary and involuntary muscle? 2. What is dystrophy, atrophy, contracture, dislocation? 3. What is phantom sensation? 4. What is open and closed fracture? 5. After the THR the hip cannot be flexed more than _____ degrees. 6. Fluids after surgery can prevent urinary tract infection True or False