Medical Terminology A LIVING LANGUAGE Fifth Edition CHAPTER 4 Musculoskeletal System Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Multimedia Directory Slide Slide Slide Slide Slide Slide Slide Slide Slide Slide Slide Slide Slide Slide 81 94 97 105 112 140 157 159 161 164 166 168 169 170 Chiropractic Medicine Video Fracture Animation Osteoporosis Video Arthritis Video Arthroscopy Video Muscles Animation Humerus Adduction/Abduction Animation Elbow Flexion/Extension Animation Ankle Dorsiflexion and Plantar Flexion Animation Ankle Inversion and Eversion Animation Elbow Pronation and Supination Animation Humerus Circumduction Animation Hand Opposition Animation Humerus Rotation Animation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Multimedia Directory Continued Slide Slide Slide Slide 182 189 191 192 Muscle Atrophy Video Muscular Dystrophy Video Carpal Tunnel Video Carpal Tunnel Animation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System at a Glance • Functions of Skeletal System Internal framework of body Supports body Protects internal organs Point of attachment for muscles Produces blood cells Stores minerals Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System at a Glance • Organs of Skeletal System Bones of the skeleton Joints Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Illustrated Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Combining Forms • • • • • • • • ankyl/o – stiff joint arthr/o – joint articul/o – joint burs/o – sac carp/o – wrist cervic/o – neck chondr/o – cartilage clavicul/o – clavicle Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Combining Forms • • • • • • • • coccyg/o – coccyx cortic/o – outer portion cost/o – rib crani/o – skull femor/o – femur fibul/o – fibula humer/o – humerus ili/o – ilium Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Combining Forms • • • • • • • • ischi/o – ischium kyph/o – hump lamin/o – lamina, part of vertebra lord/o – bent backwards lumb/o – low back, loin mandibul/o – mandible maxill/o – maxilla medull/o – inner portion Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Combining Forms • • • • • • • • metacarp/o – metacarpals metatars/o – metatarsals myel/o – bone marrow orth/o – straight oste/o – bone patell/o – patella ped/o – foot, child pelv/o – pelvis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Combining Forms • • • • • • • • phalang/o – phalanges pod/o – foot prosthet/o – addition pub/o – pubis radi/o – radius, ray sacr/o – sacrum sarc/o – flesh scapul/o – scapula Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Combining Forms • • • • • • • • scoli/o – crooked, bent spin/o – spine spondyl/o – vertebrae stern/o – sternum synovi/o – synovial membrane synov/o – synovial membrane tars/o – ankle thorac/o – chest Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Combining Forms • tibi/o – tibia • uln/o – ulna • vertebr/o – vertebra Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Suffixes • • • • • –blast –clasia –desis –listhesis –porosis immature, embryonic to break surgically stabilize, fuse slipping porous Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Bones are body organs with blood supply, nerves, and lymphatic vessels • Bones are connected to each other to form skeleton Framework for the body 206 bones Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Red bone marrow within bones produces blood cells • Bones also: Protect vital organs Store minerals Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Joint Place where two bones meet Held together by ligaments Gives flexibility to skeleton Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Bones • Also called osseous tissue • One of hardest materials in body • Formed from gradual process before birth called ossification • Fetal skeleton is formed from a cartilage model Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Bones • Flexible tissue is gradually replaced by osteoblasts (immature bone cells) • In adult bones osteoblasts mature into osteocytes • Formation of strong bones dependant on adequate supply of minerals Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Four Shapes of Bones Long bones Short bones Flat bones Irregular bones Longer than Roughly as wide long as wide Plateshaped Shape very irregular Example: femur humerus Example: sternum scapula pelvis Example: vertebrae Example: carpals tarsals Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.1 Classification of bones by shape. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Long Bones • Majority of bones in body • Divided into: Diaphysis Epiphysis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Diaphysis • Central sht • Medullary cavity Open canal within diaphysis Contains yellow bone marrow • Mostly fat Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Epiphysis • Wide ends of long bone Distal epiphysis Proximal epiphysis • Articular cartilage Covers epiphysis Prevents bone rubbing on bone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Periosteum • Covers surface of bone not covered by articular cartilage • Thin connective tissue membrane • Contains numerous nerve and lymphatic vessels Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Compact Bone • Also called cortical bone • Very dense and hard • Outer layer of bone • Found in both epiphysis and diaphysis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Cancellous Bone • Also called spongy bone • Found inside bone • Has spaces containing red bone marrow Manufactures blood cells Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.2 Components of a long bone. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Bony Processes • Projection from the surface of a bone • Rough processes provide place for muscle attachment • Smooth rounded processes articulate with another bone in a joint • Named for shape and location Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Common Bony Processes Head Large smooth ball-shaped end of a long bone Condyle Smooth rounded portion at end of bone Epicondyle Projection above or on a condyle Trochanter Large rough process Tubercle Small rough process Tuberosity Large rough process Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.3 Bony processes found on the femur. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Bony Depressions sinus Hollow cavity within bone foramen Smooth opening for nerves and blood vessels fossa Shallow cavity or depression within a bone fissure Deep grooves or slit-like opening Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Skeleton • Skeleton has two divisions Axial skeleton Appendicular skeleton Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Axial Skeleton • Includes bones in: Head Neck Spine Chest Trunk Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.4 Bones of the axial skeleton. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Skull • Is divided into two parts Cranium Facial bones • Protects brain, eyes, ears, nasal cavity, and oral cavity • Attachment for muscles of chewing and turning the head Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Cranium • Frontal – 1 Forehead • Parietal – 2 Upper sides and roof of skull • Temporal – 2 Sides & base of skull Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Cranium • Ethmoid – 1 Part of eye orbit, nose, & floor of skull • Sphenoid – 1 Part of floor of skull • Occipital – 1 Back & base of skull Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.5 Bones of the skull. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Facial Bones • Mandible – 1 Lower jawbone • Maxilla – 1 Upper jawbone • Zygomatic – 2 Cheek bones • Vomer – 1 Part of nasal septum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Facial Bones • Palatine – 1 Hard palate and floor of nose • Nasal – 2 Part of nasal septum and bridge of nose • Lacrimal – 2 Inner corner of eye Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.5 Bones of the skull. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Hyoid Bone • Single U-shaped bone • In neck between mandible and larynx • Attachment point for swallowing and speech muscles Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Trunk • Vertebral column • Sternum • Rib cage Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Vertebral Column • Divided into five sections Cervical Thoracic Lumbar Sacrum Coccyx Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Vertebral Column • Cervical 7 vertebrae of neck • Thoracic 12 vertebrae of chest • Lumbar 5 vertebrae of low back Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Vertebral Column • Sacrum 5 fused vertebrae at base of spine • Coccyx 3–5 small vertebrae attached to sacrum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.6 Divisions of the vertebral column. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Rib Cage • 12 pairs of ribs • Attached to vertebral column at back • Provides support for organs, such as heart and lungs Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht The Rib Cage • True ribs 10 pairs attached to sternum in front • Floating ribs Inferior 2 pairs No attachment in front Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.7 The structure of the rib cage. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Appendicular Skeleton • Includes bones of: Pectoral girdle Upper extremity Pelvic girdle Lower extremity Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.8 Bones of the appendicular skeleton. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pectoral Girdle • Attaches upper extremity to axial skeleton • Articulates with: Sternum anteriorly Vertebral column posteriorly • Consists of: Clavicle – collar bone Scapula – shoulder blade Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Upper Extremity • Arm • Consists of: Humerus – upper arm Ulna – part of forearm Radius – part of forearm Carpals – wrist bones Metacarpals – hand bones Phalanges – finger bones Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.9 Anatomical and common names for the pectoral girdle and upper extremity. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pelvic Girdle • Also called os coxae, innominate bone, or hipbone • Attaches lower extremity to axial skeleton • Articulates with sacrum posteriorly • Consists of: Ilium Ischium Pubis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Lower Extremity • Leg • Consists of: Femur – thigh bone Patella – knee cap Tibia – shin bone Fibula – lower leg bone Tarsals – ankle bones Metatarsals – foot bones Phalanges – toe bones Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.10 Anatomical and common names for the pelvic girdle and lower extremity. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Joints • Formed where two bones meet • Also called an articulation • Three types based on movement allowed between the two bones: Synovial Cartilaginous Fibrous Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Synovial Joints • • • • Freely moving joints Most common type of joint Example is ball-and-socket joint Bones held together by ligaments Strong bands of connective tissue • Some contain a bursa Sac-like structure lined with synovial membrane Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Synovial Joints • Enclosed in an elastic joint capsule • Contains synovial fluid Lubricant secreted by synovial membrane • Ends of bones are covered with articular cartilage Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.12 Structure of a synovial joint. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Cartilaginous Joints • Allow slight movement • Hold bones firmly in place by solid piece of cartilage • Example Pubic symphysis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Fibrous Joints • Allow almost no movement • Joined by thick fibrous tissue • Example Sutures of the skull Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.11 Examples of three types of joints found in the body. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Combining Forms • • • • cutane/o – skin erythr/o – red path/o – disease system/o – system Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • • • -ac -al -algia -ar -ary -centesis -eal -ectomy pertaining to pertaining to pain pertaining to pertaining to puncture to withdraw fluid pertaining to surgical removal Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • • • -genic -gram -graphy -iatry -ic -itis -logy -malacia producing record process of recording medical treatment pertaining to inflammation study softening Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • • • -metry -oma -ory -osis -otomy -ous -pathy -plasty process of measuring tumor pertaining to abnormal condition cutting into pertaining to disease surgical repair Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • -scope • -scopy • -stenosis • -tic • -tome instrument for viewing process of visually examining narrowing pertaining to instrument used to cut Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Prefixes • • • • • • • antibiexinterintrapersub- against two external, outward between inside through below, under Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms articular pertaining to a joint carpal pertaining to the carpus (wrist) cervical pertaining to the neck clavicular pertaining to the clavicle (collar bone) coccygeal pertaining to the coccyx (tail bone) cortical pertaining to the outer portion costal pertaining to the ribs cranial pertaining to the skull femoral pertaining to to the femur Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms fibular pertaining to the fibula humeral pertaining to the humerus iliac pertaining to the ilium intervertebral pertaining to between vertebrae intracranial pertaining to inside the skull ischial pertaining to the ischium lumbar pertaining to the low back mandibular pertaining to the mandible (lower jaw) maxillary pertaining to the maxilla (upper jaw) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms medullary pertaining to the inner portion metacarpal pertaining to the metacarpus (hand) metatarsal pertaining to the metatarsus (foot) patellar pertaining to the patella (knee cap) pelvic pertaining to the pelvis phalangeal pertaining to phalanges (fingers/toes) pubic pertaining to the pubis radial pertaining to the radius sacral pertaining to the sacrum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms scapular pertaining to the scapula (shoulder blade) sternal pertaining to the sternum (breast bone) synovial pertaining to the synovial membrane tarsal pertaining to the tarsus (ankle) thoracic pertaining to thorax (chest) tibial pertaining to the tibia ulnar pertaining to the ulna Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Anatomical Terms • Intervertebral inter- + vertebr/o + -al Pertaining to between the vertebrae • Thoracic thorac/o + -ic Pertaining to the thorax (chest) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Anatomical Terms • Scapular scapul/o + -ar Pertaining to the scapula (shoulder blade) • Phalangeal phalang/o + -eal Pertaining to the phalanges (fingers or toes) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Specialties orthopedics Branch of medicine specializing in the diagnosis and treatment of conditions of the musculoskeletal system; also called orthopedic surgery. Physician is an orthopedist or orthopedic surgeon. Name derived from straightening (orth/o) deformities in children (ped/o). Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Specialties chiropractic Healthcare profession concerned with diagnosis and treatment of malalignment conditions of the spine and musculo-skeletal system with the intention of affecting the nervous system and improving health. Healthcare professional is a chiropractor. podiatry Healthcare profession specializing in diagnosis and treatment of disorders of the feet and lower legs. Healthcare professional is a podiatrist. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Chiropractic Medicine Video Click on the screenshot view a video on chiropractic medicine. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Specialties orthotics Healthcare profession specializing in making orthopedic appliances such as braces and splints. Person skilled in making and adjusting these appliances is an orthotist. Healthcare profession specializing in making artificial body parts. Person skilled prosthetics in making and adjusting prostheses is a prosthetist. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms arthralgia joint pain bursitis inflammation of a bursa callus mass of bone tissue that forms at fracture site during healing chondromalacia softening of the cartilage Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms crepitation noise produced by bones or cartilage rubbing together ostealgia bone pain osteomyelitis inflammation of bone and bone marrow synovitis inflammation of synovial membrane Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Signs & Symptoms Terms • Arthralgia arthr/o + -algia Joint pain • Chondromalacia chondr/o + -malacia Softening of the cartilage Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Signs & Symptoms Terms • Osteomyelitis oste/o + myel/o + -itis Inflammation of bone and bone marrow • Synovitis synov/o + -itis Inflammation of a synovial membrane Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Fractures closed fracture fracture with no open skin wound; also called simple fracture Colles’ fracture common wrist fracture comminuted fracture fracture where bone is shattered, splintered, or crushed compound fracture fracture with an open skin wound; also called open fracture compression fracture fracture with loss of height in vertebral body; often from osteoporosis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.13 A) Open (or compound) and B) closed (or simple) fractures. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.14 Colles’ fracture. (Charles Stewart and Associates) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Fractures fracture (FX, Fx) broken bone greenstick fracture incomplete break; one side of bone is broken, the other is bent; common in children impacted fracture bone fragments are pushed into each other oblique fracture fracture at an angle to bone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.15 X-ray showing oblique fracture of the humerus. (Charles Stewart and Associates) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Fractures pathologic fracture fracture caused by diseased or weakened bone spiral fracture fracture line spiral around shaft of bone; often slower to heal stress fracture slight fracture caused by repetitive low-impact forces like running transverse fracture fracture is straight across bone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.16 X-ray showing transverse fracture of radius. (James Stevenson/Science Photo Library/Photo Researchers, Inc.) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Fracture Animation Click on the screenshot to view an animation on fractures. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Bone Pathology chondroma tumor in cartilage; usually benign Ewing’s sarcoma cancerous tumor of shaft of long bones; spreads through periosteum; amputation is necessary to prevent metastasis exostosis bone spur myeloma tumor forming in bone marrow tissue osteochondroma tumor consisting of bone and cartilage tissue; usually benign Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Bone Pathology osteogenic sarcoma most common type of bone cancer; begins in osteocytes osteomalacia softening of bones caused by calcium deficiency; caused in children with insufficient sunlight and vitamin D osteopathy general term for bone disease osteoporosis decrease in bone mass; results in thinning and weakening of bones; porous bone easily fractures Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Osteoporosis Video Click on the screenshot to view a video on the topic of osteoporosis. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Bone Pathology Paget’s disease metabolic disease of bone; unknown cause; results in bone destruction and deformity rickets caused by calcium and vitamin D deficiency; results in bone deformities like bowed legs Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Spinal Column Pathology ankylosing spondylitis inflammatory condition resembles rheumatoid arthritis; gradual stiffening and fusion of vertebrae herniated nucleus pulposus (HNP) protrusion of an intervertebral disk; also called ruptured disk kyphosis abnormal increase in curve of thoracic spine; humpback lordosis abnormal increase in forward curvature of lumbar spine; swayback scoliosis lateral curve of spine Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.17 Magnetic resonance imaging (MRI) image demonstrating a herniated nucleus pulposus putting pressure on the spinal cord. (Michelle Milano/Shutterstock) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.18 Abnormal spinal curvatures: kyphosis, lordosis, and scoliosis. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Spinal Column Pathology spina bifida congenital anomaly; vertebra fails to fully form around spinal cord spinal stenosis narrowing of spinal canal; causes pressure on spinal cord and nerves spondylolisthesis forward sliding of lumbar vertebra over vertebra below it spondylosis general term for degenerative vertebral column condition whiplash cervical muscle and ligament sprain Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Joint Pathology bunion inflammation of bursa at base of great toe dislocation bones in joint are displaced from normal alignment osteoarthritis results in degeneration of bone and (OA) joints; bone rubs against bone rheumatoid arthritis (RA) autoimmune inflammation of joints with swelling, stiffness, pain; results in joint deformities Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.19 Patient with typical rheumatoid arthritis contractures. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Arthritis Video Click on the screenshot to view a video on the topic of arthritis. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Joint Pathology sprain damage to ligaments around joint due to overstretching; no dislocation or fracture subluxation incomplete dislocation; joint alignment is disrupted, but ends of bones remain in contact systemic lupus erythematosus (SLE) autoimmune disease of connective tissue affecting many systems including joints; looks like rheumatoid arthritis talipes congenital deformity of ankle misalignment; clubfoot Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Pathology Terms • Osteoarthritis oste/o + arthr/o + -itis Inflammation of bones and joints • Osteoporosis oste/o + -porosis Porous bones Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Pathology Terms • Kyphosis kyph/o + -osis Abnormal condition of having a hump • Spondylolisthesis spondyl/o + -listhesis Vertebral slipping Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Diagnostic Imaging arthrogram X-ray record of a joint arthrography visualizing joint by X-ray after injecting contrast medium into joint bone scan nuclear medicine procedure; radioactive dye is used to visualize bones; useful for identifying stress fractures and metastases dual-energy measures bone density using low dose absorptiometry X-ray; detects osteoporosis (DXA) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Diagnostic Imaging Study of spinal column after injecting myelography opaque contrast medium; useful for identifying herniated nucleus pulposus radiography uses X-rays to study internal structure of body; especially useful for visualizing bones and joints Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Endoscopic Procedures arthroscope Instrument used to view inside a joint arthroscopy Examining interior of joint with an arthroscope, a fiberoptic camera; view of joint interior appears on monitor during procedure Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Arthroscopy Video Click on the screenshot to view a video on the topic of arthroscopy. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Diagnostic Terms • Arthrogram arthr/o + -gram X-ray record of a joint • Myelography myel/o + -graphy Process of making X-ray record of spinal cord Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Diagnostic Terms • Arthroscope arthr/o + -scope Instrument to view inside a joint • Arthroscopy arthr/o + -scopy Process of viewing inside a joint Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Treatments arthrocentesis insertion of needle into joint cavity to remove fluid orthotic brace or splint used to prevent or correct deformities prosthesis artificial device to substitute for a missing or damaged body part Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures amputation removal of a limb for reasons like tumors, gangrene, or crushing injury arthroclasia forcibly break loose a fused joint arthrodesis stabilize joint by fusing bones together arthroscopic surgery performing surgery while using an arthroscope to view inside joint arthrotomy cutting into a joint bone graft bone from another source used to replace boney defect in another location Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures bunionectomy removal of bursa at base of great toe bursectomy removal of a bursa chondrectomy removal of cartilage chondroplasty repair of cartilage craniotomy cutting into the skull laminectomy removal of posterior arch of vertebra to remove compression of a spinal nerve osteoclasia intentional breaking of a bone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures osteotome instrument used to cut bone osteotomy cutting into a bone percutaneous diskectomy tube is inserted into intervertebral disk to suck out ruptured disk; may also be done with a laser spinal fusion surgical immobilization of adjacent vertebrae synovectomy removal of a synovial membrane Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures total hip implanting a prosthetic hip joint arthroplasty (THA) total knee arthroplasty (TKA) implanting a prosthetic knee joint Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.20 Prosthetic hip joint. (Lawrence Livermore National Library/Science Photo Library/Photo Researchers, Inc.) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Fracture Care cast solid material to immobilize a fracture; may be made of plaster of Paris or fiberglass fixation stabilizes fracture while it heals; external fixation includes casts and splints; internal fixation includes pins, plates, and screws reduction realigning bone fragments of fracture; closed reduction is manipulation without surgery; open reduction requires surgery traction applying a pulling force on fracture or dislocation to restore alignment Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Therapeutic Terms • Arthrocentesis arthr/o + -centesis To puncture a joint to remove fluid • Bursectomy burs/o + -ectomy The surgical removal of a bursa Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Therapeutic Terms • Craniotomy crani/o + -otomy To surgically cut into the skin • Osteoclasia oste/o + -clasia To break a bone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Pharmacology reduce the bone reabsorption of bone; reabsorption Fosamax, Boniva treats osteoporosis inhibitors and Paget’s disease supplements that calcium maintain bone supplements density; treats & Vitamin D osteomalacia, supplements osteoporosis, & rickets Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Oystercal, Cal-Citrate Skeletal System Pharmacology corticosteroids have strong antiinflammatory properties; treat rheumatoid arthritis prednisone, Medrol, Decadron nonsteroidal antiinflammatory drugs (NSAIDs) provide mild pain relief and antiinflammatory benefits; treat arthritis Advil, Motrin, Aleve, Aspirin Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Abbreviations AE above elbow AK above knee BDT bone density testing BE below elbow BK below knee BMD bone mineral density C1, C2, etc. first cervical vertebra, etc. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Abbreviations Ca calcium DJD degenerative joint disease DXA dual-energy absorptiometry FX, Fx fracture HNP herniated nucleus pulposus JRA juvenile rheumatoid arthritis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Abbreviations L1, L2, etc. first lumbar vertebra, etc. LE lower extremity LLE left lower extremity LUE left upper extremity NSAID nonsteroidal anti-inflammatory drug OA osteoarthritis ORIF open reduction – internal fixation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Abbreviations Orth, ortho orthopedics RA rheumatoid arthritis RLE right lower extremity RUE right upper extremity SLE systemic lupus erythematosus T1, T2, etc. first thoracic vertebra, etc. THA total hip arthroplasty Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal System Abbreviations THR total hip replacement TKA total knee arthroplasty TKR total knee replacement UE upper extremity Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Combining Forms Match Up 1. 2. 3. 4. 5. burs/o carp/o cervic/o chondr/o cost/o a. b. c. d. e. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht wrist neck white cartilage rib Muscular System at a Glance • Function of muscular system Individual cells are able to contract or shorten in length Shortening produces movement Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System at a Glance • Organs of muscular system Muscles Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System Illustrated Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System Combining Forms • • • • • • • • duct/o – to bring extens/o – to stretch out fasci/o – fibrous band fibr/o – fibers flex/o – to bend kinesi/o – movement muscul/o – muscle my/o – muscle Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System Combining Forms • • • • • • • • myocardi/o – heart muscle myos/o – muscle plant/o – sole of foot rotat/o – to revolve ten/o – tendon tend/o – tendon tendin/o – tendon vers/o – to turn Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System Suffixes • • • • –asthenia –ion –kinesia –tonia weakness action, condition movement tone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System Prefixes • • • • • ab– ad– circum– ein- away from towards around outward, without inward, without Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomy and Physiology • Bundles of parallel muscle tissue fibers • Fibers contract Shorten in length Produce movement Move bones closer together Push food through digestive system Pump blood through blood vessels Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscles Animation Click on the screenshot to view an animation on muscles. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Types of Muscles • Skeletal muscle • Smooth muscle • Cardiac muscle Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Types of Muscles • Voluntary muscles Consciously choose to contract the muscle Skeletal muscles • Involuntary muscles Under control of subconscious brain Smooth muscles and cardiac muscle Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.21 The three types of muscles: skeletal, smooth, and cardiac. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal Muscles • Attached to bones • Produce voluntary movement of skeleton • Also referred to as striated muscle Looks striped under microscope Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal Muscles • Muscle is wrapped in layers of connective tissue Called fascia Tapers at the end to form tendon Inserts into periosteum to attach muscle to bone • Are stimulated by motor neurons Point of contact with muscle fiber is called myoneural junction Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.22 Characteristics of the three types of muscles. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Smooth Muscles • Associated with internal organs Also called visceral muscle Stomach Respiratory airways Blood vessels • Called smooth because has no microscopic stripes • Produces involuntary movement of these organs Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.22 Characteristics of the three types of muscles. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Cardiac Muscle • Also called myocardium • Makes up walls of heart • Involuntary contraction of heart to pump blood Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.22 Characteristics of the three types of muscles. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscle Names rectus abdominis straight abdominal muscle Origin and insertion sternocleidomastoid named for its two origins: sternum and clavicle Size gluteus maximus large buttock muscle Location Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscle Names flexor carpi muscle that bends the wrist Fiber direction external oblique abdominal with fibers running on an angle Number of attachment points biceps muscle with two heads Action Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal Muscle Actions • Skeletal muscles attach to two different bones and overlap a joint • When muscle contracts both bones move, but not equally Origin: less moveable of 2 bones Insertion: more moveable of 2 bones Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Skeletal Muscle Actions • Action Type of movement produced by the muscle • Antagonistic pairs Pair of muscles arranged around a joint Produce opposite actions Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Movement Terminology abduction movement away from midline of body adduction movement toward midline of body flexion act of bending or being bent extension brings limb into a straight condition dorsiflexion backward bending of foot plantar flexion bending sole of foot; pointing toes Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.23 Abduction and adduction of the shoulder joint. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Humerus Adduction/Abduction Animation Click on the screenshot to view an animation on humerus adduction and abduction. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.24 Flexion and extension of the elbow joint. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Elbow Flexion/Extension Animation Click on the screenshot to view an animation on elbow flexion and extension. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.25 Dorsiflexion (A) and plantar flexion (B) of the ankle joint. (Poulsons Photography/Shutterstock) Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Ankle Dorsiflexion and Plantar Flexion Animation Click on the screenshot to view an animation on ankle dorsiflexion and plantar flexion. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Movement Terminology eversion turning outward inversion turning inward pronation turning palm downward supination turning palm upward elevation to raise depression to drop down Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.26 Eversion and inversion of the foot. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Ankle Inversion and Eversion Animation Click on the screenshot to view an animation of ankle inversion and eversion. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Figure 4.27 Pronation and supination of the forearm. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Elbow Pronation and Supination Animation Click on the screenshot to view an animation of forearm pronation and supination. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Different Circular Movements • Circumduction Movement in circular direction from a central point • Opposition Moving thumb away from palm to contact tip of other fingers • Rotation Moving around a central axis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Humerus Circumduction Animation Click on the screenshot to view an animation of humerus circumduction. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Hand Opposition Animation Click on the screenshot to view an animation of thumb and finger opposition. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Humerus Rotation Animation Click on the screenshot to view an animation of humerus rotation. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Muscle Action Terms • Adduction ad- + duct/o + -ion The action of bringing toward • Flexion flex/o + -ion The action of bending Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Muscle Action Terms • Eversion e- + vers/o + -ion The action of turning outward • Rotation rotat/o + -ion The action of revolving Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Combining Forms • • • • bi/o – life carp/o – wrist electr/o – electricity later/o – side Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • • • -al -algia -ar -dynia -gram -graphy -itis -logy pertaining to pain pertaining to pain record process of recording inflammation study of Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Suffixes • • • • • • • • -opsy -otomy -ous -pathy -plasty -rrhaphy -rrhexis -trophy view of cutting into pertaining to disease surgical repair suture rupture development Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Additional Prefixes • • • • • • • • abradydysepihyperhypopolypseudo- without slow abnormal, difficult, painful over excessive insufficient many false Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Anatomical Terms fascial pertaining to fascia muscular pertaining to muscles myocardial pertaining to heart muscle skeletal pertaining to the skeleton tendinous pertaining to tendons Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Anatomical Terms • Fascial fasci/o + -al Pertaining to fascia • Myocardial myocardi/o + -al Pertaining to heart muscle Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Anatomical Terms • Muscular muscul/o + -ar Pertaining to muscles • Tendinous tendin/o + -ous Pertaining to tendons Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Medical Specialty kinesiology The science that studies movement, how it is produced, and the muscles involved. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms adhesion scar tissue in fascia; makes muscle movement difficult atrophy poor muscle development; result of muscle disease or lack of use; muscle wasting bradykinesia having slow movements contracture abnormal shortening of muscle fibers, tendons, or fascia dyskinesia having difficult or painful movements Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscle Atrophy Video Click on the screenshot to view a video on the topic of muscle atrophy. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms dystonia having abnormal muscle tone hyperkinesia having an excessive amount of movement hypertonia having excessive muscle tone hypertrophy increase in muscle bulk from using it hypokinesia having insufficient amount of movement hypotonia having insufficient muscle tone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Signs and Symptoms intermittent claudication attacks of severe pain and lameness caused by muscle ischemia; usually in calf muscles myalgia muscle pain myasthenia muscle weakness myotonia muscle tone spasm sudden, involuntary, strong muscle contraction tenodynia tendon pain Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Signs & Symptoms Terms • Hyperkinesia hyper- + -kinesis Excessive movement • Dystonia dys- + -tonia Abnormal tone Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Signs & Symptoms Terms • Tenodynia ten/o + -dynia Tendon pain • Myasthenia my/o + -asthenia Muscle weakness Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscle Pathology fasciitis Inflammation of fascia fibromyalgia widespread aching and pain in muscles and soft tissue inflammation of elbow muscles; lateral epicondylitis caused by strong gripping; tennis elbow muscular dystrophy (MD) inherited disease with progressive muscle atrophy myopathy general term for muscle disease Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscle Pathology myorrhexis tearing a muscle polymyositis inflammation of two or more muscles pseudohypertrophic muscular dystrophy one type of inherited muscular dystrophy; also called Duchenne’s muscular dystrophy torticollis severe neck spasms pulling head to one side; wryneck or crick in the neck Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular Dystrophy Video Click on the screenshot to view a video on the topic of muscular dystrophy. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pathology of Tendons, Muscles, and/or Ligaments repetitive motion disorder; compression carpal tunnel of finger tendons and median nerve as syndrome they pass through carpal tunnel of the (CTS) wrist cyst on tendon sheath; usually on hand, ganglion cyst wrist, or ankle repetitive motion disorder chronic disorders involving tendon, muscles, joints, and nerve damage; tissue is subjected to pressure, vibration, or repetitive movements Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Carpal Tunnel Video Click on the screenshot to view a video on the topic of carpal tunnel. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Carpal Tunnel Animation Click on the screenshot to view an animation on carpal tunnel. Back to Directory Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pathology of Tendons, Muscles, and/or Ligaments rotator cuff injury joint capsule of shoulder joint is reinforced by tendons; high degree of flexibility puts rotator cuff at risk for strain and tearing strain damage to muscle, tendons, or ligaments due to overuse or overstretching tendinitis inflammation of a tendon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Pathology Terms • Fasciitis fasci/o + -itis Inflammation of fascia • Fibromyalgia fibr/o + my/o + -algia Pain in muscle fibers Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Pathology Terms • Myorrhexis my/o + -rrhexis Rupture of muscle • Polymyositis poly- + myos/o + -itis Inflammation of many muscles Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Clinical Laboratory Tests creatine phosphokinase (CPK) muscle enzyme found in skeletal and cardiac muscle; elevated blood levels indicate muscle damage; seen in muscular dystrophy and heart attack Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System Diagnostic Procedures deep tendon reflexes (DTR) muscle contraction in response to stretch; used to determine if muscles are responding properly electromyogram hardcopy record produced by EMG study of strength and quality of electromyography muscle contraction in response to (EMG) electrical stimulation muscle biopsy removal of muscle tissue for examination Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Diagnostic Terms • Electromyogram electr/o + my/o + -gram Record of muscle electricity • Electromyography electr/o + my/o + -graphy Process of recording muscle electricity • Biopsy bi/o + -opsy To view life Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures carpal tunnel release cutting of ligament in wrist to relieve pressure caused by carpal tunnel syndrome fasciotomy surgically cutting into fascia myoplasty surgical repair of a muscle myorrhaphy to suture together a muscle Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Surgical Procedures tendoplasty surgical repair of a tendon tendotomy to cut into a tendon tenodesis surgical stabilization of a joint by anchoring down tendons of muscles that move the joint tenoplasty surgical repair of a tendon tenorrhaphy to suture together a tendon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Surgical Terms • Myoplasty my/o + -plasty To surgically repair a muscle • Myorrhaphy my/o + -rrhaphy To suture a muscle Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Building Surgical Terms • Tenodesis ten/o + -desis To stabilize a tendon • Tendotomy tend/o + -otomy To cut into a tendon Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Muscular System Pharmacology skeletal muscle relax skeletal muscle relaxants spasms Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Flexeril, Soma Muscular System Abbreviations CTS carpal tunnel syndrome CPK creatine phosphokinase DTR deep tendon reflexes EMG electromyogram IM intramuscular MD muscular dystrophy Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Combining Forms Match Up 1. 2. 3. 4. 5. duct/o extens/o flex/o my/o vers/o a. b. c. d. e. Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht bend muscle turn stretch bring Classroom Response System Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 1 The point where two bones meet is called a(n): A. Ligament B. Joint C. Ossification D. Periosteum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 1 The point where two bones meet is called a(n): A. Ligament B. Joint C. Ossification D. Periosteum Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 2 Another name for spongy bone is: A. Cartilaginous B. Cancellous C. Cortical D. Medullary Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 2 Another name for spongy bone is: A. Cartilaginous B. Cancellous C. Cortical D. Medullary Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 3 Which of the following is the opposite muscle action to flexion? A. Abduction B. Pronation C. Circumduction D. Extension Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 3 Which of the following is the opposite muscle action to flexion? A. Abduction B. Pronation C. Circumduction D.Extension Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 4 The shaft of a long bone is called the: A. Periosteum B. Epiphysis C. Medullary canal D. Diaphysis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 4 The shaft of a long bone is called the: A. Periosteum B. Epiphysis C. Medullary canal D.Diaphysis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 5 Cardiac muscle is found: A. B. C. D. In internal organs Attached to bones In the heart Around joints Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 5 Cardiac muscle is found: A. B. C. D. In internal organs Attached to bones In the heart Around joints Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 6 The anatomical name of the shoulder blade is: A. Scapula B. Sternum C. Coccyx D. Patella Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 6 The anatomical name of the shoulder blade is: A. Scapula B. Sternum C. Coccyx D. Patella Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 7 Freely moving joints are called: A. Cartilaginous joints B. Synovial joints C. Articulation joints D. Fibrous joints Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 7 Freely moving joints are called: A. Cartilaginous joints B. Synovial joints C. Articulation joints D. Fibrous joints Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 8 Which term refers to stabilizing a joint by fusing the bones together? A. Arthroclasia B. Arthritis C. Arthrodesis D. Arthroplasty Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 8 Which term refers to stabilizing a joint by fusing the bones together? A. Arthroclasia B. Arthritis C. Arthrodesis D. Arthroplasty Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 9 Which term means having an insufficient amount of movement? A. Hypokinesia B. Dyskinesia C. Bradykinesia D. Hyperkinesia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 9 Which term means having an insufficient amount of movement? A. Hypokinesia B. Dyskinesia C. Bradykinesia D. Hyperkinesia Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 10 Which term is also known as humpback? A. Scoliosis B. Exostosis C. Lordosis D. Kyphosis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 10 Which term is also known as humpback? A. Scoliosis B. Exostosis C. Lordosis D.Kyphosis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 11 Which term refers to an artificial device used to replace a body part? A. Cast B. Orthotic C. Orthopedic D. Prosthesis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 11 Which term refers to an artificial device used to replace a body part? A. Cast B. Orthotic C. Orthopedic D.Prosthesis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 12 Which type of fracture is caused by lowimpact repetitive forces? A. Simple B. Stress C. Greenstick D. Spiral Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 12 Which type of fracture is caused by lowimpact repetitive forces? A. Simple B. Stress C. Greenstick D. Spiral Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 13 Which of the following is commonly called a ruptured disk? A. Herniated nucleus pulposus B. Ankylosing spondylitis C. Osteomalacia D. Spina bifida Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 13 Which of the following is commonly called a ruptured disk? A. Herniated nucleus pulposus B. Ankylosing spondylitis C. Osteomalacia D. Spina bifida Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 14 Which type of injury involves overstretching of the ligaments around a joint? A. Strain B. Subluxation C. Sprain D. Talipes Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 14 Which type of injury involves overstretching of the ligaments around a joint? A. Strain B. Subluxation C. Sprain D. Talipes Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 15 Carpal tunnel syndrome is a type of: A. Repetitive motion disorder B. Muscular dystrophy C. Muscle strain D. Rotator cuff injury Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 15 Carpal tunnel syndrome is a type of: A. Repetitive motion disorder B. Muscular dystrophy C. Muscle strain D. Rotator cuff injury Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 16 Which type of arthritis is an autoimmune disease? A. Osteoarthritis B. Rheumatoid arthritis C. Subluxation arthritis D. Paget’s arthritis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 16 Which type of arthritis is an autoimmune disease? A. Osteoarthritis B. Rheumatoid arthritis C. Subluxation arthritis D. Paget’s arthritis Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 17 Dual-energy absorptiometry is used to diagnose which condition? A. Osteoarthritis B. Ewing’s sarcoma C. Osteoporosis D. Rickets Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 17 Dual-energy absorptiometry is used to diagnose which condition? A. Osteoarthritis B. Ewing’s sarcoma C. Osteoporosis D. Rickets Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 18 Which term refers to realigning bone fragments in a fracture? A. Fixation B. Myelography C. Reduction D. Amputation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 18 Which term refers to realigning bone fragments in a fracture? A. Fixation B. Myelography C. Reduction D. Amputation Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 19 Which of the following medications has strong anti-inflammatory properties? A. Corticosteroids B. Vitamin D therapy C. Muscle relaxants D. NSAIDs Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 19 Which of the following medications has strong anti-inflammatory properties? A. Corticosteroids B. Vitamin D therapy C. Muscle relaxants D. NSAIDs Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Pop Question 20 Which of the following is a diagnostic test of muscle function? A. IM B. EMG C. FX D. THA Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht Answer 20 Which of the following is a diagnostic test of muscle function? A. IM B. EMG C. FX D. THA Medical Terminology: A Living Language, Fifth Edition Bonnie F. Fremgen • Suzanne S. Frucht