Ortho Oracle - orthopaedic operative atlas

Positive Influences on Bone Healing:

– References:        – testosterone / estrogen:                  Testosterone levels increase in association with recovery from acute fracture in men.                  Evaluating the affect and reversibility of opioid-induced androgen deficiency in an orthopaedic animal fracture model.                       Testosterone delivered with a scaffold is as effective as BMP in promoting the repair of defect of femoral … Read more

Osteomalacia

Discussion is a type of metabolic bone disease in which the essential problem is a lack of available calcium or phosphorus (or both) for mineralization of newly formed osteoid; children w/ rickets & adults w/ osteomalacia present w/ similar findings; etiology of rickets and osteomalacia hyperthyroid induced osteopenia: chronic use of anticonvulsant medication: deficiency states: … Read more

Osteomalacia from Chronic use of Anticonvulsant Medication

– Discussion: – rickets or osteomalacia may occur from most anticonvulsants; – disorder is common and may be present in upto 15% of pts; – syndrome is dangerous because of increased sensitivity of central nervous system that occurs with lowering of serum Ca concentration; – disorder can be corrected by administration of 1,25-dihydroxyvitamin D    

Osteoclasts

– See:       – osteoblasts       – osteocytes – Discussion:     – osteoclast is a large multinucleated cell that plays an active role in bone resorption;     – monocytes from the marrow or the blood serve as precursors of osteoclasts;     – osteoclasts are found in notches or … Read more

Osteocyte

– See:       – osteoblasts and osteoclasts – Discussion:     – osteocyte is mentioned as possibly having resorptive capabilities;     – it is the most numerous type of bone cell and is derived from an osteoblasts that is not longer synthesizing collagen;     – osteocytes were once considered to be dormant, metabolically inactive … Read more

Osteogenesis Imperfecta

(see also: Pyknodyostosis) Discussion disease characterized by failure of maturation and organization of collagen fibers; defect in collagen (procollagen to type I collagen sequence and abnormal cross linking) leading to decreased collagen secretion, bone fragility; there may be an inability to form normal bone due to a defect in osteoblastic function; with the formation of … Read more

Osteogenic Proteins

– Discussion:     – see: homeobox genes database     – history: discovered by Marshall Urist in the early 1960s;     – currently sixteen different proteins (BMP-1 through BMP-16) have been identified;     – these proteins can now be produced by recombinant DNA technology and are further purified by column chromatography;   … Read more

Osteoid Osteoma

– See: Bone Tumor Menu – Discussion:     – benign osseous tumor usually less than 1.5 cm in diameter, comprising 11% of all benign bone tumors;            – no cases of malignant transformation has been reported;     – occurs primarily in adolescents and less often in children;      … Read more

Osteoma

– See: Bone Tumor Menu – Discussion:     – osteoma is a rare benign tumor of bone;     – occurs most often in adolescents;     – skull, mandible, & middle third of tibia are most common involved sites;     – osteoma may produce no pain but will produce a visible and … Read more

Osteochondroma / Osteocartilaginous Exostosis

    – Discussion:     – a developmental dysplasia of peripheral growth plate which forms a cartilage capped projection of bone found near metaphyses of long bones;           – peripheral chondroblast grows outward from the metaphysis, acting as an ectopic growth plate, which ceases growth at skeletal maturation;     … Read more