The Hip - book

Pagets Disease

– Discussion: – a chronic progressive disease osteoblasts and osteoclasts which results in abnormal bone remodeling; – etiology, staging, and pathogenesis – prevalence: – uncommon in pts under age of 55 yrs but relatively common in later life, occurring in 3-4% of persons over 55 yrs & occurs in 10% in pts over age 80; – reference: – … Read more

Osteopetrosis

– Discussion: – osteopetrosis is failure of osteoclastic and chondroclastic resorption; – bones become exceedingly dense; – marrow space is filled w/ unresorbed dense bone; – disease results from lack of osteoclastic resorption, leading to thickened bones & exclusion of marrow cavity; – there is absence of marrow elements & these patients are susceptible to … Read more

Osteoporosis

– Discussion:                                                                                                               – most common metabolic bone dz;      – definition:            – what appears to be a characteristic of osteoporosis is an uncoupling of the osteoblastic and osteoclastic processes;            – WHO definition: a bone mineral density that is 2.5 SD below the mean peak value … Read more

Osteomyelitis in the Child

– Pathogenesis:     – osteomyelitis occurs most frequently in the long bones of lower extremities, & to a lesser extent the upper extremities;     – hematogenous osteomyelitis     – pediatric bone circulation: tortuous course of nutrient vessels in bone causes bacteria to be trapped in the metaphysis;     – epiphyseal plate prevents infection from entering the … Read more

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

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

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