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Achilles Tendon
Powerful tendon at the back of the heel, attaching the triceps sure
muscle to the calcaneus.
Anatomic Neck Construction of a humerus joint just below its
proximal articular surface.
Anterior Cruciate Ligament (ACL) Connects the femur
to the tibia in the center of your knee, stabilizing forward motion of
the tibia on the femur.
Arthritis The inflammation of a joint.
Arthroscope The Arthroscope is an instrument used to
look directly into the joints, this is used for diagnosis and
treatment.
Articular Pertaining to a joint surfaces.
Articular Cartilage Line the bones, cushioning the
joint.
Aspirate The draining of fluid from a joint space.
Autograft Any tissue transferred from one site to
another in the same individual.
Autotransfusion Simply stated, auto transfusion
makes patients their own blood donors. Prior to their scheduled
operation, patients give two units of their blood which is stored in a
blood bank until needed during or following their surgery.
Avulsion Tissue tearing away from a structure.
Baker's Cyst A swelling behind the knee due to escape
of synovial fluid that has become enclosed in the sac or membrane.
Burring When you go through damaged cartilage into underlying
bone and are unable to reach the blood supply and encourage a new
fibrous covering to grow.
Bursa The bursa is a little sac with fluid. It pad
and protects the tip of the joints.
Bursitis An Inflammation of the bursa.
Cartilage Tough, elastic connective tissue found in
ear, nose and rib ends and linings of joints.
CAT Scan Computerized Axial Tomography is commonly
referred to as a CAT scan or CT scan. This test is carried out in the
x-ray department because it is a special type of x-ray. This test is
used to show more detailed of the bony structures that are shown on the
regular x-rays. The image on the left shows a CT scan through the lower
back of a patient. The scans may also be used to create computer models
of a spine such as the fractured cervical spine shown here. The CT
scanner consists of a table upon which the patient lies. This table then
moves through the x-ray machine. It is important that during the test
the patient remain very still. The CT scan can provide very important
and valuable information to your doctor. Occasionally, the doctor will
ask that a myelogram be performed prior to the CT scan. In these
instances, you will receive a needle into the lower back before the CT
scan. Occasionally, the doctor requests that a different dye be injected
into your vein-usually in the are-before the test. The CT scan takes
approximately thirty minutes.
Cellulitis Inflammation of cellular tissue.
Chondromalacia Softening of cartilage under the knee
cap.
Compression The process of wrapping a bandage snugly
around a structure to diminish swelling.
Condyle A rounded process that occurs on many bones.
Contusion Injury to a part without a break in the
skin: a bruise; from a direct blow.
Cervical Spine The portion of the vertebral column
contained in the neck, consisting of seven cervical vertebral between
the skull and rib cage.
Crepitus A dry, crackling sound associated with joint
motion.
Compensatory Curve A spinal deformity, a secondary
curve located above or below the structural curvature, which develops in
order to maintain normal body alignment.
Debridement The removal of devitalized tissue from a
traumatic of infected lesion until surrounding healthy tissue is
exposed.
Discectomy A discectomy involves removal of part or
most of a lumbar or cervical disc (nucleus). The usual reason for
carrying out a discectomy is that part of the disc has become distorted
and is pushing on a nerve that goes from your back down the leg or from
your neck down your arm.
Discogram A discogram is used to show the structure
and integrity of the disc. This test is done in the x-rays department.
The discogram may be performed by a specialist called a radiologist. It
is advisable to drink only clear liquids on the day of your test until
it has been completed. The radiologist will numb your skin before the
discogram is performed. Once the skin has been numbed, a needle is
placed through the skin into the center of the disc. Accurate placement
of the needle is assured by using x-rays. When the needle is in a good
position, dye is injected. The radiologist will ask the patient
questions about any discomfort or sensations that may be felt during the
injection of the dye. Accurate answers to the questions is a very
important part of the discogram. If a disc is normal, the dye will
remain in the center as the jelly does in a jelly doughnut. If there is
a tear in the outer part of the disc, then the x-rays may show that the
dye leaks from the center to the outside of the disc. A discogram
usually takes about thirty (30) minutes to complete. It is advisable to
bring somebody with you when having this test. You may receive some
sedation. It is not recommended that you drive a care or use public
transportation to return home.
Dislocation Total displacement of a part.
Ecchymosis Small hemorrhage spot in the skin or mucus
membrane forming a non-elevated, rounded or irregular blue or purplish
patch (bruise).
Effusion Fluid on or in a joint.
Epicondylitis Epicondylitis is an inflammation of a
muscle or tendon at the elbow. If the outside of the elbow is inflamed
this is called lateral epicondylitis (tennis elbow). Medical
epicondylitis occurs when the inside of the elbow is inflamed.
Epiphysitis Inflammation of any epiphysis (growth
center/end of long bone).
Facet Block Your back has joints which allow you to
bend forward and backwards. These joints, called facet joints, can be
damaged just like other joints in your body. The purpose of a facet
block is to determine whether back pain is due to a joint problem. The
idea is to inject some local anesthetic into a joint and determine
whether that relieves the patient of their symptoms. As the purpose of
the facet block is to ascertain whether back pain can be relived by the
injection of local anesthetic, it is very important that the patient
have the typical pain that they are complaining of before and at the
scheduled time of the test. You are no doubt aware of activities that
will produce your typical pain. If you do not have pain on the day of
your test then you should try and do activities to produce pain. This
may include walking, sitting or bending over repeatedly. The test is
carried out in the x-ray department by a radiologist. The radiologist
will inject some local anesthetic into your skin in order to numb it. A
needle is then placed into the facet joint using x-ray monitoring. Local
anesthetic is then injected into the joint. Occasionally, your doctor
may ask that other medications also be injected into the joint as well.
Fascia Sheet of fibrous tissue that envelops body
beneath skin and encloses muscle.
Flexor Tendon The flexor tendon make the wrist and
fingers move.
Fractures A fracture is a cracked or broken bone.
Your doctor may put the body part of the fracture in a splint or cast to
immobilize the fracture.
Fusion A fusion procedure is a way of stabilizing
the spine. This is achieved by attaching bone of one vertebra to another
vertebra. Most fusion’s involved taking bone from the pelvis and
packing it in between the vertebra which are to be fused. Occasionally
homogeneous bone (bone from a human donor) may be needed. This bone is
obtained from a bone bank (similar to a blood bank). It has undergone an
extensive processing procedure outlined by the Federal Government.
Occasionally, your surgeon may suggest that some metal hardware be
implanted at the time of the fusion. The purpose of these implants is to
hold the vertebra rigidly while the bone fusion is healing.
Ganglion Deep cyst filled with fluid.
Gastrocnemius Muscle Calf Muscle.
Hamstring Muscle in the back of the thigh.
Hemarthrosis Discharge or escape of blood from a
vessel into a joint or its synovial cavity.
Hemivertebra A congenital anomaly of the spine
caused by incomplete development of one side of a vertebra resulting in
a wedge shape.
Impingement A "pinching."
Inflammatory Arthritis A chronic disease, such as
rheumatoid arthritis or gout, can cause swelling and inflammation in the
joint lining. As the disease progress, cartilage may be worn away and
the joint may stiffen.
Internal Derangement A mechanical abnormal excessive
in a joint such as dislocation of semilunar cartilage's of knee joint.
Intervertebral Discs Is a cushion between adjacent
vertebral bodies. Made like a jelly donut, the outer fibrous ring
surrounds a soft jelly-like center. The fluid like center serves as a
shock absorbing mechanism.
Instability Abnormal excessive joint movement from
any cause
Laminectomy The lamina is the bone at the back of
the vertebra. Thus, the lamina makes up a significant part of the ring
in which the spinal nerves run. Laminectomy involves removing the back
half (laminate) of the spinal canal. The usual reason for doing this is
to enlarge the canal and make more room for the spinal nerves.
Lateral Collateral Ligament (LCL) Runs on the
outside of the knee and limits "bowleg" type stresses.
Ligaments Are tough fibrous bands that join together
individual vertebrae and form the capsule at the facet joint.
Lumbar Fusion Fusion involves the bonding together
of two or more vertebrae. It takes many months for this bone healing to
occur. For this reason, you should not participate in any forms of
exercise during the first three (3) months except for the exercises
shown to you in the hospital. Bending and twisting are to be avoided as
they can cause disruption at the fusion area.
Medial Collateral Ligament (MCL) Runs down the
inside of the knee joint connecting the femur to the tibia and limiting
the knock-knee type stresses.
Meniscus 1. Lateral Meniscus 2. Medial Meniscus
Semilunar cartilage that absorbs shocks in the joint. 1. On the outside
of your knee. 2. On the inside of your knee.
MRI Scan Magnetic Resonance Imaging is a valuable
test. This test is used to show the soft tissues such as disc, muscles,
spinal cord or spinal nerves. An MRI scanner is basically a very large
magnet. It does not use any form of irradiation. The patient lies down
on a table which is then moved into the machine. The tunnel in which the
patient lies is not very large and thus some patients with
claustrophobia have difficulty with this test. If you are uncomfortable
in enclosed spaces, mention this to the doctor and MRI scanning staff.
Often it is possible to provide a relaxing medication prior to this test
to make it less stressful. As the test is performed, the magnet is
turned on and off. This makes a lot of noise but does not hurt and it is
not a cause of alarm. It is important to remain as still as possible
during the MRI scan. Most MRI scans take one (1) to one and a half
(1-1/2) hours to complete.
Myelogram The myelogram is a diagnostic test which
is performed in the x-ray department. It consists of five or six x-rays
taken following an injection of a special substance that can be seen on
x-ray films. It is used to outline the spinal cord in the spinal canal
and a portion of the nerves that leave the spinal cord at each vertebral
level. The radiologist will inject a local anesthetic into the skin
and tissues over the lower part of your spine and wait until the numbing
occurs. Once this has happened, the needle for the myelogram will be
used to introduce the dye substance into the spinal canal. It is
recommended that a patient not have a lot to eat prior to a myelogram.
The reason for this is that occasionally one can experience nausea and
vomiting after the test. After the myelogram, a rare patient may
experience headache or backache. In order to avoid these problems, it is
recommended that patients stay horizontal in bed for several hours
following the test. It is important to drink lots of fluids. You
should make sure you let you doctors know if you have a history of
seizures. In addition, you should make sure that your doctors know what
medications you are taking before a myelogram is carried out. If You
have an allergy to iodine or to shellfish, you should also inform you
doctor.
Nerve Root Injection The purpose of a nerve root
injection test is to see whether leg pain can be relieved by a local
anesthetic placed around the nerve as it exits the spine. There is no
specific preparation for a nerve root injection. The test is performed
in the x-ray department. It is very important that you have your typical
pain before and at the scheduled time of the nerve root injection. You
are no doubt aware of the activities that will produce your typical
pain. If you do not have pain prior to the test, the we suggest that you
do some activities such as walking or sitting in order to produce your
pain. The radiologist will inject some local anesthetic to freeze the
skin in a small area of your low back. A needle is then placed through
the skin near the nerve. The doctor is assisted by an x-ray picture on a
television screen or monitor. Local anesthetic is injected around the
nerve. It is very important that you note and record what happens to
your pain following the nerve root injection. If there is any change in
the location, character, or amount of pain, then you should write this
down. You should also write down the number of hours that you
experienced a change in the pain. This will help your doctor
considerably in helping to find out if there is a problem with your
nerve.
Osgood-Schlatterr's Disease Apophysitis of the
tibial tubercle.
Osteoarthritis/Degenerative Arthritis A "wear &
tear" arthritis affecting any joint.
Osteochondritis Inflammation of bone and cartilage.
Osteomyelitis Inflammation of bone due to pyogenic
infection.
Patella The patella is a flat, triangular bone
about two inches wide. It is one of the parts that make up your knee
joint.
Patellar Tendon Fibrous cord that connects the
patella to the shinbone.
Plica Bands Folds in the joint lining.
Portal Tiny incision created to allow insertion of
fluid, arthroscope, and instruments.
Posterior Collateral Ligament (PCL) Connects the
femur and tibia, limiting the backward motion of the tibia.
Quadriceps A muscle on the front of the thigh that
holds the patella against the thigh bone and helps straighten your leg.
Radiculopathy Inflammation of nerve roots at spinal
level.
Reduction Correction of Fracture 1. Closed Reduction -
manipulative reduction of a fracture without incision. 2. Open reduction
- reduction of a fracture after the incision into the fracture site.
Retinaculae Fibrous bands on the sides of the knee;
they help hold the patella in place.
Rheumatoid Arthritis A chronic inflammatory disease
of one or multiple joints.
Rupture Complete tearing or disrupting of tissue.
Scoliosis. Lateral deviation of the normal vertical
line of the spine. Scholiasts consists of a lateral curvature of the
spine with rotation of the vertebrae within the curve.
Spondylitis Is an inflammatory disease of the spine.
Spondylolisthesis An anterior displacement of a
vertebra on the adjacent lower vertebra.
Sprain Wrenching of a joint, with partial rupture of
its ligament.
Strain To over exercise; to use to an extreme and
harmful degree, or overexertion of some part of the musculature.
Subluxation Incomplete or partial displacement of a
joint.
Surgical Neck Constricted part of the humerus just below the
tuberosity.
Synovitis Inflammation of syovial membrane, usually
painful, particularly in motion, characterized by fluctuating swelling,
due to effusion in synovial sac.
Synovium The lubricative lining of all joints and
tendon sheaths.
Tendonitis An inflammation of tendons or
tendon-muscle attachments.
Tendon Connects muscle to bone or cartilage.
Tibial Plateau Area at the top of tibia (flat
portion).
Ulnar Nerve Your "funny bone" is really your ulnar
nerve. It lies close to the surface of your elbow and provides feeling
to your finger.
Valgus Deformity in which angulation is away from the
midline of the body, "Knock Knee."
Varus Deformity in which angulation is toward the
midline of the body, "bow leg."
X-Rays After obtaining a history and doing a
physical examination, your doctor may want to obtain more information
about your back and order x-rays. These are a common test and are useful
in showing the bones of your spine. You may be concerned about
radiation. Fortunately, with advances in modern technology, the amount
of irradiation from x-rays has been significantly reduced. Regular
x-rays only show bone. The disc, muscles, spinal cord and nerve roots
are not analyzed. Therefore, other studies may have to be obtained.
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