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Medical Terminology A Living Language CHAPTER Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Terminology: A Living.

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Presentation on theme: "Medical Terminology A Living Language CHAPTER Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Terminology: A Living."— Presentation transcript:

1 Medical Terminology A Living Language CHAPTER Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht SIXTH EDITION Musculoskeletal System 4

2 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 continued on next slide

3 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System at a Glance Organs of skeletal system  Bones of the skeleton  Joints

4 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Illustrated

5 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 continued on next slide

6 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 continued on next slide

7 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 continued on next slide

8 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Combining Forms metacarp/o – metacarpals metatars/o – metatarsals myel/o – bone marrow orth/o – straight oste/o – bone patell/o – patella pector/o – chest ped/o – foot, child continued on next slide

9 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Combining Forms pelv/o – pelvis phalang/o – phalanges pod/o – foot prosthet/o – addition pub/o – pubis radi/o – radius, ray sacr/o – sacrum scapul/o – scapula continued on next slide

10 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 continued on next slide

11 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Combining Forms tibi/o – tibia uln/o – ulna vertebr/o – vertebra

12 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Suffixes –blastimmature, embryonic –clasiato break surgically –desisstabilize, fuse –listhesisslipping –logicpertaining to study of –porosisporous

13 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Prefixes dis-apart non-not

14 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Anatomy and Physiology of the Skeletal System 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 continued on next slide

15 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Anatomy and Physiology of the Skeletal System Red bone marrow within bones produces blood cells Bones also:  Protect vital organs  Store minerals

16 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Anatomy and Physiology of the Skeletal System Joint  Place where two bones meet  Held together by ligaments  Gives flexibility to skeleton

17 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

18 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

19 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bone Structure Long bones Short bones Flat bones Irregular bones Longer than wide Example: femur humerus Roughly as long as wide Example: carpals tarsals Plate- shaped Example: sternum scapula pelvis Shape very irregular Example: vertebrae

20 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.1 Classification of bones by shape.

21 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Long Bones Majority of bones in body Divided into:  Diaphysis  Epiphysis

22 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Diaphysis Central shaft Medullary cavity  Open canal within diaphysis  Contains yellow bone marrow Mostly fat

23 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Epiphysis Wide ends of long bone  Distal epiphysis  Proximal epiphysis Articular cartilage  Covers epiphysis  Prevents bone rubbing on bone

24 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Periosteum Covers surface of bone not covered by articular cartilage Thin connective tissue membrane Contains numerous nerve and lymphatic vessels

25 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Compact Bone Also called cortical bone Very dense and hard Outer layer of bone Found in both epiphysis and diaphysis

26 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Cancellous Bone Also called spongy bone Found inside bone Has spaces containing red bone marrow  Manufactures blood cells

27 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.2 Components of a long bone. The entire long bone is on the left side accompanied by a blow-up of the proximal epiphysis and a section of the diaphysis.

28 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bone Projections and Depressions 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 continued on next slide

29 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bone Projections and Depressions head Large smooth ball-shaped end of a long bone condyleSmooth rounded portion at end of bone epicondyleProjection above or on a condyle trochanterLarge rough process tubercleSmall rough process tuberosityLarge rough process continued on next slide

30 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bone Projections and Depressions sinusHollow cavity within bone foramen Smooth opening for nerves and blood vessels fossa Shallow cavity or depression within a bone fissureDeep grooves or slit-like opening

31 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.3 Bony processes found on the femur.

32 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeleton Skeleton has two divisions  Axial skeleton  Appendicular skeleton

33 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Axial Skeleton Includes bones in:  Head  Neck  Spine  Chest  Trunk

34 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.4 Bones of the axial skeleton.

35 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

36 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Cranial Bones Frontal – 1  Forehead Parietal – 2  Upper sides and roof of skull Temporal – 2  Sides and base of skull continued on next slide

37 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Cranial Bones Ethmoid – 1  Part of eye orbit, nose, and floor of skull Sphenoid – 1  Part of floor of skull Occipital – 1  Back and base of skull

38 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Facial Bones Mandible – 1  Lower jawbone Maxilla – 1  Upper jawbone Zygomatic – 2  Cheek bones Vomer – 1  Part of nasal septum continued on next slide

39 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

40 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.5 Bones of the skull.

41 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Hyoid Bone Single U-shaped bone In neck between mandible and larynx Attachment point for swallowing and speech muscles

42 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved The Trunk Vertebral column Sternum Rib cage

43 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved The Vertebral Column Divided into five sections  Cervical  Thoracic  Lumbar  Sacrum  Coccyx continued on next slide

44 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved The Vertebral Column Cervical  7 vertebrae of neck Thoracic  12 vertebrae of chest Lumbar  5 vertebrae of low back continued on next slide

45 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved The Vertebral Column Sacrum  5 fused vertebrae at base of spine Coccyx  3–5 small vertebrae attached to sacrum

46 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.6 Divisions of the vertebral column.

47 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved The Rib Cage 12 pairs of ribs Attached to vertebral column at back Provides support for organs, such as heart and lungs continued on next slide

48 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved The Rib Cage True ribs  10 pairs attached to sternum in front Floating ribs  Inferior 2 pairs  No attachment in front

49 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.7 The structure of the rib cage.

50 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Appendicular Skeleton Includes bones of:  Pectoral girdle  Upper extremity  Pelvic girdle  Lower extremity

51 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.8 Bones of the appendicular skeleton.

52 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bones of the Pectoral Girdle Attaches upper extremity to axial skeleton Articulates with:  Sternum anteriorly  Vertebral column posteriorly Consists of:  Clavicle – collar bone  Scapula – shoulder blade

53 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bones of the 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

54 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.9 Anatomical and common names for the pectoral girdle and upper extremity.

55 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bones of the 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

56 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bones of the 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

57 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.10 Anatomical and common names for the pelvic girdle and lower extremity.

58 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Joints Formed where two bones meet Also called an articulation Three types based on movement allowed between the two bones:  Synovial  Cartilaginous  Fibrous

59 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 continued on next slide

60 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Synovial Joints Enclosed in an elastic joint capsule Contains synovial fluid  Lubricant secreted by synovial membrane Ends of bones are covered with articular cartilage

61 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Cartilaginous Joints Allow slight movement Hold bones firmly in place by solid piece of cartilage Example  Pubic symphysis

62 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Fibrous Joints Allow almost no movement Joined by thick fibrous tissue Example  Sutures of the skull

63 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.11 Examples of three types of joints found in the body.

64 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.12 Structure of a generalized synovial joint.

65 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms ankyl/o – stiff joint arthr/o – joint burs/o – bursa carp/o – carpus cervic/o – neck chondr/o – cartilage clavicul/o – clavicle coccyg/o – coccyx continued on next slide

66 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms cortic/o – outer layer cost/o – rib crani/o – skull cutane/o – skin erythr/o – red femor/o – femur fibul/o – fibula humer/o – humerus continued on next slide

67 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms ili/o – ilium ischi/o – ischium kyph/o – hump lamin/o – lamina lord/o – bent backward lumb/o – loin mandibul/o – mandible maxill/o – maxilla continued on next slide

68 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms medull/o – inner region metacarp/o – metacarpus metatars/o – metatarsus myel/o – bone marrow, spinal cord orth/o – straight oste/o – bone patell/o – patella path/o – disease continued on next slide

69 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms ped/o – child; foot phalang/o – phalanges pod/o – foot prosthet/o – addition pub/o – pubis radi/o – radius, ray (X-ray) sacr/o – sacrum sarc/o – flesh continued on next slide

70 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms scapul/o – scapula scoli/o – crooked spin/o – spine spondyl/o – vertebra stern/o – sternum synov/o – synovial membrane system/o – system tars/o – tarsus continued on next slide

71 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms thorac/o – chest tibi/o – tibia uln/o – ulna vertebr/o – vertebra

72 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -acpertaining to -alpertaining to -algiapain -ar pertaining to -ary pertaining to -centesispuncture to withdraw fluid -clasiasurgically break -desisto fuse continued on next slide

73 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -ealpertaining to -ectomysurgical removal -genic producing -gramrecord -graphy process of recording -iatry medical treatment -icpertaining to -itis inflammation continued on next slide

74 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -listhesisslipping -logy study -malaciasoftening -metry process of measuring -omatumor -ory pertaining to -osis abnormal condition -otomycutting into continued on next slide

75 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -ous pertaining to -pathydisease -plasty surgical repair -porosisporous -scope instrument for viewing -scopicpertaining to visually examining -scopy process of visually examining continued on next slide

76 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -stenosis narrowing -tic pertaining to -tome instrument used to cut

77 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Prefixes anti- against bi- two dis-apart ex- external, outward inter- between intra- inside non-not continued on next slide

78 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Prefixes per- through sub- below, under

79 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Adjective Forms of Anatomical Terms carpalpertaining to the carpus (wrist) cervicalpertaining to the neck clavicularpertaining to the clavicle (collar bone) coccygealpertaining to the coccyx (tail bone) costalpertaining to the ribs cranialpertaining to the skull femoralpertaining to to the femur continued on next slide

80 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Adjective Forms of Anatomical Terms fibularpertaining to the fibula humeralpertaining to the humerus iliacpertaining to the ilium intervertebralpertaining to between vertebrae intracranialpertaining to inside the skull ischialpertaining to the ischium lumbarpertaining to the low back mandibularpertaining to the mandible (lower jaw) maxillarypertaining to the maxilla (upper jaw) continued on next slide

81 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Adjective Forms of Anatomical Terms metacarpalpertaining to the metacarpus (hand) metatarsalpertaining to the metatarsus (foot) patellarpertaining to the patella (knee cap) phalangealpertaining to phalanges (fingers/toes) pubicpertaining to the pubis radialpertaining to the radius sacralpertaining to the sacrum continued on next slide

82 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Adjective Forms of Anatomical Terms scapularpertaining to the scapula (shoulder blade) sternalpertaining to the sternum (breast bone) tarsalpertaining to the tarsus (ankle) thoracicpertaining to thorax (chest) tibialpertaining to the tibia ulnarpertaining to the ulna vertebralpertaining to a vertebra

83 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Anatomical Terms Intervertebral   Pertaining to between the vertebrae Thoracic   Pertaining to the thorax (chest) inter-+ -al+ vertebr/o thorac/o+ -ic continued on next slide

84 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Anatomical Terms Scapular   Pertaining to the scapula (shoulder blade) Phalangeal   Pertaining to the phalanges (fingers or toes) scapul/o+ -ar phalang/o+ -eal

85 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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. continued on next slide

86 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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). continued on next slide

87 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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. podiatry Healthcare profession specializing in diagnosis and treatment of disorders of the feet and lower legs. Healthcare professional is a podiatrist. continued on next slide

88 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Specialties prosthetics Healthcare profession specializing in making artificial body parts. Person skilled in making and adjusting prostheses is a prosthetist.

89 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms arthralgiajoint pain bursitisinflammation of a bursa callus mass of bone tissue that forms at fracture site during healing chondromalaciasoftening of the cartilage continued on next slide

90 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms crepitation noise produced by bones or cartilage rubbing together ostealgiabone pain osteomyelitis inflammation of bone and bone marrow synovitisinflammation of synovial membrane

91 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Signs and Symptoms Terms Arthralgia   Joint pain Chondromalacia   Softening of the cartilage arthr/o+ -algia chondr/o+ -malacia continued on next slide

92 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Signs and Symptoms Terms Osteomyelitis   Inflammation of bone and bone marrow Synovitis   Inflammation of a synovial membrane oste/o+ -itis+ myel/o synov/o+ -itis

93 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Fractures closed fracture fracture with no open skin wound; also called simple fracture Colles' fracturecommon 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

94 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.13 A) Closed (or simple) fracture and B) open (or compound) fracture.

95 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.14 Colles' fracture. (Akawath/Shutterstock)

96 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 fracturefracture at an angle to bone

97 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.15 X-ray showing oblique fracture of the humerus. (Du Cane Medical Imaging Ltd./Science Source)

98 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

99 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.16 X-ray showing transverse fracture of radius. (James Stevenson/Science Source)

100 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bones chondromatumor in cartilage; usually benign Ewing's sarcoma cancerous tumor of shaft of long bones; spreads through periosteum; amputation is necessary to prevent metastasis exostosisbone spur myeloma tumor forming in bone marrow tissue osteochondroma tumor consisting of bone and cartilage tissue; usually benign continued on next slide

101 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bones 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 osteopathygeneral term for bone disease osteoporosis decrease in bone mass; results in thinning and weakening of bones; porous bone easily fractures

102 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Bones 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

103 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Spinal Column 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 scoliosislateral curve of spine

104 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.17 Magnetic resonance imaging (MRI) image demonstrating a back herniated disc. (Michelle Milano/Shutterstock)

105 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.18 Abnormal spinal curvatures: kyphosis, lordosis, and scoliosis.

106 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Spinal Column 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 whiplashcervical muscle and ligament sprain

107 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Joints bunion inflammation of bursa at base of great toe dislocation bones in joint are displaced from normal alignment osteoarthritis (OA) results in degeneration of bone and joints; bone rubs against bone rheumatoid arthritis (RA) autoimmune inflammation of joints with swelling, stiffness, pain; results in joint deformities

108 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.19 Patient with typical rheumatoid arthritis contractures. (Michal Heron, Pearson Education)

109 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Joints 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

110 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Pathology Terms Osteoarthritis   Inflammation of bones and joints Osteoporosis   Porous bones oste/o+ -itis+ arthr/o oste/o+ -porosis continued on next slide

111 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Pathology Terms Kyphosis   Abnormal condition of having a hump Spondylolisthesis   Vertebral slipping kyph/o+ -osis spondyl/o+ -listhesis

112 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Diagnostic Imaging arthrogramX-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 absorptiometry (DXA) measures bone density using low dose X-ray; detects osteoporosis continued on next slide

113 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Diagnostic Imaging myelography Study of spinal column after injecting 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

114 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Endoscopic Procedures arthroscopeInstrument 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

115 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Diagnostic Terms Arthrogram   X-ray record of a joint Myelography   Process of making X-ray record of spinal cord arthr/o+ -gram myel/o+ -graphy continued on next slide

116 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Diagnostic Terms Arthroscope   Instrument to view inside a joint Arthroscopy   Process of viewing inside a joint arthr/o+ -scope arthr/o+ -scopy

117 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

118 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures amputation removal of a limb for reasons like tumors, gangrene, or crushing injury arthroclasiaforcibly break loose a fused joint arthrodesisstabilize joint by fusing bones together arthroscopic surgery performing surgery while using an arthroscope to view inside joint arthrotomycutting into a joint bone graft bone from another source used to replace boney defect in another location continued on next slide

119 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures bunionectomyremoval of bursa at base of great toe bursectomyremoval of a bursa chondrectomyremoval of cartilage chondroplastyrepair of cartilage craniotomycutting into the skull laminectomy removal of posterior arch of vertebra to remove compression of a spinal nerve osteoclasiaintentional breaking of a bone continued on next slide

120 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures osteotomeinstrument used to cut bone osteotomycutting 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 synovectomyremoval of a synovial membrane continued on next slide

121 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures total hip arthroplasty (THA) implanting a prosthetic hip joint total knee arthroplasty (TKA) implanting a prosthetic knee joint

122 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.20 Prosthetic hip joint. (Lawrence Livermore National Library/Science Photo Library/Science Source)

123 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

124 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Therapeutic Terms Arthrocentesis   To puncture a joint to remove fluid Bursectomy   The surgical removal of a bursa arthr/o+ -centesis burs/o+ -ectomy continued on next slide

125 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Therapeutic Terms Craniotomy   To surgically cut into the skin Osteoclasia   To break a bone crani/o+ -otomy oste/o+ -clasia

126 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Pharmacology bone reabsorption inhibitors reduce the reabsorption of bone; treats osteoporosis and Paget's disease Fosamax, Boniva calcium supplements and vitamin D therapy supplements that maintain bone density; treats osteomalacia, osteoporosis, and rickets Oystercal, Cal-Citrate continued on next slide

127 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Pharmacology corticosteroids have strong anti- inflammatory properties; treat rheumatoid arthritis prednisone, Medrol, Decadron nonsteroidal anti- inflammatory drugs (NSAIDs) provide mild pain relief and anti- inflammatory benefits; treat arthritis Advil, Motrin, Aleve, Aspirin

128 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Abbreviations AEabove elbow AKabove knee BDTbone density testing BEbelow elbow BKbelow knee C1, C2, etc.first cervical vertebra, etc. continued on next slide

129 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Abbreviations Cacalcium DJDdegenerative joint disease DXAdual-energy absorptiometry FX, Fxfracture HNPherniated nucleus pulposus JRAjuvenile rheumatoid arthritis continued on next slide

130 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Abbreviations L1, L2, etc.first lumbar vertebra, etc. LElower extremity LLEleft lower extremity LUEleft upper extremity NSAIDnonsteroidal anti-inflammatory drug OAosteoarthritis ORIFopen reduction – internal fixation continued on next slide

131 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Abbreviations Orth, orthoorthopedics Pphosphorus RArheumatoid arthritis RLEright lower extremity RUEright upper extremity SLEsystemic lupus erythematosus T1, T2, etc.first thoracic vertebra, etc. THAtotal hip arthroplasty continued on next slide

132 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal System Abbreviations THRtotal hip replacement TKAtotal knee arthroplasty TKRtotal knee replacement UEupper extremity

133 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Combining Forms Match Up 1.burs/o 2.carp/o 3.cervic/o 4.chondr/o 5.cost/o a.wrist b.neck c.sac d.cartilage e.rib

134 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System at a Glance Function of muscular system  Individual cells are able to contract or shorten in length  Shortening produces movement

135 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System at a Glance Organs of muscular system  Muscles

136 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System Illustrated

137 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

138 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System Combining Forms 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

139 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System Suffixes –astheniaweakness –ionaction, condition –kinesiamovement –toniatone –trophicpertaining to development

140 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System Prefixes ab– away from ad– towards circum– around e-outward, without

141 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Anatomy and Physiology of the Muscular System 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

142 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Types of Muscles Skeletal muscle Smooth muscle Cardiac muscle

143 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

144 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.21 The three types of muscles: skeletal, smooth, and cardiac.

145 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal Muscle Attached to bones Produce voluntary movement of skeleton Also referred to as striated muscle  Looks striped under microscope

146 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal Muscle 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

147 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Smooth Muscle 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

148 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Cardiac Muscle Also called myocardium Makes up walls of heart Involuntary contraction of heart to pump blood

149 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.22 Characteristics of the three types of muscles.

150 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Naming Skeletal Muscles Locationrectus abdominis straight abdominal muscle Origin and insertion sternocleidomastoid named for its two origins: sternum and clavicle Sizegluteus maximuslarge buttock muscle

151 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Naming Skeletal Muscles Actionflexor carpi muscle that bends the wrist Fiber direction external oblique abdominal with fibers running on an angle Number of attachment points bicepsmuscle with two heads

152 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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

153 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skeletal Muscle Actions Action  Type of movement produced by the muscle Antagonistic pairs  Pair of muscles arranged around a joint  Produce opposite actions

154 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.23 Origin and insertion of a muscle

155 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscle Actions Grouped by Antagonistic Pairs abductionmovement away from midline of body adductionmovement toward midline of body dorsiflexionbackward bending of foot plantar flexionbending sole of foot; pointing toes flexionact of bending or being bent extensionbrings limb into a straight condition

156 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.24 Abduction and adduction of the shoulder joint. (Patrick Watson, Pearson Education)

157 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.25 Flexion and extension of the elbow joint. (Patrick Watson, Pearson Education)

158 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.26 Dorsiflexion (A) and plantar flexion (B) of the ankle joint. (Poulsons Photography/Shutterstock)

159 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscle Actions Grouped by Antagonistic Pairs eversionturning outward inversionturning inward elevationto raise depressionto drop down pronationturning palm downward supinationturning palm upward

160 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.27 Eversion and inversion of the foot. (Patrick Watson, Pearson Education)

161 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 4.28 Pronation and supination of the forearm. (Patrick Watson, Pearson Education)

162 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Circular Actions 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

163 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Muscle Action Terms Adduction   The action of bringing toward Flexion   The action of bending + duct/o+ -ionad- flex/o+ -ion

164 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Muscle Action Terms Eversion   The action of turning outward Rotation   The action of revolving + vers/o+ -ione- rotat/o+ -ion

165 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms bi/o – life carp/o – wrist electr/o – electricity fasci/o – fibrous band fibr/o – fibers kinesi/o – movement later/o – side muscul/o – muscle

166 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms my/o – muscle myos/o – muscle ten/o – tendon tend/o – tendon tendin/o – tendon

167 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -alpertaining to -algiapain -arpertaining to -astheniaweakness -desisto fuse -dyniapain -gramrecord -graphyprocess of recording

168 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -itisinflammation -kinesiamovement -logystudy of -opsyview of -otomycutting into -ouspertaining to -pathydisease -plastysurgical repair

169 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -rrhaphysuture -rrhexisrupture -toniatone -trophicpertaining to development -trophydevelopment

170 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Prefixes a-without brady- slow dys-abnormal, difficult, painful epi-over hyper-excessive hypo-insufficient poly-many pseudo-false

171 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Adjective Forms of Anatomical Terms fascialpertaining to fascia muscularpertaining to muscles myocardialpertaining to heart muscle tendinouspertaining to tendons

172 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Anatomical Terms Fascial   Pertaining to fascia Myocardial   Pertaining to heart muscle fasci/o+ -al myocardi/o+ -al

173 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Anatomical Terms Muscular   Pertaining to muscles Tendinous   Pertaining to tendons muscul/o+ -ar tendin/o+ -ous

174 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Specialty kinesiology The science that studies movement, how it is produced, and the muscles involved.

175 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms adhesion scar tissue in fascia; makes muscle movement difficult atonialack of muscle tone atrophy poor muscle development; result of muscle disease or lack of use; muscle wasting bradykinesiahaving slow movements contracture abnormal shortening of muscle fibers, tendons, or fascia dyskinesiahaving difficult or painful movements

176 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms dystoniahaving abnormal muscle tone hyperkinesia having an excessive amount of movement hypertoniahaving excessive muscle tone hypertrophyincrease in muscle bulk from using it hypokinesia having insufficient amount of movement hypotoniahaving insufficient muscle tone

177 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms intermittent claudication attacks of severe pain and lameness caused by muscle ischemia; usually in calf muscles myalgiamuscle pain myastheniamuscle weakness myotoniamuscle tone spasm sudden, involuntary, strong muscle contraction tenodyniatendon pain

178 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Signs and Symptoms Terms Hyperkinesia   Excessive movement Dystonia   Abnormal tone hyper-+ -kinesis dys-+ -tonia

179 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Signs and Symptoms Terms Tenodynia   Tendon pain Myasthenia   Muscle weakness ten/o+ -dynia my/o+ -asthenia

180 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscles fasciitisInflammation of fascia fibromyalgia widespread aching and pain in muscles and soft tissue lateral epicondylitis inflammation of elbow muscles; caused by strong gripping; tennis elbow muscular dystrophy (MD) inherited disease with progressive muscle atrophy myopathygeneral term for muscle disease

181 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscles myorrhexistearing 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

182 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of Tendons, Muscles, and/or Ligaments carpal tunnel syndrome (CTS) repetitive motion disorder; compression of finger tendons and median nerve as they pass through carpal tunnel of the wrist ganglion cyst cyst on tendon sheath; usually on hand, wrist, or ankle repetitive motion disorder chronic disorders involving tendon, muscles, joints, and nerve damage; tissue is subjected to pressure, vibration, or repetitive movements

183 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved 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 tendinitisinflammation of a tendon

184 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Pathology Terms Fasciitis   Inflammation of fascia Fibromyalgia   Pain in muscle fibers fasci/o+ -itis fibr/o+ -algia+ my/o

185 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Pathology Terms Myorrhexis   Rupture of muscle Polymyositis   Inflammation of many muscles my/o+ -rrhexis poly-+ -itis+ myos/o

186 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Clinical Laboratory Test creatine phosphokinase (CPK) muscle enzyme found in skeletal and cardiac muscle; elevated blood levels indicate muscle damage; seen in muscular dystrophy and heart attack

187 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Diagnostic Procedures deep tendon reflexes (DTR) muscle contraction in response to stretch; used to determine if muscles are responding properly electromyogramhardcopy record produced by EMG electromyography (EMG) study of strength and quality of muscle contraction in response to electrical stimulation muscle biopsy removal of muscle tissue for examination

188 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Diagnostic Terms Electromyogram   Record of muscle electricity Electromyography   Process of recording muscle electricity Biopsy   To view life electr/o+ -gram+ my/o electr/o+ -graphy+ my/o bi/o+ -opsy

189 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures carpal tunnel release cutting of ligament in wrist to relieve pressure caused by carpal tunnel syndrome fasciotomysurgically cutting into fascia myoplastysurgical repair of a muscle myorrhaphyto suture together a muscle

190 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures tendoplastysurgical repair of a tendon tendotomyto cut into a tendon tenodesis surgical stabilization of a joint by anchoring down tendons of muscles that move the joint tenoplastysurgical repair of a tendon tenorrhaphyto suture together a tendon

191 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Surgical Terms Myoplasty   To surgically repair a muscle Myorrhaphy   To suture a muscle my/o+ -plasty my/o+ -rrhaphy

192 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Surgical Terms Tenodesis   To stabilize a tendon Tendotomy   To cut into a tendon ten/o+ -desis tend/o+ -otomy

193 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System Pharmacology skeletal muscle relaxants relax skeletal muscle spasms Flexeril, Soma

194 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Muscular System Abbreviations CTScarpal tunnel syndrome CPKcreatine phosphokinase DTRdeep tendon reflexes EMGelectromyogram IMintramuscular MDmuscular dystrophy

195 Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Combining Forms Match Up 1.duct/o 2.extens/o 3.flex/o 4.my/o 5.vers/o a.bend b.muscle c.turn d.stretch e.bring


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