MEDRADSC 2I03 Lecture 15: Skeletal Comparing
1 Dec 2016
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Document Summary
Ossification of skull is slow, wide sutures, wormian bone/mosaic appearance. Incomplete acetabulum formation caused by physiological and mechanical forces. Tendons and ligaments responsible for femoral head alignment are affected. During pediatric assessment, when the leg is flexed and abducted, the hip may pop out of place and make a click sound. Repeated fractures, blue sclera, severe osteoporosis, thin/defective cortices. Fractures heal with large callouses, deformities, messed up bone collagen. Reduce fractures, surgical rods, drugs, stem cell transplant. Depends on if it is subluxation vs dislocation of femoral head. Spina bifida occulta (mild): splitting of boney neural canal at l5 or s1. Large defects are associated with spinal cord abnormalities and lead to muscular abnormalities, lack of bladder or bowel control. Herniation of meninges and part of the spinal cord or nerve roots. Associated neuro deficits below the site of protrusion.
