Facet Joint Arthrosis
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Facet Joint Arthrosis
Facet joint arthrosis is an intervertebral disc disorder. The facet joints or zygapophyseal joints are synovial cartilage covered joints that limit the movement of the spine and preserve segmental stability. In the event of hypertrophy of the vertebrae painful arthrosis can occur. The "lumbar facet arthrosis syndrome" was described in a 1987 article by S. M. Eisenstein and C. R. Parry of Witwatersrand University. Diagnosis Computerized tomography is the ideal for typifying facet joint arthrosis; evidence suggests that magnetic resonance imaging is not as sensitive in identifying bony changes. Management See also * Facet syndrome Facet syndrome is a syndrome in which the facet joints (synovial joint, synovial diarthroses, from Lumbar vertebra 2, L2 to Sacral vertebrae, S1) cause painful symptoms. In conjunction with degenerative disc disease, a distinct but functionally re ... References Skeletal disorders Arthritis {{musculoskeletal-disease-stub ...
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Intervertebral Disc Disorder
An intervertebral disc (or intervertebral fibrocartilage) lies between adjacent vertebrae in the vertebral column. Each disc forms a fibrocartilaginous joint (a symphysis), to allow slight movement of the vertebrae, to act as a ligament to hold the vertebrae together, and to function as a shock absorber for the spine. Structure Intervertebral discs consist of an outer fibrous ring, the anulus fibrosus disci intervertebralis, which surrounds an inner gel-like center, the nucleus pulposus. The ''anulus fibrosus'' consists of several layers (laminae) of fibrocartilage made up of both type I and type II collagen. Type I is concentrated toward the edge of the ring, where it provides greater strength. The stiff laminae can withstand compressive forces. The fibrous intervertebral disc contains the ''nucleus pulposus'' and this helps to distribute pressure evenly across the disc. This prevents the development of stress concentrations which could cause damage to the underlying vertebra ...
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Facet Joints
Facets () are flat faces on geometric shapes. The organization of naturally occurring facets was key to early developments in crystallography, since they reflect the underlying symmetry of the crystal structure. Gemstones commonly have facets cut into them in order to improve their appearance by allowing them to reflect light. Facet arrangements Of the hundreds of facet arrangements that have been used, the most famous is probably the round brilliant cut, used for diamond and many colored gemstones. This first early version of what would become the modern Brilliant Cut is said to have been devised by an Italian named Peruzzi, sometime in the late 17th century.Gems, 5th edition, Webster, 1995.Gemstones of the world, Schumann, 1977. Later on, the first angles for an "ideal" cut diamond were calculated by Marcel Tolkowsky in 1919. Slight modifications have been made since then, but angles for "ideal" cut diamonds are still similar to Tolkowsky's formula. Round brilliants cut befo ...
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Synovial Joint
A synovial joint, also known as diarthrosis, joins bones or cartilage with a fibrous joint capsule that is continuous with the periosteum of the joined bones, constitutes the outer boundary of a synovial cavity, and surrounds the bones' articulating surfaces. This joint unites long bones and permits free bone movement and greater mobility. The synovial cavity/joint is filled with synovial fluid. The joint capsule is made up of an outer layer of fibrous membrane, which keeps the bones together structurally, and an inner layer, the synovial membrane, which seals in the synovial fluid. They are the most common and most movable type of joint in the body of a mammal. As with most other joints, synovial joints achieve movement at the point of contact of the articulating bones. Structure Synovial joints contain the following structures: * Synovial cavity: all diarthroses have the characteristic space between the bones that is filled with synovial fluid * Joint capsule: the fibrous ...
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Arthrosis
Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the world. The most common symptoms are joint pain and stiffness. Usually the symptoms progress slowly over years. Initially they may occur only after exercise but can become constant over time. Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms and legs. The most commonly involved joints are the two near the ends of the fingers and the joint at the base of the thumbs; the knee and hip joints; and the joints of the neck and lower back. Joints on one side of the body are often more affected than those on the other. The symptoms can interfere with work and normal daily activities. Unlike some other types of arthritis, only the joints, not internal organs, are affe ...
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Witwatersrand University
The University of the Witwatersrand, Johannesburg (), is a multi-campus South African public research university situated in the northern areas of central Johannesburg. It is more commonly known as Wits University or Wits ( or ). The university has its roots in the mining industry, as do Johannesburg and the Witwatersrand in general. Founded in 1896 as the South African School of Mines in Kimberley, it is the third oldest South African university in continuous operation. The university has an enrolment of 40,259 students as of 2018, of which approximately 20 percent live on campus in the university's 17 residences. 63 percent of the university's total enrolment is for undergraduate study, with 35 percent being postgraduate and the remaining 2 percent being Occasional Students. The 2017 Academic Ranking of World Universities (ARWU) places Wits University, with its overall score, as the highest ranked university in Africa. Wits was ranked as the top university in South Africa in ...
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Computerized Tomography
A computed tomography scan (CT scan; formerly called computed axial tomography scan or CAT scan) is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers or radiology technologists. CT scanners use a rotating X-ray tube and a row of detectors placed in a gantry to measure X-ray attenuations by different tissues inside the body. The multiple X-ray measurements taken from different angles are then processed on a computer using tomographic reconstruction algorithms to produce tomographic (cross-sectional) images (virtual "slices") of a body. CT scans can be used in patients with metallic implants or pacemakers, for whom magnetic resonance imaging (MRI) is contraindicated. Since its development in the 1970s, CT scanning has proven to be a versatile imaging technique. While CT is most prominently used in medical diagnosis, it can also be used to form images of non-living objects. The 1979 Nob ...
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Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio waves to generate images of the organs in the body. MRI does not involve X-rays or the use of ionizing radiation, which distinguishes it from CT and PET scans. MRI is a medical application of nuclear magnetic resonance (NMR) which can also be used for imaging in other NMR applications, such as NMR spectroscopy. MRI is widely used in hospitals and clinics for medical diagnosis, staging and follow-up of disease. Compared to CT, MRI provides better contrast in images of soft-tissues, e.g. in the brain or abdomen. However, it may be perceived as less comfortable by patients, due to the usually longer and louder measurements with the subject in a long, confining tube, though "Open" MRI designs mostly relieve this. Additionally, implants and oth ...
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Facet Syndrome
Facet syndrome is a syndrome in which the facet joints ( synovial diarthroses, from L2 to S1) cause painful symptoms. In conjunction with degenerative disc disease, a distinct but functionally related condition, facet arthropathy is believed to be one of the most common causes of lower back pain. Signs and symptoms The symptoms of facet joint arthropathy depend entirely on the location of the degenerated spinal joint, the severity of the damage and the amount of pressure that is being placed on the surrounding structures. It's important to note that the amount of pain a person experiences does not correlate well with the amount of degeneration that has occurred within the joint. Many people experience little or no pain while others, with exactly the same amount of pathology, experience chronic pain. Additionally, in symptomatic facet arthropathy the location of the degenerated joint plays a significant role in the symptoms that are experienced. People with degenerated joints i ...
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Skeletal Disorders
Bone disease refers to the medical conditions which affect the bone. Terminology A bone disease is also called an "osteopathy", but because the term osteopathy is often used to refer to an alternative health-care philosophy, use of the term can cause some confusion. Bone and cartilage disorders Osteochondrodysplasia is a general term for a disorder of the development of bone and cartilage. List A * Ambe * Avascular necrosis or Osteonecrosis * Arthritis B * Bone spur (Osteophytes) C * Craniosynostosis * Coffin–Lowry syndrome * Copenhagen disease F * Fibrodysplasia ossificans progressiva * Fibrous dysplasia * Fong disease (or Nail–patella syndrome) * Fracture G * Giant cell tumor of bone * Greenstick fracture * Gout H * Hypophosphatasia * Hereditary multiple exostoses K * Klippel–Feil syndrome M * Metabolic bone disease * Multiple myeloma N * Nail–patella syndrome O * Osteitis * Osteitis deformans (or Paget's disease of bone) * Osteitis fibr ...
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