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PEATE'S BODY SYSTEMS THE MUSCULOSKELETAL SYSTEM
A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE MUSCULOSKELETAL SYSTEM
Each of the twelve volumes in Peate's Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.
The Musculoskeletal System is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in musculoskeletal care, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.
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Seitenzahl: 332
Veröffentlichungsjahr: 2025
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Chapter 1 Anatomy and Physiology: The Musculoskeletal System
Muscles
Muscle Tissues
Properties of Muscle Tissue
Bone
The Skeleton
Bone as Connective Tissue
Osteoblasts
Osteoclasts
Osteocytes
Cartilage
Ligaments
Tendons
The Formation of Bone
Bone Growth
Bone Remodelling
Bone Fractures
Bone Shapes
Joints
Movements
Fibrous Joints
Cartilaginous Joints
Synovial Joints
Hinge
Pivot
Ball and Socket
Condyloid
Saddle
Gliding
Fixed Joints
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 2 Assessment of the Musculoskeletal System
Kinesiology
Assessing Needs
Bones
Muscles
Joints
Ligaments and Tendons
Anatomical Terms Used in Assessment
Principles of Assessment
The Health History
Biographical Data
Current Health Status
Balance and Coordination Problems
Past Health History
Family History
Review of Systems
Psychosocial Profile
The Physical Examination
Method
Carrying Out a Musculoskeletal Physical Assessment
Balance
Coordination
Accuracy of Movements
Taking Limb Measurements
Assessing Joints and Muscles
Abnormal Findings
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 3 Osteoarthritis
Arthritis
Pathophysiological Changes Associated with Osteoarthritis
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Pharmacological Approaches
Intra-articular Injections
Surgery
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 4 Osteoporosis
Bone Health
Pathophysiological Changes Associated with Osteoporosis
Fragility Fractures
Bone Mineral Density
Transgender
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Treatment of Fractures
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 5 Rheumatoid Arthritis
Autoimmune Disorders
Pathophysiological Changes Associated with Rheumatoid Arthritis
Epidemiology
Risk Factors
Clinical Presentation
Extra-articular Manifestations
Clinical Investigations and Diagnosis
Management
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 6 Bone Cancer
Musculoskeletal Oncology
Pathophysiological Changes Associated with Primary Bone Cancer
Epidemiology
Risk Factors
Clinical Presentation
Grading and Staging
Clinical Investigations and Diagnosis
Management
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 7 Gout
Pathophysiological Changes Associated with Gout
Epidemiology
Risk Factors
Clinical Presentation
Complications
Clinical Investigations and Diagnosis
Management
Comorbidity Management
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 8 Carpal Tunnel Syndrome
Cubital Tunnel Syndrome
Pathophysiological Changes Associated with Carpal Tunnel Syndrome
Epidemiology
Risk Factors
Clinical Presentation
Stage 1
Stage 2
Stage 3
Clinical Investigations and Diagnosis
Management
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Index
End User License Agreement
Chapter 1
Figure 1.1 Muscle tissue
Figure 1.2 The motor and muscle units
Figure 1.3 The human skeleton (a) anterior view and (b) posterior view. Axial skel...
Figure 1.4 Compact and spongy bone and blood supply
Figure 1.5 Endochondral ossification of the tibia
Figure 1.6 Long bones grow in length from the cartilaginous epiphyseal plates. Source: Re...
Figure 1.7 Bones increase in width but maintain the same proportion of compact bone to me...
Figure 1.8 Bone remodelling
Figure 1.9 The stages of fracture healing in bone
Figure 1.10 Parts of a long bone
Figure 1.11 The tarsal bones – short bones.
Figure 1.12 Examples of flat bones: (a) the sternum and (b) the scapula and ribs
Figure 1.13 (a, b) The vertebrae – irregular bones
Figure 1.14 A sesamoid bone, the patella – shown in lateral view, in the tendon of ...
Figure 1.15 Joint types
Chapter 2
Figure 2.1 Planes of the body
Figure 2.2 Normal and atrophy muscle
Figure 2.3 Postural malalignment
Chapter 3
Figure 3.1 Normal and osteoarthritic joints
Figure 3.2 Distribution of joints commonly affected by osteoarthritis
Figure 3.3 Osteoarthritis of the hands
Figure 3.4 Osteoarthritis
Chapter 4
Figure 4.1 A healthy and an osteoporotic bone
Figure 4.2 Osteoporosis
Chapter 5
Figure 5.1 Rheumatoid arthritis – joints affected
Figure 5.2 Rheumatoid arthritis
Figure 5.3 Early rheumatoid hand
Figure 5.4 Late rheumatoid hand. Source: Davey (2010). With permission from John Wiley & Sons.
Chapter 6
Figure 6.1 Fluoroscopic-guided biopsy of a chondrosarcoma of the right femur.
Figure 6.2 Bone marrow biopsy
Chapter 7
Figure 7.1 Gout
Figure 7.2 Joints affected
Figure 7.3 Complications of gout
Chapter 8
Figure 8.1 Carpal tunnel syndrome
Figure 8.2 Transverse section through the wrist
Chapter 1
Table 1.1 Different types of muscle tissue
Table 1.2 Properties of muscles
Table 1.3 The bones of the axial skeleton
Table 1.4 The bones of the appendicular skeleton
Chapter 2
Table 2.1 Angular movement at the joints
Table 2.2 Some examples of subjective and objective data
Table 2.3 Some disorders that may be associated with gait problems
Table 2.4 Risk factors that could predispose a patient to musculoskeletal disorders
Table 2.5 Social factors related to musculoskeletal conditions
Table 2.6 The Oxford Scale
Table 2.7 Some abnormal musculoskeletal findings
Chapter 3
Table 3.1 Clinical manifestations associated with osteoarthritis
Chapter 4
Table 4.1 An overview of the key pathophysiological mechanisms associated with osteoporo...
Table 4.2 Bone mineral density (BMD) categories established by World Health Organization
Table 4.3 Risk factors associated with osteoporosis
Table 4.4 Pharmacological treatment to reduce fracture risk and improve bone health
Table 4.5 Some health teaching needs for patients with osteoporosis
Chapter 5
Table 5.1 Other extra-articular complications
Table 5.2 The principles of care provision
Chapter 6
Table 6.1 Common types of primary bone cancer
Table 6.2 Common primary tumours with metastases to the bones
Table 6.3 Pathophysiological changes occurring with primary bone cancer
Table 6.4 A general overview of the clinical features associated with primary bone cance...
Table 6.5 Tumour grading (TNM)
Table 6.6 The Enneking staging system
Table 6.7 An overview of the components of the medical history-taking process
Chapter 7
Table 7.1 Clinical presentation of gout
Table 7.2 The SOCRATE mnemonic, a structured approach to gathering information about pai...
Table 7.3 The physical examination
Chapter 8
Table 8.1 Risk factors that have been identified in relation to the development of carpa...
Table 8.2 Clinical presentation associated with carpal tunnel syndrome
Table 8.3 Components of the physical examination
Table 8.4 An overview of management strategies used in carpal tunnel syndrome
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Begin Reading
Index
End User License Agreement
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Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT BEd(Hons) MA(Lond) LLM
Editor in Chief, British Journal of Nursing;
Consultant Editor, Journal of Paramedic Practice;
Consultant Editor, International Journal for Advancing Practice;
Visiting Professor, Northumbria University;
Visiting Professor, Buckinghamshire New University;
Professorial Fellow, University of Roehampton;
Visiting Senior Clinical Fellow, University of Hertfordshire
This edition first published 2025.
©2025, John Wiley & Sons Ltd
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The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
Library of Congress Cataloging-in-Publication Data
Names: Peate, Ian, author.
Title: The musculoskeletal system / Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT Bed BEd (Hons) MA(Lond) LLM Editor in Chief, British Journal of Nursing; Consultant Editor, Journal of Paramedic Practice; Consultant Editor, International Journal for Advancing Practice; Visiting Professor, Northumbria University; Visiting Professor, St Georges University of London and Kingston University London; Professorial Fellow, Roehampton University; Visiting Senior Clinical Fellow, University of Hertfordshire.
Description: Hoboken, NJ : John Wiley & Sons, 2025. | Series: Peate’s body systems; 9 | Includes bibliographical references and index.
Identifiers: LCCN 2024041165 | ISBN 9781394252596 (paperback) | ISBN 9781394252602 (epub) | ISBN 9781394252619 (adobe pdf)
Subjects: LCSH: Musculoskeletal system–Textbooks.
Classification: LCC QP301 .P356 2025 | DDC 612.7–dc23/eng/20250102
LC record available at https://lccn.loc.gov/2024041165
Cover Images: © marinashevchenko/Adobe Stock, © phototechno/Getty Images, © 4luck/Adobe Stock, © Oleksandr Pokusai/Adobe Stock
Cover Design: Wiley
Welcome to Peate’s Body Systems; there are 12 books in the series. This is a comprehensive collection of textbooks designed to support and enrich the knowledge of health and care workers across various fields. This series is intended to be a valuable resource for those who are dedicated to understanding the intricacies of human biology, physiology and the various systems that sustain life.
Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Each book in this series is thoroughly crafted to offer clear, accurate and up-to-date information on different body systems. The aim is to bridge the gap between complex scientific concepts and practical, everyday applications in healthcare settings.
The purpose of this series is to provide health and care workers with:
Foundational knowledge, with explanations of the anatomical structures and physiological functions of the body systems
Insights into how these systems interact with each other and how they are impacted by various diseases and conditions, highlighting clinical relevance and encouraging practical application
Each book in Peate’s Body Systems focuses on a specific body system:
The Cardiovascular System
The Respiratory System
The Digestive System
The Renal System
The Nervous System
The Endocrine System
The Female Reproductive System
The Male Reproductive System
The Musculoskeletal System
The Skin
The Ear, Nose and Throat
The Eyes
Every chapter is designed to be comprehensive yet accessible, making complex information easier to digest and apply. Figures, tables, boxes, illustrations and flowcharts have been extensively used to support visual learning and reinforce key concepts.
This series is tailored for:
Healthcare students: those in nursing and allied health programmes
Practicing professionals: nurses, therapists and other care workers seeking to deepen their understanding and stay current with the latest developments in health and care
Educators and trainers: educators who require reliable and comprehensive teaching materials to advise and instruct the next generation of healthcare providers
The series is committed to providing quality educational resources that not only inform but also inspire and empower health and care workers. By equipping you with a robust understanding of the systems of life, you will be better prepared to make informed decisions, deliver compassionate care and ultimately improve patient outcomes.
Thank you for choosing Peate’s Body Systems as your trusted resource. I hope these textbooks serve as a valuable tool in your ongoing journey of learning and professional development.
Ian Peate
London
I would like to acknowledge the help and support of my partner Jussi Lahtinen. Acknowledgements also go to staff at the RCN Library in London. My thanks go to Tom Marriott, Christabel Daniel Raj, Bhavya Boopathi and all those at Wiley.
