The Musculoskeletal System - Ian Peate - E-Book

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Ian Peate

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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.

  • Equips healthcare students and practitioners with the necessary information to provide safe and competent care
  • Features colourful illustrations to aid comprehension, clarify complicated concepts, and render content more engaging and accessible
  • Empowers readers to adapt to a rapidly evolving healthcare landscape, preparing them for the future of healthcare delivery
  • Contains information necessary for effective patient care of those with osteoarthritis, osteoporosis, bone cancer, and other musculoskeletal diseases and conditions

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Veröffentlichungsjahr: 2025

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Table of Contents

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

List of Illustrations

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

List of Tables

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

Guide

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Begin Reading

Index

End User License Agreement

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Peate’s Body Systems

The Musculoskeletal System

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

All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Ian Peate to be identified as the author of this work has been asserted in accordance with law.

Registered Office(s)

John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA

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For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.

Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats.

Trademarks: Wiley and the Wiley logo are trademarks or registered trademarks of John Wiley & Sons, Inc. and/or its affiliates in the United States and other countries and may not be used without written permission. All other trademarks are the property of their respective owners. John Wiley & Sons, Inc. is not associated with any product or vendor mentioned in this book.

Limit of Liability/Disclaimer of Warranty

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

Preface

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.

Purpose and Scope

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

Structure of the Series

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

Commitment to Excellence

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

Acknowledgements

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.