Nursemaid Elbow Glossary of Medical Terms

These are medical definitions of medical terms from the MedTerms.com medical dictionary that appear in the Nursemaid Elbow article.

Acetaminophen: A pain reliever and fever reducer. Brand name: Tylenol. The exact mechanism of action of acetaminophen is not known. Acetaminophen relieves pain by elevating the pain threshold (that is, by requiring a greater amount of pain to develop before it is felt by a person). Acetaminophen reduces fever through its action on the heat-regulating center (the "thermostat") of the brain. Generic is available.
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Acute: Of abrupt onset, in reference to a disease. Acute often also connotes an illness that is of short duration, rapidly progressive, and in need of urgent care.
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Arm: 1. In popular usage, the appendage that extends from the shoulder to the hand. However, the medical definition refers to the upper extremity extending from the shoulder only to the elbow, excluding the forearm, which extends from the elbow to the wrist. The arm contains one bone: the humerus. 2. In a randomized clinical trial, any of the treatment groups. Most randomized trials have two "arms," but some have three "arms," or even more.
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Arms: An appendage in anatomy and in clinical trials . See: Arm .
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Bone: Bone is the substance that forms the skeleton of the body. It is composed chiefly of calcium phosphate and calcium carbonate . It also serves as a storage area for calcium, playing a large role in calcium balance in the blood.
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Cast: 1) A protective shell of plaster and bandage molded to protect a broken or fractured limb as it heals. 2) An abnormal mass of dead cells that forms in a body cavity.
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Childhood: (1) The time for a boy or girl from birth until he or she is an adult. (2) The more circumscribed period of time from infancy to the onset of puberty .
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Condition: The term "condition" has a number of biomedical meanings including the following:

An unhealthy state, such as in "this is a progressive condition."
A state of fitness, such as "getting into condition."
Something that is essential to the occurrence of something else; essentially a "precondition."
As a verb: to cause a change in something so that a response that was previously associated with a certain stimulus becomes associated with another stimulus; to condition a person, as in behavioral conditioning.

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Diagnosis: 1 The nature of a disease ; the identification of an illness. 2 A conclusion or decision reached by diagnosis. The diagnosis is rabies . 3 The identification of any problem. The diagnosis was a plugged IV.
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Elbow: The juncture of the long bones in the middle portion of the arm. The bone of the upper arm (humerus) meets both the ulna (the inner bone of the forearm) and radius (the outer bone of the forearm) to form a hinge joint at the elbow. The radius and ulna also meet one another in the elbow to permit a small amount of rotation of the forearm. The elbow therefore functions to move the arm like a hinge (forward and backward) and in rotation (outward and inward). The biceps muscle is the major muscle that flexes the elbow hinge, and the triceps muscle is the major muscle that extends it. The primary stability of the elbow is provided by the ulnar collateral ligament, located on the medial (inner) side of the elbow. The outer bony prominence of the elbow is the lateral epicondyle, a part of the humerus bone. Tendons attached to this area can be injured, causing inflammation or tendonitis (lateral epicondylitis, or tennis elbow). The inner portion of the elbow is a bony prominence called the medial epicondyle of the humerus. Additional tendons from muscles attach here and can be injured, likewise causing inflammation or tendonitis (medial epicondylitis, or golfer's elbow). See also: Elbow bursitis ; Elbow pain ; Nursemaid's elbow.
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Elbow joint: Three long bones meet in the middle portion of the arm at the elbow joint. The bone of the upper arm (humerus) meets both the ulna (the inner bone of the forearm) and radius (the outer bone of the forearm) to form a hinge joint. And the radius and ulna also meet one another in the elbow to permit a small amount of rotation of the forearm. The elbow therefore functions to move the arm like a hinge (forward and backward) and in rotation (turn outwards and inwards).
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Emergency department: The department of a hospital responsible for the provision of medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department personnel may also respond to certain situations within the hospital such cardiac arrests.
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Event: A set of outcomes. Cardiovascular events might include a heart attack and gastrointestinal events a GI bleed. The use of the term "event" in medicine comes from probability theory.
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Flexion: The process of bending or the state of being bent. Flexion of the fingers results in a clenched fist.
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Forearm: The portion of the upper limb from the elbow to the wrist.
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Fracture: A break in bone or cartilage. Although usually the result of trauma, a fracture can be caused by an acquired disease of bone such as osteoporosis or by abnormal formation of bone in a disease such as osteogenesis imperfecta ("brittle bone disease"). Fractures are classified according to their character and location as, for example, a greenstick fracture of the radius.
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Hospital: It may seem unnecessary to define a "hospital" since everyone knows the nature of a hospital. A hospital began as a charitable institution for the needy, aged, infirm, or young.
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Humerus: The long bone in the arm which extends from the shoulder to the elbow.
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Injury: Harm or hurt. The term "injury" may be applied in medicine to damage inflicted upon oneself as in a hamstring injury or by an external agent on as in a cold injury . The injury may be accidental or deliberate, as with a needlestick injury . The term "injury" may be synonymous (depending on the context) with a wound or with trauma .
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Joint: A joint is the area where two bones are attached for the purpose of motion of body parts. A joint is usually formed of fibrous connective tissue and cartilage. An articulation or an arthrosis is the same as a joint.
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Ligament: A ligament is a tough band of connective tissue that connects various structures such as two bones.
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Lip: One of the two fleshy folds which surround the opening of the mouth.
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Neck: The part of the body joining the head to the shoulders. Also, any narrow or constricted part of a bone or organ that joins its parts as, for example, the neck of the femur bone.
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Nursemaid's elbow: Partial dislocation of the elbow. The radius (a bone in the forearm) slips out of the ligament that holds it in place at the elbow. This is common in children under 4 years of age. It may be due to an adult lifting or swinging the child by one hand and can also occur when an infant rolls over or falls. The child begins to cry immediately and holds the arm slightly bent at the elbow with the forearm against the abdomen. Treatment is for the physician to reduce the dislocation. Once a child has had nursemaid's elbow, it may recur.
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Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia . Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors.
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Palm: The grasping side of the hand; the flexor surface of the hand. In contrast to the back of the hand, the extensor surface of the hand.
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Pediatrics: "Pediatrics is concerned with the health of infants, children and adolescents, their growth and development, and their opportunity to achieve full potential as adults." (Richard E.Behrman in Nelson's Textbook of Pediatrics)
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Pharmacy: A location where prescription drugs are sold. A pharmacy is, by law, constantly supervised by a licensed pharmacist.
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Pronation: Rotation of the forearm and hand so that the palm is down (and the corresponding movement of the foot and leg with the sole down), as opposed to supination.
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Pulled elbow: See: Nursemaid's elbow .
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Radial: A word with diverse meanings in medicine and the biomedical sciences:

Pertaining to the radius, the smaller bone in the forearm . The radial artery is so named because of its proximity to the radius.
Pertaining to the radius of a circle.
Spreading from a central point. A radial keratotomy is an eye operation in which incisions are made in the cornea that resemble the spokes in a wheel.

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Radial head subluxation: See: Nursemaid's elbow .
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Radius: In anatomy , the radius is the smaller of the two bones on the thumb side of the forearm . (The bigger one is the ulna ).
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Rod: A type of specialized light-sensitive cell (photoreceptor) in the retina of the eye that provides side vision and the ability to see objects in dim light (night vision).
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Shoulder: A structure made up of two main bones: the scapula ( shoulder blade ) and the humerus (the long bone of the upper arm). The end of the scapula, called the glenoid, is a socket into which the head of the humerus fits, forming a flexible ball-and-socket joint . The scapula is an unusually shaped bone. It extends up and around the shoulder joint at the rear to create a roof called the acromion and around the shoulder joint at the front to constitute the coracoid process. The shoulder joint is cushioned by cartilage that covers the face of the glenoid socket and the head of the humerus. The joint is stabilized by a ring of fibrous cartilage around the glenoid socket that is called the labrum . Ligaments connect the bones of the shoulder and tendons join these bones to surrounding muscles. The biceps tendon attaches the biceps muscle to the shoulder and helps stabilize the joint. Four short muscles that originate on the scapula pass around the shoulder where their tendons fuse together to form the rotator cuff .
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Subluxation: Partial dislocation of a joint. A complete dislocation is a luxation.
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Subluxation of the radial head: See: Nursemaid's elbow .
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Supination: Rotation of the forearm and hand so that the palm is up (and the corresponding movement of the foot and leg with the sole up), as opposed to pronation.
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Surgery: The word "surgery" has multiple meanings. It is the branch of medicine concerned with diseases and conditions which require or are amenable to operative procedures. Surgery is the work done by a surgeon. By analogy, the work of an editor wielding his pen as a scalpel is s form of surgery. A surgery in England (and some other countries) is a physician's or dentist's office.
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Tear: A drop of the salty secretion of the lacrimal glands which serves to moisten the conjunctiva and cornea .
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Tissue: A tissue in medicine is not like a piece of tissue paper. It is a broad term that is applied to any group of cells that perform specific functions. A tissue in medicine need not form a layer. Thus,

The bone marrow is a tissue;
Connective tissue consists of cells that make up fibers in the framework supporting other body tissues; and
Lymphoid tissue is the part of the body's immune system that helps protect it from bacteria and other foreign entities.

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Toddler: A young child who is learning to walk with short unsteady steps. The word toddle is of unknown origin.
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Trauma: Any injury , whether physically or emotionally inflicted. "Trauma" has both a medical and a psychiatric definition. Medically, "trauma" refers to a serious or critical bodily injury, wound, or shock . This definition is often associated with trauma medicine practiced in emergency rooms and represents a popular view of the term. In psychiatry , "trauma" has assumed a different meaning and refers to an experience that is emotionally painful, distressful, or shocking, which often results in lasting mental and physical effects.
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Tylenol: See: Acetaminophen .
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Ulna: The larger of the two long bones within the forearm . (The smaller one is the radius ). The ulna is on the same side of the arm as the little finger.
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Wrist: The proximal segment (the near part) of the hand consisting of the carpal bones and the associated soft parts.
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