整形外科看護の英語：必須語彙とフレーズ

"cortical bone"

The dense, compact outer layer of bone that provides structural strength and protects the inner cancellous bone

"The X-ray confirmed that the fracture had breached the cortical bone on both the medial and lateral aspects of the tibia."

"cancellous bone"

The spongy, porous inner bone tissue with a honeycomb-like structure that contains red bone marrow and is important for haematopoiesis

"The surgeon noted excellent cancellous bone quality at the femoral neck, which improved the predicted hold strength of the prosthesis."

"periosteum"

The dense connective tissue membrane covering the outer surface of bones, except at articular surfaces, containing osteoblasts essential for bone repair

"Preservation of the periosteum during surgery is critical because it supplies the blood flow necessary for fracture healing."

"articular cartilage"

The smooth hyaline cartilage lining the ends of bones within a synovial joint, reducing friction and absorbing shock during movement

"MRI imaging revealed significant loss of articular cartilage in the medial compartment of the knee, consistent with grade III osteoarthritis."

"synovial membrane"

The inner lining of a joint capsule that secretes synovial fluid to lubricate the joint and nourish the articular cartilage

"Biopsy of the inflamed synovial membrane confirmed rheumatoid pannus formation rather than septic arthritis."

"ligament"

A band of dense fibrous connective tissue that connects bone to bone, providing joint stability and limiting excessive movement

"The MRI report described a complete tear of the anterior cruciate ligament with associated bone bruising on the lateral femoral condyle."

"tendon"

A cord of dense fibrous connective tissue that attaches muscle to bone, transmitting the force of muscular contraction to produce joint movement

"Ultrasound examination of the shoulder confirmed a full-thickness rotator cuff tendon tear requiring surgical repair."

"bursa"

A small fluid-filled sac lined with synovial membrane that cushions and reduces friction between tendons, muscles, and bony prominences

"The patient presented with swelling and tenderness over the olecranon, and aspiration of the inflamed bursa confirmed non-infectious bursitis."

"comminuted fracture"

A fracture in which the bone is broken into three or more fragments, typically caused by high-energy trauma and often requiring surgical fixation

"The orthopaedic team decided to proceed with open reduction and internal fixation due to the comminuted fracture pattern seen on the CT scan."

"pathological fracture"

A fracture that occurs through bone weakened by an underlying disease process such as osteoporosis, metastatic cancer, or Paget's disease

"The patient sustained a pathological fracture of the femoral shaft, and staging investigations subsequently revealed a primary lung malignancy."

"stress fracture"

A small crack in bone resulting from repetitive mechanical loading that exceeds the bone's capacity for remodelling, common in athletes and military recruits

"The runner presented with insidious onset tibial pain, and MRI confirmed a stress fracture of the mid-shaft tibia consistent with training overload."

"open fracture"

A fracture in which the broken bone communicates with the external environment through a wound in the overlying skin, carrying a significant risk of infection

"The Gustilo-Anderson classification was used to grade the open fracture and guide the timing of debridement and wound management."

"avulsion fracture"

A fracture in which a fragment of bone is pulled away from its main structure by the forceful contraction of a tendon or ligament attached to that fragment

"The lateral ankle X-ray revealed an avulsion fracture of the fifth metatarsal base caused by the strong pull of the peroneus brevis tendon during inversion."

"impacted fracture"

A fracture in which one bone fragment is driven into another, compressing the cancellous bone and often resulting in a stable but shortened segment

"The impacted fracture of the femoral neck was treated conservatively with protected weight-bearing because the fragments remained well aligned."

"neurovascular compromise"

Impairment of the nerve and blood supply distal to a fracture or injury, manifesting as altered sensation, motor weakness, or absent pulses

"The nurse identified signs of neurovascular compromise in the injured limb and immediately escalated to the surgical team for urgent assessment."

"compartment syndrome"

A surgical emergency in which rising pressure within a closed muscle compartment compromises blood flow, causing ischaemia and potentially irreversible muscle and nerve damage

"The patient's increasing pain on passive stretch, firmness of the lower leg, and escalating analgesia requirements prompted emergency fasciotomy for compartment syndrome."

"open reduction internal fixation"

A surgical procedure in which a fracture is exposed through an incision, the fragments are anatomically realigned, and fixation devices such as plates, screws, or nails are implanted to maintain the reduction

"The trauma team planned open reduction internal fixation for the displaced tibial plateau fracture to restore joint congruity."

"intramedullary nail"

A metal rod inserted into the medullary canal of a long bone to stabilise a fracture, allowing early weight-bearing and mobilisation

"An intramedullary nail was the preferred fixation method for the mid-shaft femoral fracture in this active young adult."

"total joint arthroplasty"

A surgical procedure in which the diseased surfaces of a joint are resurfaced or replaced with prosthetic implant components, most commonly performed at the hip and knee

"Following failed conservative management, the patient was listed for total joint arthroplasty of the right knee to address end-stage osteoarthritis."

"arthroscopy"

A minimally invasive surgical technique using a small camera inserted into a joint through a small incision to diagnose and treat intra-articular pathology

"Arthroscopy of the knee was performed to address the meniscal tear identified on MRI, avoiding the morbidity of open surgery."

"external fixation"

A method of bone stabilisation using pins or wires inserted through the skin into the bone, connected to an external frame, used for highly contaminated open fractures or as a temporising measure

"External fixation was applied in the emergency department to stabilise the open tibia fracture and restore limb alignment prior to definitive management."

"debridement"

The surgical removal of devitalised, contaminated, or infected tissue from a wound to promote healing and reduce the risk of infection

"Serial debridement of the infected surgical wound was performed every 48 hours until healthy granulating tissue was achieved."

"bone graft"

Biological material — autologous, allograft, or synthetic — used to fill bone defects, enhance fracture healing, or support spinal fusion

"Autologous bone graft harvested from the iliac crest was used to fill the defect created by the removal of the osteochondral lesion."

"tourniquet"

A device applied to a limb to occlude arterial blood flow, providing a bloodless surgical field during extremity procedures

"Tourniquet time was recorded as 62 minutes and the nursing team documented the site, pressure, and inflation time according to the WHO surgical safety checklist."

"neurovascular assessment"

A systematic evaluation of circulation, sensation, and motor function distal to an orthopaedic injury or surgical procedure, using the five Ps framework

"The nurse performed a neurovascular assessment every hour for the first four hours post-operatively, documenting pulses, capillary refill, sensation, and movement."

"capillary refill time"

The time taken for colour to return to the nail bed after applying blanching pressure, normally less than two seconds, used as an indicator of peripheral perfusion

"A capillary refill time of four seconds in the affected digits prompted urgent orthopaedic review for possible vascular injury."

"range of motion"

The extent of movement possible at a joint, measured in degrees and recorded as active or passive, used to track rehabilitation progress

"At six weeks post total knee replacement, the patient had achieved a range of motion from five degrees extension to 100 degrees flexion."

"visual analogue scale"

A validated pain measurement tool in which patients mark their pain intensity on a 100 mm horizontal line anchored between no pain and worst imaginable pain

"The patient rated her post-operative hip pain at 72 on the visual analogue scale, prompting the nurse to review the analgesia prescription."

"weight-bearing status"

The surgeon-prescribed level of load a patient is permitted to place through an operated or injured limb, ranging from non-weight-bearing to full weight-bearing

"The discharge instructions specified a weight-bearing status of partial weight-bearing with crutches for six weeks following the tibial fracture fixation."

"wound dehiscence"

The partial or complete separation of the layers of a surgical wound, which may expose underlying tissues and increases the risk of infection

"The community nurse identified wound dehiscence at the proximal end of the total knee arthroplasty incision and referred the patient back to the orthopaedic clinic."

"pin site care"

Standardised wound management procedures applied to the skin entry points of external fixator pins or Kirschner wires to prevent infection and track any signs of pin site infection

"The ward protocol required pin site care twice daily using normal saline, with documentation of any crusting, erythema, or discharge."

"deep vein thrombosis prophylaxis"

Preventive measures — including pharmacological anticoagulation and mechanical compression devices — used to reduce the risk of venous thromboembolism in orthopaedic patients

"Deep vein thrombosis prophylaxis with low-molecular-weight heparin was commenced six hours post-operatively and continued for 35 days following total hip arthroplasty."

"osteoarthritis"

A degenerative joint disease characterised by progressive loss of articular cartilage, subchondral bone changes, and osteophyte formation, causing pain, stiffness, and functional impairment

"Radiographs of the hip showed the classic triad of osteoarthritis: joint space narrowing, subchondral sclerosis, and marginal osteophytes."

"osteoporosis"

A metabolic bone disease characterised by reduced bone mineral density and deterioration of bone microarchitecture, resulting in increased fragility and fracture risk

"The DEXA scan confirmed severe osteoporosis with a T-score of −2.8, and the rheumatologist commenced bisphosphonate therapy and calcium supplementation."

"osteomyelitis"

Infection of bone, most commonly caused by Staphylococcus aureus, which can be acute or chronic and may require prolonged antibiotic therapy and surgical debridement

"Blood cultures and MRI findings supported a diagnosis of haematogenous osteomyelitis of the proximal tibia in the seven-year-old child."

"avascular necrosis"

Death of bone tissue due to interruption of its blood supply, most commonly affecting the femoral head and leading to collapse and secondary arthritis if untreated

"The patient developed avascular necrosis of the femoral head following high-dose corticosteroid therapy for his inflammatory bowel disease."

"spinal stenosis"

Narrowing of the spinal canal or neural foramina that compresses the spinal cord or nerve roots, causing neurogenic claudication, radiculopathy, or myelopathy

"The patient described classic neurogenic claudication — bilateral leg heaviness and paraesthesia on walking — consistent with lumbar spinal stenosis on MRI."

"scoliosis"

An abnormal lateral curvature of the spine, measured by the Cobb angle on a standing radiograph, which may be idiopathic, congenital, or neuromuscular in origin

"The school screening programme identified a spinal curvature, and subsequent standing X-ray confirmed adolescent idiopathic scoliosis with a Cobb angle of 38 degrees."

"carpal tunnel syndrome"

Compression of the median nerve as it passes through the carpal tunnel at the wrist, causing numbness, tingling, and weakness in the lateral three and a half fingers

"Nerve conduction studies confirmed moderate carpal tunnel syndrome, and the patient was offered surgical decompression after failing splinting and corticosteroid injection."

"periprosthetic joint infection"

Infection developing around an arthroplasty implant, classified as early, delayed, or late, and requiring multidisciplinary management including prolonged antibiotics and often implant revision

"A two-stage revision arthroplasty was planned for the periprosthetic joint infection, beginning with removal of all implant components and insertion of an antibiotic-loaded spacer."

"continuous passive motion"

A post-operative rehabilitation technique using a mechanical device that moves a joint through a prescribed range of motion to reduce stiffness, oedema, and adhesion formation

"Continuous passive motion was commenced in the recovery room following total knee arthroplasty and continued for six hours per day on the ward."

"gait re-education"

Physiotherapy-led training to restore a safe and functional walking pattern following surgery, injury, or neurological impairment

"Gait re-education with Zimmer frame was commenced on day one post-operatively, with progression to elbow crutches planned by day three."

"isometric exercise"

A form of strengthening exercise in which muscle contraction occurs without joint movement, commonly prescribed in early rehabilitation when active movement is restricted

"The physiotherapist taught the patient isometric quadriceps exercises to maintain muscle tone during the six-week period of non-weight-bearing following patella fracture fixation."

"occupational therapy assessment"

An evaluation by an occupational therapist of a patient's ability to perform activities of daily living, home environment, and equipment needs prior to discharge

"The occupational therapy assessment identified the need for raised toilet seating, bath rails, and a stair rail at the patient's home before she could safely be discharged following hip arthroplasty."

"discharge planning"

The coordinated multidisciplinary process of preparing a patient for safe return to the community, addressing equipment, support services, medication, and follow-up arrangements

"Discharge planning for the elderly patient began on the day of admission and involved the surgeon, nursing staff, physiotherapist, occupational therapist, and social worker."

"falls prevention"

A set of evidence-based interventions — including strength and balance training, medication review, and environmental modification — aimed at reducing the risk of falls in at-risk patients

"The nurse completed a falls prevention assessment on admission and implemented bed alarms, non-slip footwear, and regular toileting as risk reduction strategies."

"pressure injury"

Localised damage to skin and underlying soft tissue usually over a bony prominence, caused by prolonged pressure or pressure combined with shear, particularly relevant in immobile orthopaedic patients

"The Waterlow score identified a high pressure injury risk and the care plan included two-hourly repositioning, a pressure-redistributing mattress, and barrier cream."

"functional independence measure"

A validated assessment tool scoring a patient's level of independence across 18 motor and cognitive tasks, used in rehabilitation to track progress and plan discharge

"The functional independence measure score improved from 68 on admission to 118 at discharge, reflecting the patient's successful recovery following total hip arthroplasty."