Learning outcomes Orthopaedics Spring 2013

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1 Page1 Learning outcomes Orthopaedics Spring 2013 The course in orthopaedics provides students with the fundamental principles for diagnosis and treatment of the diseases and injuries of the musculoskeletal system. The subjects treated in lectures, seminars and group exercises may be prioritised areas for review. The general learning outcomes of the course in orthopaedics are that students shall be able to approach patients in a professional manner obtain a relevant medical history of the patient s complaint perform an appropriate examination of the musculoskeletal system have knowledge of common diagnostic tools draw up a plan of investigation for the most common diseases of the musculoskeletal system draw up a treatment plan in dialogue with the patient identify disorders that must be treated acutely to avoid a life-long disability On completion of the course, students shall be able to obtain the medical history and perform examination of diseases and injuries of the musculoskeletal system perform primary management, manual repositioning and immobilisation of the injured limb perform an appropriate distal examination make assessments for possible compartmental syndrome make assessments for possible cauda equina syndrome perform infiltration anaesthesia and skin sutures perform joint puncture identify obvious fractures or luxations without X-ray images On completion of the course, students shall demonstrate knowledge of the management principles for patients with multiple injuries the management principles for patients with open fractures the difference between high-energy and low-energy injuries the long-term effects on patients of permanent injuries or chronic diseases of the musculoskeletal system The list below indicates important concepts in order of priority All categories are examined but the focus is on categories 1 and 2

2 Prio 1 Prio 2 Prio 3 Upper limb Shoulder joint luxation anterior and posterior Axillary nerve palsy Clavicle fracture Osteoarthritis of the acromioclavicular joint Fractures of the surgical neck of the humerus Adhesive capsulitis Supraspinatus rupture Radial nerve palsy Median nerve palsy Ulnar nerve palsy Carpal tunnel syndrome Distal radius fracture Septic tendovaginitis Scaphoid fracture Impingement syndrome Biceps tendon rupture Knee osteoarthritis Acromioclavicular luxation Humerus fracture Radial head fracture Radial tunnel syndrome Forearm fracture Stenosing tendovaginitis Crepitating tendovaginitis De Quervain syndrome Dupuytren s contracture Subcapital metacarpal fracture Mallet finger Shoulder-hand syndrome Epicondyle fracture of the humerus Elbow luxation Lunatum malacia Hand osteoarthritis Heberden s nodes

3 Page 2 Lower limb Cox osteoarthritis Hip fracture Meniscus injury Knee ligament injuries Knee osteoarthritis Achilles tendon rupture Ankle distortion Diabetic foot ulceration Spine Lumbar disc herniation Cauda equina syndrome Spinal bone tumour Spinal bone fracture Greater trochanteric pain syndrome Snapping hip syndrome Pelvic fracture Adductor tendinitis Femoral fracture Patella fracture Prepatellar bursitis Luxating patella Anterior knee pain Tibial plateau fracture Crus fracture Calf strain Achilles tendinitis, bursitis Ankle fracture Tarsometatarsal luxation Lisfranc joint Plantar fasciitis Calcaneal spur Metatarsal fracture Morton s metatarsaglia Bunion (hallux valgus) Hallux rigidus Hammer toe Torticollis Cervicalgia Brachialgia Cervical disc herniation Spondylosis Spondylolysis Spondylolisthesis Spondylitis Sacroiliac joint pain Pelvic girdle pain Meralgia paraesthetica Quadriceps tendon rupture Femoral condyle fracture Baker s cyst Iliotibial band syndrome Patellar tendinitis Pes anserinus tendinitis Calcaneus fracture Scheuermann s disease Page 3

4 Children Nursemaid s elbow Hip dysplasia Transient synovitis Septic arthritis Osteomyelitis Physiolysis Perthes disease Osgood-Schlatter disease Retropatellar pain syndrome Chondromalacia patellae Club foot Other Arthritis Compartment syndrome Management of soft tissue tumours Osteoporosis Scoliosis Osteochondritis dissecans Aseptic necrosis Synovitis Osteonecrosis Ganglion

5 Page 4 Learning outcomes Orthopaedics Spring 2013 Prior knowledge: Hand and arm anatomy General be able to examine the hand function and perform a distal examination in the presence of acute hand/arm injuries demonstrate knowledge of the diagnosis, investigation and treatment of common disorders (e.g. nerve compression, wrist joint diseases, Dupuytren s contracture, ganglion, tendon sheath diseases). demonstrate knowledge of the diagnosis, investigation and treatment of hand injuries Hand function in relation to disease or injury be able to examine the hand function (inspection, palpation, active and passive movement, joint stability, strength and sensitivity) for diagnosis of hand or forearm diseases be able to perform distal examination (e. g. movement, sensitivity, circulation, tendon function) in the presence of acute hand and forearm injuries (e.g. wounds, fractures, infections, compartment syndrome). draw up a treatment plan in dialogue with the patient identify disorders that must be treated acutely to avoid a life-long disability Reception and rehabilitation demonstrate knowledge of the extent of perioperative information provided to patients demonstrate knowledge of the rehabilitation principles for hand and arm injuries Surgery should have attended some of the most common types of hand surgery (e.g. carpal tunnel release, thumb joint surgery, surgery for Dupuytren s contracture, trigger fingers and De Quervain s syndrome). attended preparations for elective surgery and perioperative measures for acute surgery such as cleaning and creating a bloodless field attended application of plexus anaesthesia Required reading Lundborg G. Handkirurgi skador, sjukdomar, diagnostik och behandling. Second edition. Studentlitteratur ISBN Suitable works on anatomy Material distributed at lectures and case presentations Lars B. Dahlin Professor, course director Anette Chemnitz Physician, teaching assistant Page 5

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