Subject: Orthopaedics DA0110608
Orthopaedic terminology and basics of orthopaedic examination
Place of teaching
Lectures are held in lecture room 4th Floor Children's Ward block D, Lectures begin at 8:30 in lecture room.
If you don't know where the clinic rooms are, check the Contacts for more information and photos of the rooms.
Sylabus - standard learning
1st Week
- Monday: Organization: Web, Contacts, Ortopaedic basic terms, clinical examination, diagnostic methods, group and operating theatre allocation
- Tuesday: Clinical practicals - ward (wound management, case-report)
- Wednesday: Foot deformities, Neuro-orthopaedics, X-ray diagnostics
- Thursday: Children's hip - CDH, Perthes disease, SCFE
- Friday: Osteoarthritis, Endoprosthethics, Case presentation, week one summary
2nd Week
- Monday: Scoliosis, Leg length discrepancy, spondylopathy, spine and leg lenght examination
- Tuesday: Clinical practicals - ward (wound management, case-report)
- Wednesday: Simulation Lab Plzeňská - Sutures,knot tying, Arthroscopy
- Thursday: Oncology, Arthroscopy, Sports medicine, Shoulder and Knee examination
- Friday: Case presentation, Summary, Credits
Division of theoretical and practical part
| Seminar | Practicals ward (group A-D) | Hip sonography (group A-D) | Simulation Lab Plzeňská | |
| Week 1 | ||||
| Monday | 8:30 - 12:30 | |||
| Tuesday | gr. A 8:30 - 10.30 gr. B 10:30 - 12:30 |
gr.A 13:00 - 13:30 |
|
|
| Wednesday | 8:30 - 12:30 | gr.B 13.00 - 13.30 | ||
| Thursday | 8:30 - 12.30 | gr.C 13.00 - 13.30 | ||
| Friday | 8:30 - 12.30 | |||
| Week 2 | ||||
| Monday | 8:30 - 12:30 | gr.D 13.00 - 13.30 | ||
| Tuesday | gr. C 8:30 - 10.30 gr. D 10:30 - 12:30 |
|||
| Wednesday | gr. A,B 8:45 - 10:15 gr. C,D 10:30 - 12:00 |
|||
| Thursday | 8:30 - 12:30 | |||
| Friday | 8:30 - 12:30 |
Timetable
The exact timetable of the specific group will be available as an article on the homepage of this website and in printed form at the department secretariat.
Course completion requirements
Credits for presence at seminars, 2 excused absences in 2 week period (20%) are tolerated. In case of absence overrun the exam access will be denied
Practice out of 2nd Medical School
The content of the fellowship will be correlated with the local syllabus; in order to to evaluate and verify outcome of the exam taken out of our department, an oral consultation with the chairman of department is necessary; in case that the gained knowledge is not satisfactory standard oral exam needs to be sitted.
Exam questions
1.Anatomy, physiology a patophysiogy of bones and joints
•Basic anatomy of the bone, bone growth, types of joints, joint stability
2.Principles of healing of bones and ligaments
•Principles of connective tissue healing, phases of bone healing
3.Trauma of the musculoskeletal system in adults and children
•Types of trauma (sprain, fracture etc.), clinical picture, terapeutic options
4.Basic surgical procedures in orthopaedics
•Basic procedures, principles, history
5.Osteosynthesis
•types, indications for different types of osteosynthesis
6.Principles of AO osteosynthesis
•Principles of fracture stability, soft tissue management, bone healing stimulation
7.External osteosynthesis – types nad indications
8.Revmatic surgery
•Basic revmatic diseases of musculoskeletal system, types of surgical procedures, timing of surgery
9.Ortotics and protetics
•Braces, prosteheses, Orthopaedic shoes, crutches
10.Analgetic therapy in orthopaedics
•Basic groups of analgetics, (NSA, opioids, combinations)
•Strategy of pain management, contraindications of analgetics
11.Minimally-invasive surgery
•Artroscopy, Athroscopically assisted surgery, minimaly invasive osteosynthesis
12.Shoulder arthroscopy
•Incidations, basic procedures
13.Knee Arthroscopy
•Incidations, basic procedures
14.Joint replacements
•Indications, types of prostheses, principles of implantation – hip, knee, shoulder
15.Orthopaedic screening
•CDH, inborrn deformities, scoliosis
16.Inborn deformities of extremities
•Polydactylia, syndactylia, fokomelia, amelia, Inborn pseudoarthrosis
•Etiology, basic therapy
17.Axial deformities of limbs and joints
•Genua valga, genua vara
•Clinical picture, treatment options conservative vs. surgical
18.Inborn foot deformities excluding equinovarus (pes calcaneovalgus cong. vs. pes planus cong. /vertical talus)
•Clinical picture, treatment options
19.Pes Equinovarus congenitus
•Clinical picture, treatment options, Ponseti method
20.Acquired foot deformities
•Flat foot, metatarsalgia
•Etiology, clinical picture, treratment options
21.Hallux valgus
•Etiology, clinical picture, diagnostics, treratment options conservative vs. surgical
22.CDH – diagnostics
•Clinical examination, ultrasound, X ray
23.CDH – conservative treatment
•Traction, types of devices and braces and their use (Pawliks harness, Frejkas pillow)
24.CDH – surgical treatment
•Basic procedures according to the age of patient
25.CDH – complications and residual deformity
•Residual dysplasia, complications of treatment, morphologic changes
26.Aseptic/avascular necrosis
•Etiology, clasification: primary, secondary, therapy
27.M. Perthes – conservative trearment
•Clinical picture, diagnostics, stages of disease, principles of treatment
28.M. Perthes – surgical treatment
•Principles of surgical treatment, basic procedures, clinical outcomes
29.Coxa vara adolescentium (SCFE)
•Etiology, clinical picture, diagnostics, treratment options
30.Skoliosis
•Etiology, clinical picture, treratment options
31.Kyphosis and other spine deformities
•Etiology, clinical picture, diagnostics, treratment options
•M.Scheuermann, M. Bechterev
32.Neurogenic disordes in orthopaedics
•Classification, treatment options
33.Orthopaedic treatment of weak paresis/plegia
•Classification, treatment options
34.Orthopaedic treatment of spastic paresis
•Classification, treatment options
35.Systemic and metabolic bone diseases – vitamin deficiencies, hormonal therapy
•Rachitis, mukopolysacharidoses, deficiency of vitamin C (scurvy)
36.Osteogenesis imperfekta, fibrous dysplasia, osteopetrosis.
•Etiology, clinical picture, diagnostics, treratment options
37.Growth disorders
•Achondroplasia, leg length difference
•Clinical pictrue, bone prolongation
38.Osteoporosis, osteomalatia, osteopenia.
•Etiology, clinical picture, diagnostics – laboratory markers, treratment options
39.Bone and joint infection
•Etiology, clinical picture, diagnostics, treratment options
•Acute vs. chronic osteomyelitis
•Purulent arthritis – principles of treatment
40.Specific joint and bone infections
•Tuberculosis, Brucellosis, Sarcoidosis
•Etiology, clinical picture, diagnostics, treratment options
41.Tumors of musculoskeletal system
•Classification, age differences, diagnostics, principles of therapy
42.Benign tumors
•Types, (exostosis, enchondroma, fibroma, osteoid osteoma, lipoma)
•Clinical picture, diagnostics, treratment options
43.Malignant tumors
•Osteosarcoma, Ewing sarcoma, Chondrosarcoma, other
•Clinical picture, diagnostics, treratment options
44.Secondary tumors, Semi malignant tumors, „tumor-like“ affections
•Metastatic process, Giant cell tumor, bone cysts
•Clinical picture, diagnostics, treratment options
45.Enthesopathy
•Etiology, clinical picture, diagnostics, treratment options
46.Nerve entrapment synromes
•Etiology, clinical picture, typical localities, diagnostics, treratment options
47.Arthritis – degenerative disease
•patophysiology, Clinical symptoms, diagnostics X-ray stages
48.Arthritis – conservative treatment
•Indications, principles, farmakotherapy, physiotherapy
49.Arthritis – surgical treatment
•Indications, basic types of procedures
50.Hip Arthritis
•Etiology, clinical picture, diagnostics, treratment options
51.Knee Arthritis
•Etiology, clinical picture, diagnostics, treratment options
52.Spondyloarthrosis, lower back pain
•Etiology, clinical picture, diagnostics, treratment options
53.Postraumatic instability of joints
•Etiology, clinical picture, diagnostics, treratment options
54.Habitual and recurrent dislocations
•Clinical picture, hypermobility, treratment options
55.Differential diagnostics of back pain
56.Differential diagnostics of shoulder pain
57.Differential diagnostics of hip pain
58.Differential diagnostics of knee pain
59.Pseudoartrosis (malunion, non-union)
•Causes, cleassification, treatment options
60.Complex regional pain syndrome - CRBS
•Etiology, clinical picture, diagnostics, treatment options farmakotherapy, physiotherapy
61.Postoperative complications in orthopaedics
•Early v.s. delayed complications
•DVT, bleeding, infection, implant failure
