VLOR7X1 Orthopaedics - practice

Faculty of Medicine
Autumn 2013
Extent and Intensity
0/2/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
MUDr. Bořek Crha (seminar tutor), prof. MUDr. Jan Poul, CSc. (deputy)
doc. MUDr. Richard Chaloupka, CSc. (seminar tutor)
doc. MUDr. Jiří Jochymek, Ph.D. (seminar tutor)
MUDr. Jaroslav Motyčka (seminar tutor)
doc. MUDr. Ivan Müller, CSc. (seminar tutor)
MUDr. Miroslav Nýdrle (seminar tutor)
doc. MUDr. Zbyněk Rozkydal, Ph.D. (seminar tutor)
MUDr. Luděk Ryba, Ph.D. (seminar tutor)
MUDr. Miroslav Straka (seminar tutor)
doc. MUDr. Tomáš Tomáš, Ph.D. (seminar tutor)
Veronika Bradáčková (assistant)
Barbora Krausová (assistant)
Guaranteed by
doc. MUDr. Zbyněk Rozkydal, Ph.D.
First Department of Orthopedic Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Supplier department: First Department of Orthopedic Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Timetable of Seminar Groups
VLOR7X1/01A: Mon 16. 12. to Fri 20. 12. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/01B: Mon 16. 12. to Fri 20. 12. each working day 7:30–12:20 OrtK N08191
VLOR7X1/02A: Mon 2. 12. to Fri 6. 12. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/02B: Mon 2. 12. to Fri 6. 12. each working day 7:30–12:20 OrtK N08191
VLOR7X1/03A: Mon 18. 11. to Fri 22. 11. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/03B: Mon 18. 11. to Fri 22. 11. each working day 7:30–12:20 OrtK N08191
VLOR7X1/04A: Mon 4. 11. to Fri 8. 11. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/04B: Mon 4. 11. to Fri 8. 11. each working day 7:30–12:20 OrtK N08191
VLOR7X1/05A: Mon 21. 10. to Fri 25. 10. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/05B: Mon 21. 10. to Fri 25. 10. each working day 7:30–12:20 OrtK N08191
VLOR7X1/06A: Mon 7. 10. to Fri 11. 10. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/06B: Mon 7. 10. to Fri 11. 10. each working day 7:30–12:20 OrtK N08191
VLOR7X1/07A: Mon 23. 9. to Fri 27. 9. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/07B: Mon 23. 9. to Fri 27. 9. each working day 7:30–12:20 OrtK N08191
VLOR7X1/08A: Mon 13. 1. to Fri 17. 1. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/08B: Mon 13. 1. to Fri 17. 1. each working day 7:30–12:20 OrtK N08191
VLOR7X1/31: No timetable has been entered into IS.
VLOR7X1/32: No timetable has been entered into IS.
Prerequisites
VSPF0622p Pathophysiol. II - lect. && VSPA0622p Pathology II - lecture && VLCP0622c Clin.exam. in surgery II && VSIP0622c Clin.exam.in int.med.-pract.
Prerequisity of the studying of the subject Orthopaedics is the knowledge of the anatomy , histology and physiology of locomotor apparatus.
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
At the end of the course students should be able to understand how to examine the orthopaedic patient (history, objective examination of the locomotor apparatus), should be able to apply imaging methods and laboratory tests leading to establishing of the diagnosis, should be able to distinquish among other conditions and to suggest the mangement of the condition. The student would be able to asses the prognosis of the condition.
Syllabus
  • Programme of the course: Orthopaedics and rehabilitation The fourth school year of the general medicine, VLOR7X1. The course is dividend into a theoretical introduction and to presentation of cases in the ward.
  • Clinical methods - history (family, personal) symptoms of the disease, analysis of the pain, mechanism of injury, any treatment of the disease, the efect of drugs. Impairment of the function, deformity, analysis of the gait.
  • objective examination: inspection, palpation, percussion, auscultation, range of motion, examination of the spine, of upper and lower extremity. - additional examination methods (X-ray, radiological stress tests, artrography, fistulography, myelography, angiography, CT, MRI, scintigraphy, ultrasonography, densitometry etc). Laboratory methods: aspiration of the joint fluid, blood tests. Electromyography. Topics:
  • Degenerative diseases (osteoarthrosis, pathological anatomy, clinical symptoms and findings, radiological examination). Conservative and operative treatment.
  • Malalignment of extremities (coxa valga, coxa vara, anteverta, genua vara, valga). Static deformities of foot (flat foot, talipes calcaneus, equinovarus, excavatus). Deformity of upper extremity (cubitus varus, valgus, Madelung deformity, etc).
  • Artificial joints. Hip arthroplasty (materials, bone cement, types, procedures, physioterapy after the operation, complications). Knee arthroplasty. Artrhoplasty in other joints.
  • Musculoskeletal tumors. Methods of examination, biopsy. Staging and grading. Benign and malignant tumors. Operative treatment, chemotherapy, radiotherapy. Treatment of bone metastase.
  • Bone and joint infections. Acute osteomyelitis (symptoms, examination, treatment). Chronic osteomyelitis. Acute arthritis (symptoms, examination, treatment). Chronic arthritis. TB osteomyelitis and arthritis, actinomycosis).
  • Deformities of the spine. Scoliosis (types, Cobb measurement, methods of examination), conservative and operative treatment. Kyphosis (types, treatment). Lordosis (types, treatment). Spondylolysis and spondylolisthesis (symptoms, types, management).
  • Low back pain (types, sciatica, spinal stenosis, failed back surgery syndrom etc.). Ancylosing spondylitis. Pain in cervical spine.
  • Injury of the spine (fractures of thoracolumbar spine, fractures of cervical spine). Conservative and operative management. - Congenital diseases (types, symptoms, management). Developmental dislocation of the hip joint (types, symptoms, management, consequences). Club foot deformity, torticollis muscularis etc..
  • Static deformities in the childhood. Epiphyseal disorders. Avascular necrosis (Perthes disease, tibia vara Blount, Kőhler disease etc.). Slipped upper femoral epiphysis.
  • Arthroscopy (diagnostic, operative). Arthroscopy of the knee point (meniscal tear, chondral lesions, ligament injury, reconstruction of ligaments tec.) Arthroscopy of the shoulder.(indications, subacromial decompression, managent of shoulder instability, management of rotator cuff lesions). Arthroscopy of other joints.
  • Entesopathy (tennis elbow, ulnar epicondylitis, de Quervain disease, trigger fingers, painful shoulder (types, impingement syndrom, frozen shoulder etc.). Overuse syndrom.
  • Osteopathies. Osteoporosis, (types, postmenopausal, senile, secondary osteoporosis)., Symptoms, methods of examination, densitometry, management). Osteomalacia (symptoms, , management). Other metabolic bone disease.
  • Amputation and disarticulastion. Procedures in lower and upper extremities. Application of the prosthesis (materials, parts of prosthesis, hydraulic joints etc.). Ortheses of the trunc and of the upper and lower extremities.
  • Rehabilitation in orthopaedics (physioterapy, ergotherapy, physical therapy, magnetotherapy etc.).
Literature
  • ROZKYDAL, Zbyněk and Richard CHALOUPKA. Vyšetřovací metody v ortopedii. 2001st ed. Brno: LF MU Brno, 2001, 66 pp. ISBN 80-210-2655-3. info
  • KRBEC, Martin, Antonín SOSNA, Pavel VAVŘÍK and David POKORNÝ. Základy ortopedie (Basic orthopedics). První. Praha: Triton, 2001, 176 pp. ISBN 80-7254-202-8. info
  • MÜLLER, Ivan. Bolestivé syndromy pohybového ústrojí v ordinaci praktického lékaře (Painful syndromes of the musculoskeletal system in a practitioner's consulting room). In IDVSZP. Brno, 1995. ISBN 80-7013-196-9. info
  • CAPKO, Ján. Základy fyziatrické léčby. 1. vyd. Praha: Grada, 1998, 394 s. ISBN 8071693413. info
  • Chaloupka, R. et al.: Vybrané kapitoly z LTV ve spondylochirurgii. ISBN 80-7013-375-9
  • Janíček, P.: Ortopedie, skripta, LF MU v Brně, 2007. ISBN 978-80-210-4429-6
Teaching methods
The course is divided into a theoretical introduction with case reports and into presentation of the patients in the wards focused on the use of examination methods, on establishing of the diagnosis and the management of the conditions.
Assessment methods
The students are examined from this subject at the rigorous examination from surgery in the sixth school year. The knowledge of recommended literature and power point presentations on IS portal are required.
Language of instruction
Czech
Further comments (probably available only in Czech)
Information on completion of the course: Zápočet bude udělen po absolvování blokové stáže a po splnění písemného testu.
The course can also be completed outside the examination period.
The course is taught each semester.
The course is also listed under the following terms Spring 2000, Autumn 2000, Spring 2001, Autumn 2001, Spring 2002, Autumn 2002, Spring 2003, Autumn 2003, Spring 2004, Autumn 2004, Spring 2005, Autumn 2005, Spring 2006, Autumn 2006, Spring 2007, Autumn 2007, Spring 2008, Autumn 2008, Spring 2009, Autumn 2009, Spring 2010, Autumn 2010, Spring 2011, Autumn 2011, Spring 2012, Autumn 2012, Spring 2013, Spring 2014, Autumn 2014, Spring 2015, Autumn 2015, Spring 2016, Autumn 2016, Spring 2017, Autumn 2017, Spring 2018.
  • Enrolment Statistics (Autumn 2013, recent)
  • Permalink: https://is.muni.cz/course/med/autumn2013/VLOR7X1