aVLOR7X1 Orthopaedics and Rehabilitation - practice

Faculty of Medicine
autumn 2019
Extent and Intensity
0/2/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
doc. MUDr. Richard Chaloupka, CSc. (lecturer)
doc. MUDr. Jiří Jochymek, Ph.D. (lecturer)
doc. MUDr. Ivan Müller, CSc. (lecturer)
doc. MUDr. Zbyněk Rozkydal, Ph.D. (lecturer)
MUDr. Bořek Crha (seminar tutor), prof. MUDr. Jan Poul, CSc. (deputy)
MUDr. Jan Emmer (seminar tutor), prof. MUDr. Martin Repko, Ph.D. (deputy)
MUDr. Jaroslav Motyčka (seminar tutor)
MUDr. Miroslav Nýdrle (seminar tutor)
MUDr. Lukáš Pazourek, Ph.D. (seminar tutor)
MUDr. Jakub Rapi (seminar tutor), doc. MUDr. Pavel Janíček, CSc. (deputy)
prof. MUDr. Martin Repko, Ph.D. (seminar tutor)
MUDr. Luděk Ryba, Ph.D. (seminar tutor)
MUDr. Miroslav Straka (seminar tutor)
doc. MUDr. Tomáš Tomáš, Ph.D. (seminar tutor)
MUDr. Pavel Ženčica, Ph.D. (seminar tutor)
Barbora Krausová (assistant), MUDr. Lukáš Pazourek, Ph.D. (deputy)
Anna Růčková (assistant)
Guaranteed by
prof. MUDr. Martin Repko, Ph.D.
Department of Orthopedic Surgery – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Contact Person: doc. MUDr. Zbyněk Rozkydal, Ph.D.
Supplier department: First Department of Orthopedic Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine (45,00 %), Department of Orthopedic Surgery – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (45,00 %), Department of Pediatric Surgery, Orthopedics and Traumatology – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine (10,00 %)
Timetable of Seminar Groups
aVLOR7X1/30A: Mon 21. 10. 7:30–12:20 I.ORTK N01901, Tue 22. 10. 7:30–12:20 I.ORTK N01901, Wed 23. 10. 7:30–12:20 I.ORTK N01901, Thu 24. 10. 7:30–12:20 I.ORTK N01901, Fri 25. 10. 7:30–12:20 I.ORTK N01901
aVLOR7X1/30B: Mon 21. 10. 7:30–12:20 OrtK N08191, Tue 22. 10. 7:30–12:20 OrtK N08191, Wed 23. 10. 7:30–12:20 OrtK N08191, Thu 24. 10. 7:30–12:20 OrtK N08191, Fri 25. 10. 7:30–12:20 OrtK N08191
aVLOR7X1/32A: Mon 7. 10. 7:30–12:20 I.ORTK N01901, Tue 8. 10. 7:30–12:20 I.ORTK N01901, Wed 9. 10. 7:30–12:20 I.ORTK N01901, Thu 10. 10. 7:30–12:20 I.ORTK N01901, Fri 11. 10. 7:30–12:20 I.ORTK N01901
aVLOR7X1/32B: Mon 7. 10. 7:30–12:20 OrtK N08191, Tue 8. 10. 7:30–12:20 OrtK N08191, Wed 9. 10. 7:30–12:20 OrtK N08191, Thu 10. 10. 7:30–12:20 OrtK N08191, Fri 11. 10. 7:30–12:20 OrtK N08191
aVLOR7X1/34A: Mon 4. 11. 7:30–12:20 I.ORTK N01901, Tue 5. 11. 7:30–12:20 I.ORTK N01901, Wed 6. 11. 7:30–12:20 I.ORTK N01901, Thu 7. 11. 7:30–12:20 I.ORTK N01901, Fri 8. 11. 7:30–12:20 I.ORTK N01901
aVLOR7X1/34B: Mon 4. 11. 7:30–12:20 OrtK N08191, Tue 5. 11. 7:30–12:20 OrtK N08191, Wed 6. 11. 7:30–12:20 OrtK N08191, Thu 7. 11. 7:30–12:20 OrtK N08191, Fri 8. 11. 7:30–12:20 OrtK N08191
Prerequisites
aVLPF0622p Pathological Phys. II - lect. && aVLPA0622p Pathology II - lecture && aVLLP0633c Clinical Introduction III - p
Prerequisities is knowledge of anatomy 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.
Learning outcomes
The student will be able:
- to examine orthopaedic patient,
- to perform clinical examamination,
- to use laboratory test and to advice imaging methods,
- to establish diagnossis and to suggest the therapy.
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..
Literature
    required literature
  • JANÍČEK, Pavel. Ortopedie (Orthopedics). 3., přeprac. vyd. Brno: Masarykova univerzita, 2012, 112 s. ISBN 9788021059719. info
  • ROZKYDAL, Zbyněk and Richard CHALOUPKA. Vyšetřovací metody v ortopedii (Methods of diagnosis in orthopaedics). 2. vyd. Brno: Masarykova univerzita, 2012, 70 s. ISBN 9788021059023. info
    recommended literature
  • GALLO, Jiří. Ortopedie pro studenty lékařských a zdravotnických fakult. 1. vyd. Olomouc: Univerzita Palackého v Olomouci, 2011, 211 s. ISBN 9788024424866. info
  • Willmott, H.: Trauma and Orthopaedics at a glance. Willy -Blackwell, 2015, ISBN 978-1-118-80249-6, s144
    not specified
  • Solomon, L.: Apley´s concise system of |Orthopaedics and fractures, third Edition, ISBN 978-0-340-80984-6, 2005, s.1-406
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. Practical training (about 20 % of the total volume of teaching) is complemented by a comprehensive range of simulation teaching methods on simulators with varying degrees of fidelity, trainers and virtual patients. Simulation results in subsequent debriefing (feedback to the student). There is also problem-oriented learning in the foreground, where the student is taught by solving the problem presented, as well as team-oriented teaching when small groups of students discuss and choose a solution of the problem. Emphasis is also placed on the development of soft skills, incl. so-called "21st century skills", particularly communication, decision-making skills, critical thinking, crisis communication and teamwork.
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. Traditional methods are complemented by objective clinical evaluation that verifies clinical knowledge and other skills such as communication, physical examination, performance, performance interpretation, etc. This evaluation method provides students with objective and specific feedback.
Language of instruction
English
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.
Information on the extent and intensity of the course: 30.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2017, Spring 2018, autumn 2018, spring 2019, spring 2020, autumn 2020, spring 2021, autumn 2021, spring 2022, autumn 2022, spring 2023, autumn 2023, spring 2024, autumn 2024, spring 2025.
  • Enrolment Statistics (autumn 2019, recent)
  • Permalink: https://is.muni.cz/course/med/autumn2019/aVLOR7X1