VLOR7X1c Orthopaedics - practice

Faculty of Medicine
autumn 2021
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. 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. Jan Kocanda (seminar tutor)
MUDr. Dušan Matejička (seminar tutor)
MUDr. Šimon Ondruš, Ph.D. (seminar tutor)
MUDr. Tomáš Otaševič, Ph.D. (seminar tutor)
MUDr. Martin Prýmek, Ph.D. (seminar tutor)
MUDr. Jakub Rapi (seminar tutor), doc. MUDr. Pavel Janíček, CSc. (deputy)
prof. MUDr. Martin Repko, Ph.D. (seminar tutor)
MUDr. Marek Rouchal (seminar tutor)
MUDr. Luděk Ryba, Ph.D. (seminar tutor)
MUDr. Jan Sklenský, Ph.D. (seminar tutor)
MUDr. Miroslav Straka (seminar tutor)
doc. MUDr. Tomáš Tomáš, Ph.D. (seminar tutor)
MUDr. Robert Vyskočil, Ph.D. (seminar tutor)
Barbora Krausová (assistant), MUDr. Lukáš Pazourek, Ph.D. (deputy)
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: MUDr. Jan Kocanda
Supplier department: First Department of Orthopedic Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine (40,00 %), Department of Orthopedic Surgery – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (40,00 %), Department of Pediatric Surgery, Orthopedics and Traumatology – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine (20,00 %)
Timetable of Seminar Groups
VLOR7X1c/02A: Mon 18. 10. 7:30–12:30 I.ORTK N01901, Tue 19. 10. 7:30–12:30 I.ORTK N01901, Wed 20. 10. 7:30–12:30 OrtK N08191, Thu 21. 10. 7:30–12:30 KDCHOT N03006, Fri 22. 10. 7:30–12:30 I.ORTK N01901
VLOR7X1c/02B: Mon 18. 10. 7:30–12:30 OrtK N08191, Tue 19. 10. 7:30–12:30 KDCHOT N03006, Wed 20. 10. 7:30–12:30 I.ORTK N01901, Thu 21. 10. 7:30–12:30 OrtK N08191, Fri 22. 10. 7:30–12:30 OrtK N08191
VLOR7X1c/05A: Mon 13. 12. 7:30–12:30 I.ORTK N01901, Tue 14. 12. 7:30–12:30 I.ORTK N01901, Wed 15. 12. 7:30–12:30 OrtK N08191, Thu 16. 12. 7:30–12:30 KDCHOT N03006, Fri 17. 12. 7:30–12:30 I.ORTK N01901
VLOR7X1c/05B: Mon 13. 12. 7:30–12:30 OrtK N08191, Tue 14. 12. 7:30–12:30 KDCHOT N03006, Wed 15. 12. 7:30–12:30 I.ORTK N01901, Thu 16. 12. 7:30–12:30 OrtK N08191, Fri 17. 12. 7:30–12:30 OrtK N08191
VLOR7X1c/07A: Mon 3. 1. 7:30–12:30 I.ORTK N01901, Tue 4. 1. 7:30–12:30 I.ORTK N01901, Wed 5. 1. 7:30–12:30 OrtK N08191, Thu 6. 1. 7:30–12:30 KDCHOT N03006, Fri 7. 1. 7:30–12:30 I.ORTK N01901
VLOR7X1c/07B: Mon 3. 1. 7:30–12:30 OrtK N08191, Tue 4. 1. 7:30–12:30 KDCHOT N03006, Wed 5. 1. 7:30–12:30 I.ORTK N01901, Thu 6. 1. 7:30–12:30 OrtK N08191, Fri 7. 1. 7:30–12:30 OrtK N08191
VLOR7X1c/08A: Mon 13. 9. 7:30–12:30 I.ORTK N01901, Tue 14. 9. 7:30–12:30 I.ORTK N01901, Wed 15. 9. 7:30–12:30 OrtK N08191, Thu 16. 9. 7:30–12:30 KDCHOT N03006, Fri 17. 9. 7:30–12:30 I.ORTK N01901
VLOR7X1c/08B: Mon 13. 9. 7:30–12:30 OrtK N08191, Tue 14. 9. 7:30–12:30 KDCHOT N03006, Wed 15. 9. 7:30–12:30 I.ORTK N01901, Thu 16. 9. 7:30–12:30 OrtK N08191, Fri 17. 9. 7:30–12:30 OrtK N08191
VLOR7X1c/09A: Mon 6. 12. 7:30–12:30 I.ORTK N01901, Tue 7. 12. 7:30–12:30 I.ORTK N01901, Wed 8. 12. 7:30–12:30 OrtK N08191, Thu 9. 12. 7:30–12:30 KDCHOT N03006, Fri 10. 12. 7:30–12:30 I.ORTK N01901
VLOR7X1c/09B: Mon 6. 12. 7:30–12:30 OrtK N08191, Tue 7. 12. 7:30–12:30 KDCHOT N03006, Wed 8. 12. 7:30–12:30 I.ORTK N01901, Thu 9. 12. 7:30–12:30 OrtK N08191, Fri 10. 12. 7:30–12:30 OrtK N08191
VLOR7X1c/11A: Mon 17. 1. 7:30–12:30 I.ORTK N01901, Tue 18. 1. 7:30–12:30 I.ORTK N01901, Wed 19. 1. 7:30–12:30 OrtK N08191, Thu 20. 1. 7:30–12:30 KDCHOT N03006, Fri 21. 1. 7:30–12:30 I.ORTK N01901
VLOR7X1c/11B: Mon 17. 1. 7:30–12:30 OrtK N08191, Tue 18. 1. 7:30–12:30 KDCHOT N03006, Wed 19. 1. 7:30–12:30 I.ORTK N01901, Thu 20. 1. 7:30–12:30 OrtK N08191, Fri 21. 1. 7:30–12:30 OrtK N08191
Prerequisites
VLPF0622p Pathophysiology II - lecture && VLPA0622p Pathology II - lecture && VLLP0633c Clinical Introduction III - practice
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.
Learning outcomes
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)
- to apply imaging methods and laboratory tests leading to establishing of the diagnosis
- to distinquish among other conditions and to suggest the mangement of the condition
- 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
    required literature
  • Janíček, P. Ortopedie,. 2. vydání , 2012, ISBN 978-80-210-4429-6
  • Trauma and Orthopaedics at a Glance. Henry Wilmott, May 2015, ISBN 978-1-118-80253-3
  • Rozkydal, Z., Chaloupka, R.: Vyšetřovací metody v ortopedii, 978-80-210-5902-3, 2012
    recommended literature
  • SOLOMON, Louis, David WARWICK and Selvadurai NAYAGAM. Apley's system of orthopaedics and fractures. 9th ed. London: Hodder Arnold, 2010, xvii, 974. ISBN 9780340942086. info
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)
Study Materials
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 2018, spring 2019, autumn 2019, spring 2020, autumn 2020, spring 2021, spring 2022, autumn 2022, spring 2023, autumn 2023, spring 2024, autumn 2024, spring 2025.
  • Enrolment Statistics (autumn 2021, recent)
  • Permalink: https://is.muni.cz/course/med/autumn2021/VLOR7X1c