VLOR7X1 Orthopaedics - practice

Faculty of Medicine
Spring 2018
Extent and Intensity
3/3/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
doc. MUDr. Richard Chaloupka, CSc. (lecturer)
Doc. MUDr. Pavel Janíček, CSc. (lecturer)
doc. MUDr. Ivan Müller, CSc. (lecturer)
doc. MUDr. Zbyněk Rozkydal, Ph.D. (lecturer)
doc. MUDr. Tomáš Tomáš, Ph.D. (lecturer)
MUDr. Bořek Crha (seminar tutor), prof. MUDr. Jan Poul, CSc. (deputy)
MUDr. Jan Emmer (seminar tutor)
doc. MUDr. Jiří Jochymek, Ph.D. (seminar tutor)
MUDr. Tomáš Kovanda (seminar tutor)
MUDr. Lukáš Pazourek, Ph.D. (seminar tutor)
MUDr. Luděk Ryba, Ph.D. (seminar tutor)
MUDr. Miroslav Straka (seminar tutor)
MUDr. Pavel Ženčica, Ph.D. (seminar tutor)
Barbora Krausová (assistant)
Guaranteed by
prof. MUDr. Martin Repko, Ph.D.
Department of Orthopaedics and Spine Surgery – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Supplier department: Department of Orthopaedics and Spine Surgery – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Timetable of Seminar Groups
VLOR7X1/09A: Mon 7. 5. to Fri 11. 5. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/09B: Mon 7. 5. to Fri 11. 5. each working day 7:30–12:20 KOSCH N08191
VLOR7X1/10A: Mon 23. 4. to Fri 27. 4. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/10B: Mon 23. 4. to Fri 27. 4. each working day 7:30–12:20 KOSCH N08191
VLOR7X1/11A: Mon 9. 4. to Fri 13. 4. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/11B: Mon 9. 4. to Fri 13. 4. each working day 7:30–12:20 KOSCH N08191
VLOR7X1/12A: Mon 26. 3. to Fri 30. 3. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/12B: Mon 26. 3. to Fri 30. 3. each working day 7:30–12:20 KOSCH N08191
VLOR7X1/15A: Mon 26. 2. to Fri 2. 3. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/15B: Mon 26. 2. to Fri 2. 3. each working day 7:30–12:20 KOSCH N08191
VLOR7X1/16A: Mon 21. 5. to Fri 25. 5. each working day 7:30–12:20 I.ORTK N01901
VLOR7X1/16B: Mon 21. 5. to Fri 25. 5. each working day 7:30–12:20 KOSCH N08191
VLOR7X1/30A: No timetable has been entered into IS.
VLOR7X1/30B: No timetable has been entered into IS.
VLOR7X1/35A: No timetable has been entered into IS.
VLOR7X1/35B: No timetable has been entered into IS.
Prerequisites
VSPF0622p Pathological Physiology II - lectures && VSPA0622p Pathology II - lecture && VLCP0622c Clinical Introduction to Surgery II - practice && VSIP0622c Clinical Introduction to Internal Medicine II - practice && VLFA0621c Pharmacology I - 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
Abstract
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.
Key topics
  • 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.).
Study resources and literature
    required literature
  • Trauma and Orthopaedics at a Glance. Henry Wilmott, May 2015, ISBN 978-1-118-80253-3
  • Janíček, P. Ortopedie,. 2. vydání , 2012, ISBN 978-80-210-4429-6
  • 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
Approaches, practices, and methods used in teaching
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.
Method of verifying learning outcomes and course completion requirements
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
Teacher's information
Časový harmonogram: pondělí až pátek, 7,30 - 12,20 hod. přestávky v 10,00-10,20 hod. Ve čtvrtek jde skupina od FN u sv. Anny do FDN Brno Černopolní ul., ve středu se skupiny z FN Bohunice a z FN u sv. Anny prostřídají.
Témata: Po- vyšetřovací metody, degenerativní onemocnění kloubů, osteoartróza Út- náhrady kloubní, tumory, záněty Stř- spondylochirurgie, bolesti zad, deformity páteře ČT- dětská ortopedie Pá.- entesopathie, artroskopie, statické deformity nohou, osteopatie.
Seznam pomůcek: bílý plášť, přezůvky.
Výuková místnost poskytuje možnost převlečení a přezutí.
Speciální požadavky: 0

Anotace povinné literatury

Ortopedie, Janíček, P.
Skripta zahrnují všechny základní kapitoly předmětu Ortopedie a rehabilitace vyučované ve 4. ročníku všeobecného směru LF MU v Brně. Znalosti z těchto skript jsou vyžadovány u státní rigorózní zkoušky z chirurgie v 6. ročníku. Zahrnují kapitoly: Degenerativní onemocnění kloubů (osteoartróza primární, sekundární). Osové úchylky končetin (dolní končetina, kyčel). Statické deformity nohy. Deformity horní končetiny. Aloplastiky. Kyčel (cementované, hybridní, necementované). Koleno (dělení, komplikace). Rameno (dělení, indikace), loket (dělení, indikace). Kostní nádory. Stanovení diagnózy, vyšetřovací metody, probatorní biopsie. Staging a grading. Benigní a maligní nádory, nádorům podobné afekce. Záněty kostí a kloubů. Akutní osteomyelitis- symptomy, laboratorní testy, léčba. Chronická osteomyelitis- projevy, léčba. Akutní artritis – symptomy, laboratorní testy, léčba. Chronická artritis- léčba, prognóza. Granulomatózní záněty (tbc, aktinomykóza). Deformity páteře. Skolióza (dělení, měření dle Cobba), léčba konzervativní, operativní. Kyfóza (dělení, léčba). Lordóza (dělení, léčba). Bolesti zad (vertebrogenní, viscerální). Lumbago, lumbalgie, lumboischialgický syndrom, syndrom spinální stenózy, failed back syndrom. cervikokranilní a cervikobrachiální syndrom. Vrozené vady (poruchy formace a diferenciace, zdvojení, gigantismus, hypoplázie, vrozená konstrikce, generalizované skeletální vady). Vývojová dysplázie kyčelního kloubu. Pes equinovarus congenitus, torticollis muscularis (diagnostika, léčení). Získané vady v dětském věku (statické vady dolních končetin, poruchy epifýz a epifyzárního růstu). Aseptické kostní nekrózy. Coxa vara adolescentium. Artroskopie (diagnostická, operační). Artroskopie kolena. Artroskopie ramena a dalších kloubů. Entezopatie (syndrom tenisového lokte, syndrom bolestivého ramene, overuse syndromy). Dětská mozková obrna. Klasifikace, klinické projevy. Léčba konzervativní a operační. Osteopatie. Osteoporóza (dělení, symptomy, vyšetření, léčba). Osteomalacie, další osteopatie. Amputace a exartikulace (indikace, úrovně amputací na dolních i horních končetinách). Protézy (části protézy, materiály, prvovybavení, definitivní protéza, rehabilitace). Protézy dolních a horních končetin. Ortézy horních a dolních končetin a trupové ortézy. Rehabilitace v ortopedii (typy, léčebná tělesná výchova, rehabilitační postupy v ortopedii).

Trauma and Orthopaedics at a Glance. Henry Wilmott, May
The publication is compulsory textbook in Orthopaedics for student in the 4th school year of general medecine if Medical faculty in Brno. It involves basic science, adult orthopaedics, upper and lower limb, pediatric ortopaedics and trauma. The book rescribes: Clinical methods – history and examinations, radiological examinations, laboratory methods. 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). Artificial joints. Hip arthroplasty (materials, bone cement, types, procedures, physioterapy after the operation, complications). Knee arthroplasty. Musculoskeletal tumors. Methods of examination, biopsy. Staging and grading. Benign and malignant tumors. Operative treatment, chemotherapy, radiotherapy. 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). 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. 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, osteomalacia (symptoms, ,management). Other metabolic bone disease. • Amputation and disarticulation. 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).

Vyšetřovací metody v ortopedii, Rozkydal, Z., Chaloupka, R.
Skripta popisují jednotlivé metody při vyšetření nemocného v ortopedii. Zahrnují anamnézu, objektivní vyšetření- aspekce, palpace, perkuse, auskultace, měření délky a obvodů končetiny, funkční vyšetření, dále postup při vyšetření páteře, horní a dolní končetiny, pánve, hrudníku, krku. Popisují pomocné vyšetřovací metody- rtg, artrografie, fistulografie, angiografie, ultrasonografie, CT, MRI, scintigrafie, densitometrie, biopsie, laboratorní vyšetření, vyšetření kloubního punktátu.
Further comments (probably available only in Czech)
Study Materials
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, Autumn 2013, Spring 2014, Autumn 2014, Spring 2015, Autumn 2015, Spring 2016, Autumn 2016, Spring 2017, Autumn 2017.
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