Learning outcomes Orthopaedics and Hand Surgery Page1
Learning outcomes Orthopaedics Spring 2013
The course in orthopaedics provides students with the fundamental principles for diagnosis and treatment of the diseases and injuries of the musculoskeletal system. The subjects treated in lectures, seminars and group exercises may be prioritised areas for review.
The general learning outcomes of the course in orthopaedics are that students shall be able to approach patients in a professional manner obtain a relevant medical history of the patient’s complaint perform an appropriate examination of the musculoskeletal system have knowledge of common diagnostic tools draw up a plan of investigation for the most common diseases of the musculoskeletal system draw up a treatment plan in dialogue with the patient identify disorders that must be treated acutely to avoid a life-long disability
On completion of the course, students shall be able to obtain the medical history and perform examination of diseases and injuries of the musculoskeletal system perform primary management, manual repositioning and immobilisation of the injured limb perform an appropriate distal examination make assessments for possible compartmental syndrome make assessments for possible cauda equina syndrome perform infiltration anaesthesia and skin sutures perform joint puncture identify obvious fractures or luxations without X-ray images
On completion of the course, students shall demonstrate knowledge of the management principles for patients with multiple injuries the management principles for patients with open fractures the difference between high-energy and low-energy injuries the long-term effects on patients of permanent injuries or chronic diseases of the musculoskeletal system
The list below indicates important concepts in order of priority
All categories are examined but the focus is on categories 1 and 2
Learning outcomes Orthopaedics and Hand Surgery Prio 1 Prio 2 Prio 3 Upper limb Shoulder joint luxation – anterior and posterior Adhesive capsulitis Epicondyle fracture of the humerus Axillary nerve palsy Elbow luxation Clavicle fracture Impingement syndrome Lunatum malacia Osteoarthritis of the acromioclavicular joint Biceps tendon rupture Hand osteoarthritis Fractures of the surgical neck of the humerus Knee osteoarthritis Acromioclavicular luxation Heberden’s nodes Supraspinatus rupture Humerus fracture Radial nerve palsy Radial head fracture Median nerve palsy Radial tunnel syndrome Ulnar nerve palsy Forearm fracture Carpal tunnel syndrome Stenosing tendovaginitis Distal radius fracture Crepitating tendovaginitis Septic tendovaginitis De Quervain syndrome Scaphoid fracture Dupuytren’s contracture Subcapital metacarpal fracture Mallet finger Shoulder-hand syndrome
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Learning outcomes Orthopaedics and Hand Surgery Lower limb Cox osteoarthritis Greater trochanteric pain syndrome Sacroiliac joint pain Hip fracture Snapping hip syndrome Pelvic girdle pain Meniscus injury Pelvic fracture Meralgia paraesthetica Knee ligament injuries Adductor tendinitis Quadriceps tendon rupture Knee osteoarthritis Femoral fracture Femoral condyle fracture Achilles tendon rupture Patella fracture Baker’s cyst Ankle distortion Prepatellar bursitis Iliotibial band syndrome Diabetic foot ulceration Luxating patella Patellar tendinitis Anterior knee pain Pes anserinus tendinitis Tibial plateau fracture Calcaneus fracture Crus fracture Calf strain Achilles tendinitis, bursitis Ankle fracture Tarsometatarsal luxation – Lisfranc joint Plantar fasciitis Calcaneal spur Metatarsal fracture Morton’s metatarsaglia Bunion (hallux valgus) Hallux rigidus Hammer toe Spine Lumbar disc herniation Torticollis Scheuermann’s disease Cauda equina syndrome Cervicalgia Spinal bone tumour Brachialgia Spinal bone fracture Cervical disc herniation Spondylosis Spondylolysis Spondylolisthesis Spondylitis
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Learning outcomes Orthopaedics and Hand Surgery
Children Nursemaid’s elbow Scoliosis Hip dysplasia Osteochondritis dissecans Transient synovitis Septic arthritis Osteomyelitis Physiolysis Perthes disease Osgood-Schlatter disease Retropatellar pain syndrome Chondromalacia patellae Club foot
Other Arthritis Aseptic necrosis Compartment syndrome Synovitis Management of soft tissue tumours Osteonecrosis Osteoporosis Ganglion
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Learning outcomes Orthopaedics and Hand Surgery
Learning outcomes Orthopaedics Spring 2013
Prior knowledge: Hand and arm anatomy
General be able to examine the hand function and perform a distal examination in the presence of acute hand/arm injuries demonstrate knowledge of the diagnosis, investigation and treatment of common disorders (e.g. nerve compression, wrist joint diseases, Dupuytren’s contracture, ganglion, tendon sheath diseases). demonstrate knowledge of the diagnosis, investigation and treatment of hand injuries
Hand function in relation to disease or injury be able to examine the hand function (inspection, palpation, active and passive movement, joint stability, strength and sensitivity) for diagnosis of hand or forearm diseases be able to perform distal examination (e. g. movement, sensitivity, circulation, tendon function) in the presence of acute hand and forearm injuries (e.g. wounds, fractures, infections, compartment syndrome). draw up a treatment plan in dialogue with the patient identify disorders that must be treated acutely to avoid a life-long disability
Reception and rehabilitation demonstrate knowledge of the extent of perioperative information provided to patients demonstrate knowledge of the rehabilitation principles for hand and arm injuries
Surgery should have attended some of the most common types of hand surgery (e.g. carpal tunnel release, thumb joint surgery, surgery for Dupuytren’s contracture, trigger fingers and De Quervain’s syndrome). attended preparations for elective surgery and perioperative measures for acute surgery such as cleaning and creating a bloodless field attended application of plexus anaesthesia
Required reading
Lundborg G. Handkirurgi – skador, sjukdomar, diagnostik och behandling. Second edition. Studentlitteratur 1999. ISBN 91-44-0946-1. Suitable works on anatomy Material distributed at lectures and case presentations
Lars B. Dahlin Anette Chemnitz Professor, course director Physician, teaching assistant
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