Orthopaedic medicine
(Musculoskeletal Peripheral)
Total
Lecture: 100 Hrs
Exam
time: 3 Hrs.
Total marks: 150
Written: 100
Oral / Practical: 30
Sessional: 20
1.
Through analysis of the subjective
and objective assessment with emphasis on relevance to musculo-skeletal
conditions. The subjective assessment should include history of present
complaint, past medical history, drug history, social history, special
questions, (contraindications) and any tests such as x-rays. The objective
assessment should include general and local observations, appropriate range of
movement, muscle testing, palpation, accessory movement, capsular pattern and neurological
assessment, special tests.
2.
Introduction to the Maitland concept
and Cyriax with reference to their use in patient assessment.
3.
Physical diagnostic approach of
orthopaedic medicine including its treatment.
4. Assessment of the cervical spine, thoracic spine and lumbar spine in
enough detail to be able to rule out referred spinal symptoms as the cause of a
peripheral problem.
5.Practical assessment and interpretation of findings of the:-
- Shoulder
- Elbow
- Wrist and hand
- Hip
- Knee
- Ankle and foot
6.
The concept of cyriax method of treatment including application of intra
articular injection for wide spread musculoskeletal condition.
7.
Other Physiotherapeutic techniques
and their practical application including joint mobilisations, soft tissue
mobilisations, passive movements, soft tissue stretches, deep transverse
frictions and massage techniques.
8.
The aetiology, symptoms and
physiotherapy management of the following conditions:
Shoulder joint
Ø
Palpation and surface marking.
Ø
Joint examination
Ø
Thoracic outlet syndrome
Ø
Painful arc
Ø
Lesions of supraspinatous,
infraspinatious, and subscapularis tendonitis.
Ø
Bicipital tendonitis, rupture of
biceps tendon, and subluxation of biceps tendon.
Ø
Bursitis - subacromial and
subcoracoid.
Ø
Capsulitis
Ø
Other contractile and non contractile
structural problem
Ø
Instability of the gleno-humeral
joint.
Ø
Shoulder/hand syndrome
Ø
Entrapment neuropathy, subscapular
nerve entrapment.
Ø
Accessory movement
Ø
Adjacent muscle length test
Ø
All special tests
Elbow joint
Ø
Palpation and surface marking.
Ø
Joint examination
Ø
Soft tissue lesions - lateral and
medial epicondylitis.
Ø
Joint lesions - pulled elbow, pushed
elbow and elbow stiffness.
Ø
Olecranon bursitis
Ø
Entrapment neuropathies of the ulnar,
median and radial nerves.
Ø
Pronator teres syndrome
Ø
Other common contractile and inert
structural problem.
Ø
Adjacent muscle length test
Ø
All special test
The Wrist and Hand:
Ø Palpation and surface marking
Ø Joint examination
Ø
Tendon lesions.
Ø
Ligament sprains.
Ø
Osteoarthritis.
Ø
Dupuytrens contracture and Volkmann’s
Ischaemic contracture.
Ø
Ganglion.
Ø
Carpal tunnel syndrome.
Ø
Dequervain’s tenosynovitis
Ø
Derangent of carpal
Ø
Triangular fibrocarlilage tear
Ø
Mallet and jersey finger
Ø
Common deformity in various condition
Ø
Other contractile and noncontractile
lesion
Ø
Distal ulnar neuritis
Ø
Adjacent muscle length test
Ø
Special tests
Hip joint:
Ø Palpations and surface marking
Ø Joint examination
Ø
Soft tissue lesions such as adductor
strain, quadriceps and hamstring strain.
Ø
Osteoarthritis.
Ø
Iliopsoas bursits
Ø
Piriformis syndrome
Ø
Adjacent muscle length test
Ø
Other contractile and non contractile
lesion
Ø
All special tests
Knee joint:
Ø Palpation and surface marking
Ø Joint examiantion
Ø
Ligament injuries - medial and
lateral collateral, anterior and posterior cruciate.
Ø
Meniscus lesion
Ø
Musculotendinous lesions - quadriceps
contusion, ITB syndrome, patellar tendinitis.
Ø
Chondromalacia patella.
Ø
Bursitis.
Ø
Osteoarthritis.
Ø
Patelofemoral dysfunction
Ø
Adjacent muscle length test
Ø
Other contractile and non contractile
lesion
Ø
All special tests.
Lower leg:
Ø
Palpation and surface marking
Ø
Compartment syndromes of the lower
leg.
Ø
Tenosynovitis of the Achilles tendon
and rupture of the Achilles tendon.
Ø
Osteochondritis of the calcareous.
Ø
Tennis leg
Ø
Adjacent muscle length test
Ø
Special tsets.
Ankle:
Ø Palpation and joint examination
Ø
Ligament sprains - medial and
lateral.
Ø
Recurrent instability of the ankle.
Ø
Other contractile and non contractile
lesion
Ø
Adjacent muscle length test
Ø
Special tests
Foot:
Ø
Entrapment syndromes
Ø
Causes of heel pain - heel spur and
Planterfascitis.
Ø
Tarsal tunnel syndrome
Ø
Common deformity
Ø
Arches of foot
Ø Special
tests
Books Recommended:
Coates, H. and King, A.,
(1982), The patient Assessment,
Churchill Livingston, London
Cyriax, J., (1953) Illustrated Manual of Orthopaedic Medicine,
OM Publicatory, London
Magee, D, S., (1987) Orthopaedic Physical Assessment, WB
Sanders, Philadelphia
Maitland, G. D., (1986) Peripheral Manipulation, Butterworth, London
Maitland, G. D., (1986) Vertebral Manipulation, Butterworth, London
Orthopedic medicine a practical
approach -- Monica kesson
Anatomy palpation and surface marking – Derek
Field.
Neuromusculoskeletal
Examination and Assessment – Nicola J.Petty.
মন্তব্যসমূহ
একটি মন্তব্য পোস্ট করুন