ORTHOPAEDICS

Objectives At the end of the course, the learner should be able to: 1. 2. Acquire knowledge about etiopathogenesis, diagnosis & management of common orthopaedics disorders, musculoskeletal trauma and orthopedic emergencies. Perform skills which are enumerated. KNOWLEDGE Course content Topics 1 2 General principles of diagnosis, management and complications of musculoskeletal injuries Diagnosis & management of fractures of (i) (ii) (iii) (iv) (v) (vi) (vii) (ix) (x) (xi) (xii) (xiv) (xv) (xvi) 3 Clavicle Supracondylar humerus Distal radius Proximal femur Shaft of femur Both bones of leg Ankle Joint Pelvis Proximal Humerus Shaft & Inter Condylar Humerus Monteggia & Galleazzis fractures Acetabulum Distal femur & proximal tibia Patella Must Desirable know to know

(viii) Spine

(xiii) Scaphoid & Bennetts

(xvii) Talus and calcaneum Diagnosis & management of dislocations of (i) (ii) (iii) 4 (i) (ii) Shoulder Hip Elbow Peripheral nerves Brachial plexus

Diagnosis & management of

Subject 5 Diagnosis & management of (i) (ii) 6 7 Pyogenic infections of bones & joints Spine /hip & knee

Must Desirable know to know

Classification of general principles of management of bone tumours and tumor like conditions Diagnosis & management of (i) (ii) Benign bone tumours (bone cyst/osteochondroma/multiple exostosis / osteoid osteoma /enchondroma/giant cell tumour) Malignant bone tumors (Metastatic bone tumors / Osteosarcome/Ewings Sarcoma/Chondro sarcoma/Multiple Myeloma Rickets & Ostomalacia Scurvy Osteoporosis Knee joint Hip Joint Cervical and lumbar spondylosis Spinal canal stenosis Disc disorders Rheumatoid arthritis Ankylosing spondylitis Seronegative arthritides

Diagnosis & management of (i) (ii) (iii)

Diagnosis and management of osteoarthritis of (i) (ii)

10

Diagnosis & management of (i) (ii) (iii)

11

Diagnosis & management of (i) (ii) (iii)

12 13

Diagnosis & management of repetitive stresses injuries around shoulder/elbow/wrist/ankle and spine Diagnosis & management of (i) CTEV (ii) Congenital hip dislocation (iii) Torticollis/congenital vertical talus/AMC/Spine bifida Diagnosis and management of deformities (i) Genu varum/valgum (ii) Cubitus varus/valgum (iii) Scoliosis Diagnosis & management of (i) Perthes disease (ii) Ostogenesis imperfecta

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5. 6. 7.

Write a complete case record with all necessary details. Write a proper discharge summary with all relevant information Obtain informed consent for any examination/procedure Skill Skill (i) (ii) (iii) (iv) (v) (vi) Relevant history and through clinical examination Logical working diagnosis Plan a need based and appropriate treatment protocol for common ailments Recognize urgent situations for reference to higher centers Order & interpret X rays of fractures and dislocations Splintage & transportation of injured patients
Perform independently Perform under supervision Assist the expert Observe

At the end of the learners should be able to perform:

(vii) Apply skin traction (viii) Apply figure of 8 bandage (ix) (x) (xi) Apply POP slab Splintage for long bone fracture Aspiration of major joints

(xii) Peripheral nerve blocking techniques (xiii) Splintage for spinal injuries (xiv) Reduction of colles fracture and cast application (xv) Reduction of acute dislocations hip/shoulder elbow joint

Assessment methods and tools Knowledge: (i) Summative theory examination ( End of IX semester) (ii) OSLER & Short cases (iii) Internal assessments Attitude- Observation while examining cases (6th *& 8th semester) & during internship SkillsOSCE & Viva (IX term) /end of internship posting T/L METHODS Content Cognitive content Method Didactic Lectures Group discussions Symposia Video-demonstration followed byHands on practice on mannequins (Skills lab.) Clinical training Time table 20 hrs in 6th semester 40 hrs in 8th & 9th semesters 40 hrs Clinical posting

Skill content

Learning resource materials : 1. Outline of Orthopaedics, 13th edition by John Crawford Adams , Published by David L Hamblen, Elsevier , Mosby , Saunders. 2. Apleys system of Orthopaedics and fractures , Butterworth-Heinmann ltd., Oxford. 3. A manual on Clinical surgery, 4 th edition, S. DAS, 13, Old Mayors Court, Calcutta 5. Topics for e-learning (i) (ii) (iii) (iv) (v) (vi) (vii) (ix) (x) Injuries of shoulder girdle Injuries of elbow Open fractures Spinal injuries Complications of fractures Classification and management of bone tumorus Osteoporosis Joint replacement surgery Surgical procedures for fracture management

(viii) Minimally invasive surgery in orthopaedics