Syllabus (Orthopedic Medicine)

ORTHOPEDIC 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.
  1. Practical assessment and interpretation of findings of the:-
  • Shoulder
  • Elbow
  • Wrist and hand
  • Hip
  • Knee
  • Ankle and foot
  1. The concept of cyriax method of treatment including application of intra articular injection for wide spread musculoskeletal condition.
  1. Other Physiotherapeutic techniques and their practical application including joint mobilisations, soft tissue mobilisations, passive movements, soft tissue stretches, deep transverse frictions and massage techniques.
  2. The aetiology, symptoms and physiotherapy management of the following conditions:

Shoulder joint

  • Palpation and surface marking.
  • Joint examination
  • Thoracic outlet syndrome
  • Painful arc
  • Lesions of supraspinatous, infraspinatious, and subscapularis tendonitis.
  • Bicipital tendonitis, rupture of biceps tendon, and subluxation of biceps tendon.
  • Bursitis – subacromial and subcoracoid.
  • Capsulitis
  • Other contractile and non contractile structural problem
  • Instability of the gleno-humeral joint.
  • Shoulder/hand syndrome
  • Entrapment neuropathy, subscapular nerve entrapment.
  • Accessory movement
  • Adjacent muscle length test
  • All special tests

Elbow joint    

  • Palpation and surface marking.
  • Joint examination
  • Soft tissue lesions – lateral and medial epicondylitis.
  • Joint lesions – pulled elbow, pushed elbow and elbow stiffness.
  • Olecranon bursitis
  • Entrapment neuropathies of the ulnar, median and radial nerves.
  • Pronator teres syndrome
  • Other common contractile and inert structural problem.
  • Adjacent muscle length test
  • All special test

The Wrist and Hand:

  • Palpation and surface marking
  • Joint examination
  • Tendon lesions.
  • Ligament sprains.
  • Dupuytrens contracture and Volkmann’s Ischaemic contracture.
  • Carpal tunnel syndrome.
  • Dequervain’s tenosynovitis
  • Derangent of carpal
  • Triangular fibrocarlilage tear
  • Mallet and jersey finger
  • Common deformity in various condition
  • Other contractile and noncontractile lesion
  • Distal ulnar neuritis
  • Adjacent muscle length test
  • Special tests

Hip joint:

  • Palpations and surface marking
  • Joint examination
  • Soft tissue lesions such as adductor strain, quadriceps and hamstring strain.
  • Iliopsoas bursits
  • Piriformis syndrome
  • Adjacent muscle length test
  • Other contractile and non contractile lesion
  • All special tests

Knee joint:

  • Palpation and surface marking
  • Joint examiantion
  • Ligament injuries – medial and lateral collateral, anterior and posterior cruciate.
  • Meniscus lesion
  • Musculotendinous lesions – quadriceps contusion, ITB syndrome, patellar tendinitis.
  • Chondromalacia patella.
  • Patelofemoral dysfunction
  • Adjacent muscle length test
  • Other contractile and non contractile lesion
  • All special tests.

Lower leg:

  • Palpation and surface marking
  • Compartment syndromes of the lower leg.
  • Tenosynovitis of the Achilles tendon and rupture of the Achilles tendon.
  • Osteochondritis of the calcareous.
  • Tennis leg
  • Adjacent muscle length test
  • Special tsets.

Ankle:

  • Palpation and joint examination
  • Ligament sprains – medial and lateral.
  • Recurrent instability of the ankle.
  • Other contractile and non contractile lesion
  • Adjacent muscle length test
  • Special tests

Foot:

  • Entrapment syndromes
  • Causes of heel pain – heel spur and Planterfascitis.
  • Tarsal tunnel syndrome
  • Common deformity
  • Arches of foot
  • Special tests

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