Syllabus (Orthopedics and Rheumatology)

ORTHOPEDICS AND RHEUMATOLOGY

Total Lecture: 100 Hrs

Exam time: 3 Hrs.                                                                                  

Total marks: 150

                                                                                                                          Written: 100

                                                                                                               Oral / Practical: 30

                                                                                                                          Sessional: 20

  1. Introduction to Orthopedics: Introduction to orthopedic terminology. Types of pathology commonly dealt with, clinical examination, common investigations X – Rays & imaging techniques and outline of non-operative management
  2. Principles of operative treatment: List indications, contraindication and briefly outline principle of: Athrodesis, Arthoroplasty, Osteotomy, Bonegrafting, Tendon – Transfers and Arthroscopy.
  3. Sprains and Muscle Strains: List common sites of sprains and muscle strains and describe the clinical manifestations and treatment. Viz. tennis elbows, golfer’s elbow, Dequervan’s disease, tenovaginitis, trigger finger, carpal tunnel syndrome and plantar fascitis.
  4. Sports Injuries: Injuries related to common sports their classification and management.
  1. Fractures and Dislocations: General Principles, outline the following:
  1. Types of Fractures including patterns. Open and closed fractures and fracture – dislocations.
  2. Differences between dislocation & subluxation.
  3. General & Local signs & symptoms of fractures & symptoms of fractures & dislocation.
  4. Principle of management of fractures & dislocations.
  5. Prevention & treatment of complication including: Fracture – disease, Volkmann’s ischaemic contracture, Sudeck’s Atrophy, Carpal Tunnel Syndrome. Myositis ossificans and shoulder – hand Syndrome.
  6. Fracture healing.
  1. Upper Limb Fractures & Dislocations:
  1. Enumerate major long bone fractures and joint injures.
  2. Briefly describe their clinical features, principles of management (Traction, Plaster of Paris etc) and complications.
  1. Lower Limb Fractures & Dislocations:
  1. Enumerate major long bone fractures and joint injures.
  2. Spinal Fractures and Dislocations: Details about spinal cord injury. Outline the mechanism, clinical features, Principles of management and complications of spinal cord injuries.
  1. Recurrent Dislocations: Outline the mechanism, clinical features, and principles of management and complications of spinal injuries.

  2. Amputations:

  1. Classify amputations. List indications for surgery,
  2. Outline pre-operative, operative and prosthetic management.
  3. Outline prevention and treatment of complications.
  1. Bone & Joint Infections: Outline the etiology, clinical features, management and complications of septic arthritis Osteomyelitis, Tuberculosis (including spinal T.B).

11. Bone Joint Tumors: Classify and outline the clinical features, management and complications of the following (benign/ malignant bone and joint tumors, osteomas, osteosarcomas osteoclastomas, Ewing s sarcoma multiplemyeloma.

12. Chronic Arthritis: Outline of pathology: clinical features, mechanism of deformities, management and complications of: Rheumatoid arthritis Osteoarthritis of major joints, osteoporosis and spine Ankylosing spondylitis.

  1. Neck & Back Pain Painful Arc Syndrome, Tendonitis, Facitis & Spasmodic Torticollis, Outline the above including clinical features and management.

14. Spinal Deformities: Classify spinal Deformities and outline the salient clinical features management and complications of Scholiasts, Kyphosis and Lordosis.

15. Poliomyelitis: Describe the pathology, microbiology, prevention, management and complications of polio; Outline the treatment of residual paralysis including use of orthoses. Principles of muscle transfers and corrective surgery.

16. Congenital Deformities: Outline the clinical features and management, of CTEV, CDH, Flat deficiencies meningomyelocoele, Arthrogryphosis multiplex congentiae and Osteogenesis imperfecta.

17. Peripheral Nerve Injuries: Outline the clinical features and management, including re-constructive surgery of:

  1. Radial, median and ulnar nerve lesions.
  2. Sciatic and lateral popliteal lesions.
  3. Brachial plexus injuries including Erbs, klumpke’s, and crutch palsy,

18. Hand Injuries: Outline of clinical features management and complications of: skin and soft tissue injury, tendon injury, bone and joint injury.

19. Leprosy: Outline of clinical features, management and complications of neuritis, muscle paralysis, tropic ulceration and hand & feet deformities.

20. Soft tissue Rheumatism: Adhesive Capsulitis, Lateral Epicondylitis, Carpal Tunnel Syndrome, work related upper limb disorder, Planter Fascitis and Hyper mobility Syndrome.

Practical:

  1. Application of plaster of Paris.
  2. Application of different types of traction.
  3. Application of different types crape bandages.
  4. Application of different types of external fixation.

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