Traumatology, Orthopaedics V
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.At the end of the studies, student will show knowledge and comprehension about children and adult musculoskeletal trauma and orthopedics problems, acute surgical and internal medicine conditions. Will be able to examine patient independently, critically evaluate their symptoms, define the diagnosis and substantiate it. Will explain chosen treatment methods and describe and explain principles of his action.
Skills
1.1. After gathering patients clinical and additional examination data, student will be able to make a proper diagnosis and choose treatment method: a) Get patient's medical history b) Make a plan for examinations needed c) Evaluate gained radiological and clinical data 2. Apply treatment methods: a) Use appropriate transport immobilization b) Do puncture of large joints and cavities; do closed fracture and dislocation reposition, apply adequate immobilization c) Define indications for applying external fixator and be able to apply it d) Do primary or secondary wound closure, skin flap plastic e) Do tendon suture or plastic f) Do debridement and amputation of extremity g) Choose adequate fixation (osteosynthesis) of fracture, and be able to perform it h) Choose adequate treatment method for treating pseudarthrosis. 2. Be able to diagnose infection of musculoskeletal system and joints (septic arthritis, osteomyelitis) and choose proper conservative or surgical treatment method. 3. Recognize different bone and soft tissue tumours, either benign or malignant. Make an examination plan for getting precise diagnosis and choose proper conservative or surgical treatment method. 4. Will be able to timely recognize systemic and local treatment complications and prevent them or choose proper treatment. 5. Will be able to predict outcome in patients with musculoskeletal trauma depending on its severity.
Competences
1.Will be able to analyze, see interrelationship, evaluate and solve problems in field of traumatology and orthopaedics, in highest professional level, by increasing knowledge in specific and related fields. a) Be able to make proper diagnosis in patients with musculoskeletal trauma and related diseases b) recognize different systemic and local complications of musculoskeletal trauma and diseases, c) evaluate gained examination data, d) do differential diagnosis between orthopaedic diseases, e) make proper treatment plan based on gained objective data, f) explain chosen treatment method, g) evaluate results of chosen treatment method.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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Independently study newest materials and literature in field of traumatology and orthopedics and related fields. Participate in local and international conferences and forums. One to two times per year makes a clinical case presentation about actual topic in field of traumatology and presents it in hospital conference. Makes a scientific clinical case presentation and presents it in yearly conference of Latvian Traumatologists and Orthpaedic surgeons or Rīga Stradiņš university scientific conference.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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-
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Written test based on seminar topics
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2.
Examination |
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Theoretical knowledge evaluation two times per year. Students gives written answers to questions, which are studied during course (analysis of clinical case, multiple choice test or detailed answer to theoretical question). The answers will be graded in 10 point system. Student needs to answer correctly 75% to get a positive grade. Excellent grade if 95-100% is answered correctly, very good – 85-90%, good – 80%, almost good – 75%.
Practical skills test by patients’ bed side or doing certain manipulation or surgical procedure accordingly to gained practical skills.
At the end of the course, student presents his scientific work in department meeting. Grading in 10 point system according to works conformity to research requirements given by Rīga Stradiņš university, its topicality, content compliance, substantiation, design, speech intelligibility, students ability to give proper answers to given questions and leading the discussion.
State examination is united with certification examination in certain specialty. It consists of 150 multiple choice questions and from oral answers to 3-4 questions given by commission.
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Study Course Theme Plan
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Seminar
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Modality
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Location
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On site
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Topics
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Knee joint arhroscopy, suregery techniques, complications.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Hematogenous osteomyelitis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Posttraumatic osteomyelitis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Rear types of osteomyelitis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Intrahospital infection.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Benign bone tumours.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Soft tissue tumours.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Malign bone tumours.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Bone metastases.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Tumour-like bone diseases.
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Seminar
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Modality
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Location
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Topics
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Pathological bone fractures.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Bone defects.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Amputation.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Osteoarthritis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Osteoarthritis of the hip joint.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Osteoarthritis of the knee joint.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Osteoarthritis of the shoulder joint.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Shoulder joint replacement.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Osteoarthritis of elbow, radiocarpal and finger joints.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Ankle and subtalar joint osteoarhritis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Ankle joint replacement.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Complications after joint replacement.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Periprosthetic bone fractures.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Deformities of the foot.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Arhropaties of the foot.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Foot and ankle soft tissue diseases.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Soft tissue diseases of the palm.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Carpal tunnel disease.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Dipitrene contracture.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Idiopatic avascular bone necrosis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Posttraumatic avascular bone necrosis.
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Seminar
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Modality
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Location
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On site
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-
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Topics
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Resuscitation measures for injured patients.
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Seminar
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Modality
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Location
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On site
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-
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Topics
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Acute airway obstruction. Pleural space puncture in the case of pneumothorax and hydrothorax.
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Bibliography
Required Reading
Outline of orthopaedics. John Crawford Adams, David I. Hamblen. 13th edition. London, 2006.
Campbells operative orthopaedics. Edited by A.H. Crenshaw. Vol. 1,2,3,4, 12th edition, ST. Louis a.o.:Mosby, 2013.
Orthopaedic physical assesment. David J. Magee. 3rd edition. Phyladelphia a.o.: W.B. Saunders Company, 2010.
Master techniques in orthopaedic surgery: fractures. Wiss D.A. 2nd edition. Lipincott. Williams & Wilkins, 2006.
Sport medicine. R. Arciero. US McGraw-Hill Inc., 2003.
Slimību, sindromu, testa un muskuļskeletālu bpjājumu eponīmiskā vārdnīca. L. Ejubs, A.Peredistijs. Nacionālais apgāds, Rīga, 2006.
Operative techniques in shoulder and elbow surgery. Williams, Ramcey, Wiesel. 2010.
Hospital for special surgery orthopaedic manual. Th. P. Scolco et al. 2011. Lippincott, Williams et Wilkins, Philadephia. USA.
Traumatoloģija un ortopēdija A.Jumtiņa redakcijā. RSU, 2016.
Browner, Bruce D. Skeletal Trauma: Basic Science, Management, and Reconstruction, 6th edition. Elsevier, 2020.
Additional Reading
http:orthoinfo.aaos.org
http://www thefreedictionary.com/arthroscopy