Veidlapa Nr. M-3 (8)
Study Course Description

Special Orthopedics

Main Study Course Information

Course Code
REK_015
Branch of Science
Clinical medicine; Orthopaedics
ECTS
3.00
Target Audience
Medical Services
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Rehabilitation
Contacts

Riga, 26a Anninmuizas boulevard, rk@rsu.lv, +371 20271291

About Study Course

Objective

To ensure students with theoretical and practical education needed in Orthotics - prosthetics specialist's work with people with locomotor apparatus diseases, acquired or congenital deformities and consequences of injuries.

Preliminary Knowledge

Good knowledge in anatomy and physiology, first aid, medical terminology, neurology and radiology.

Learning Outcomes

Knowledge

1.Students will gain knowledge about most common orthopedics diseases, the clinical manifestations, diagnostic and treatment principles, potential rehabilitation options and how to implement them.

Skills

1.Students will learn the skill to: • investigate patients with locomotor apparatus diseases or their consequences; • draw up the prosthetics - orthotics plan; • orientate in radiological investigations.

Competences

1.Students will be able to evaluate the patient's overall condition, orthopedic problems and arrange them in order of priority. Students will have knowledge about main treatment and rehabilitation principles of every orthopedic pathology.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
On independently acquired study material, a student prepares summaries and reports, and presents it during the seminar, after which there are discussion and exchanging opinions about the topic. The task of the independent work is to acquire skill to work with medical literature, compare and evaluate theoretical information application possibilities in practical work.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Student knowledge in theoretical and practical field is evaluated by a lecturer in every lecture or practical lesson. To finish this learning cycle students are writing the test. The tests contains analysis of a clinical case, physical examination, working diagnosis, etc. To get a positive evaluation at the end of the study course and exam the lecturer evaluates: • attitude to study process (10%); • development dynamics (10%); • active work in practical lessons (30%); • student's individual work (20%); • the final exam(30%).

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Introduction to the special orthopedics. Bone healing. Methods of patient examination in traumatology and orthopedics.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Limb length, joint movement volume and muscle strength testing. Clinical gait analysis method. Valgus and varus deformities of the limbs, their causes and effects of orthoses used in the correction. Patient demonstration.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Hip joint osteoarthritis, clinical and x-ray findings, treatment, complications. Endoprostheses types. Thigh fracture treatment, complications. The patient's gait analysis in investigation office before and after the large joints of the EP's operations.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Osteoarthritis pathogenesis and treatment.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Pediatric orthopedic diseases (DCC, LCC, clubfoot) and the consequences for an adult.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Orthosis use to congenital orthopedic diseases and M-bus Kohler I-II, Morbus Scheuerman, Morbus Calve, Morbus Osgood-Schlatter, technical orthopedics role in the treatment of these diseases.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Difficulties in traumatology and orthopedics, purulent infection.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Knee injury consequences contracture. Meniscus and ligament injury diagnosis and treatment arthroscopy technique. Shin bone fracture treatment, late complications of slow-healing, pseudarthrosis, osteomyelitis. Patient demonstration.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Spinal surgical principles. Scoliosis classification, etiopathogenesis, diagnostics, treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Causes of back pain. Spondylosis, spondylolisthesis – etiopathogenesis, diagnostics, treatment. M-bus Bechterev. Osteoporotic vertebral fractures. Waist corset. Patient demonstration.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Laboratory
2

Topics

Examinations of podometrics or pedobarography in statics and dynamics. Orthopedic footwear, gaiters, leg length adjustment and evaluation.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Shoulder joint tendonitis. Humerus injury and illness, indicating the EP. Soft orthoses in shoulder joint pathology treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Contortion of elbow joint and consequences. Orthoses choice in the treatment of upper limb abnormalities.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Forearm bone fracture in typical place Montedži and Galeacci fracture treatment. Traumatic finger amputations. Tendon damage. Bone tumours, enhondromas, the treatment tactics.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Exam. Course summary. Practical and theory test with clinical cases analysis.
Total ECTS (Creditpoints):
3.00
Contact hours:
30 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

"Traumatoloģija un ortopēdija" prof. A.Jumtiņa redakcijā. RSU izdevniecība, 2016.

2.

Mācību grāmata “Ķirurģija” prof. J. Gardovska redakcijā, 2013.

3.

Bērnu ķirurģija. Prof.A. Pētersona redakcijā. SIA Nacionālais apgāds, 2005. (akceptējams izdevums)

4.

J. Heglins “Ķirurģiskā izmeklēšana” R., “Zvaigzne”, 1985. (akceptējams izdevums)

5.

David J.Dandy, Dennis J.Edwards Essential Orthopaedics and Trauma. Churchill Livingstone, 2001. (akceptējams izdevums)

6.

David J. Magee. Orthopedic Physical Assessment. W.B. Sonders Company, 2021.

7.

Ronald Mc. Rae Clinical Orthopaedic Examination. 6th edition, Churchill Livingstone, 2010. (akceptējams izdevums)

8.

Cynthia C. Norkin, D. Joice White Measurement of Joint Motion: A Guide to Goniometry. F.A. Davis Company, 2016.

9.

Helen Hislop, Jacquelin Montgomery Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination, Saunders, 2014.

10.

Florence Peterson Kendall, Elizabeth Kendall McCreary Muscles: Testing and Function, with Posture and Pain. Lippincott Williams & Wilkins, 2010. (akceptējams izdevums)

Additional Reading

1.

Harring J.A. Tachdjian’s pediatric orthopaedics. Saunders W.B. Company, 2020

2.

Staheli L.T. Practice of pediatric orthopaedics. Lippincott Williams & Wilkins, Staheli. Seattle, 2015.

3.

Исаков ЮФ. Хирургические болезни у детей. Москва, Медицина, 1993.

4.

G. S. Jumašev “Travmatologija i ortopedija“. Moskva “Medicina”, 1995.

5.

Travmatologija i ortopedija prof.N.V.Kornilova red. St Peterburg ”Gippokrat”, 2011.

Other Information Sources

1.

JBJS http://www.ejbjs.org/ http://www.jbjs.org.uk/

2.

Clin Orthop Relat Res. http://www.clinorthop.org/index.html

4.

Knee surg Sports Traumatol Arthrosc. http://www.kssta.org/

6.

Am J Sports Med. http://ajs.sagepub.com/

7.

Acta Orthopaedica http://www.actaorthop.org/