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

Orthopaedics

Main Study Course Information

Course Code
ORTK_001
Branch of Science
Clinical medicine; Orthopaedics
ECTS
6.00
Target Audience
Medical Services; Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Orthopaedics
Contacts

Riga, 22 Duntes Street, Block No. 1, ortopedkat@rsu.lv, +371 67399345, +371 67399353, +371 67399254

About Study Course

Objective

To provide students with opportunities to acquire knowledge and understanding of human musculoskeletal diseases, congenital and acquired deformities, injuries, their pathogenesis, causes, diagnosis, treatment and rehabilitation principles, as well as care in the context of individual, family and society health; as well as skills that will enable students to independently render first aid, diagnose musculoskeletal injuries and illnesses, be competent in treatment and rehabilitation principles and enable them to continue studies at a higher level.

Preliminary Knowledge

Normal and pathological human anatomy, physiology, aseptic and septic conditions, desmurgy, propaedeutic, pharmacology and microbiology.

Learning Outcomes

Knowledge

1.Upon successful completion of the course, students will be able to: • recognise and describe bones, joints and soft tissues common illnesses and injuries, causes and aethiopathogenesis; • explain and ground the main principles of treatment; • explain side effects; • estimate prognosis.

Skills

1.Upon successful completion of the course, students will be able to: • collect patient’s anamnesis; • perform examination; • establish a diagnosis; • prepare an additional examination and treatment plan; • perform transport immobilization.

Competences

1.Upon successful completion of the course, students will be able to carry out independent work with the injured and orthopaedic patients in general medical practice, and will able to continue further education.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Independent work with literature, Internet resources and materials from e-studies (according to the lesson topics). At the end of the course, an evaluation of the course is provided by filling in a questionnaire.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Assessment: a test in each lesson (not graded). At the end of the course, a colloquium (examination of practical manipulations, formulation of a radiological diagnosis) and a Test in the interpretation of a clinical case. Assessment criteria for the colloquium: Criteria for the colloquium assessment “pass”: 1. Knowledge and skills of the clinical tests in orthopaedics: 1.1. lecturer determines, which two clinical tests student shall demonstrate; 1.2. student shall perform these two clinical tests correctly and precisely; 1.3. if the two clinical tests are performed correctly and precisely, student gets the assessment “pass”; 1.4. if some of two clinical tests are not performed correctly and precisely, student gets the assessment “fail”. 2. Knowledge and skills of the transport immobilization and desmurgy: 2.1. lecturer determines, which localization shall be immobilized or bandaged; 2.2. student shall perform the transport immobilization or bandage correctly and precisely; 2.3. if the transport immobilization or bandage is performed correctly and precisely, student gets the assessment “pass”; 2.4. if the transport immobilization or bandage is not performed correctly and precisely, student gets the assessment “fail”. 3. Knowledge and skills of the evaluation of the movements in the joints, length and girth of the extremities: 3.1. lecturer determines the localization, in which movements in the joints, length or girth of the extremity shall be performed; 3.2. student shall perform the measurements correctly and precisely; 3.3. if the measurements are performed correctly and precisely, student gets the assessment “pass”; 3.4. if the measurements are not performed correctly and precisely, student gets the assessment “fail”. 4. Formulation of radiological diagnosis 4.1. the lecturer demonstrates a radiograph of a bone fracture or orthopedic disease 4.2. the student formulates the radiological diagnosis 4.3. if the radiological diagnosis is formulated correctly - rating "passed" 4.4. if the radiological diagnosis is formulated incorrectly or critically incomplete - the assessment is "failed". 4. The final grade for the colloquium is determined in a 10-point system, where each section accounts for approximately 25%. 5. If the final assessment for the colloquium is “fail”, student shall agree with lecturer about date and time for the colloquium repeatedly. The final test of the course is the Clinical case interpretation test. The lecturer demonstrates a clinical case of an injury or orthopedic disease with specific questions, the answers of which make up the percentage of the final assessment of the test: 100-96%-10 (with distinction) 95-86%-9 (excellent) 85-76%-8 (very good) 75-66%-7 (good) 65-60%-6 (almost good) 59-55%-5 (satisfactory) 54-50%-4 (almost satisfactory) 49% and below - failed test, must be retaken according to RSU Study Regulations. The cumulative final grade of the course is calculated according to the formula: (Colloquium rating+Test rating): 2= Course rating The final grade of the course can be increased by 0.5 points if at least two guest lectures have been attended.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Trauma as a social problem. History of traumatology and orthopaedics. Mechanical trauma. Closed and open fractures.
  1. Video Lecture

Modality
Location
Contact hours
On site
Other
2

Topics

Polytrauma.
  1. Video Lecture

Modality
Location
Contact hours
On site
Other
2

Topics

Osteomyelitis (septic complications in orthopaedics).
  1. Video Lecture

Modality
Location
Contact hours
On site
Other
2

Topics

Benign and malignant tumors of the movement and support system.
  1. Video Lecture

Modality
Location
Contact hours
On site
Other
2

Topics

Osteoarthritis.
  1. Video Lecture

Modality
Location
Contact hours
On site
Other
2

Topics

Burns.
  1. Video Lecture

Modality
Location
Contact hours
On site
Other
2

Topics

Spinal injuries and illnesses.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Radiological diagnosis of bone fractures. Visible and invisible. The most common diagnostic mistakes.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

The examination of patients with musculoskeletal trauma and orthopaedic diseases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Conservative treatment methods of musculoskeletal trauma (transport immobilization, desmurgie (bandage technique), plaster casts).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Fractures and dislocations of the upper extremity bones.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Diseases of the upper extremity, ruptures of muscles and tendons.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Traumatic injuries of muscles and tendons of the lower extremities. Foot injuries and orthopedic diseases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

High energy trauma. Polytrauma. Traumatic injuries of pelvis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Diaphyseal fractures of the lower extremity bones, diagnostics and treatment, complications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Low energy trauma. Fractures of the proximal femur. Peculiarities of geriatric trauma.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Soft tissue structures damage of the knee joint. Diagnostic and treatment options in traumatology and orthopedics.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Intraarticular fractures and dislocations of the lower extremity bones.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Osteoarthritis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Osteomyelitis and septic arthritis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Spinal injuries and diseases.
  1. Class/Seminar

Modality
Location
Contact hours
Off site
E-Studies platform
3

Topics

Workshop on interactive analysis of clinical cases
Description
Annotation: Interactive seminar on the Zoom platform for 3 groups of students at the same time with demonstration and analysis of interesting and instructive clinical cases. Students are also invited to submit their prepared clinical cases. Topics covered during the class: Includes all previously learned material of the Orthopedics course. Literature: Orthopedics course video lectures
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Colloquium (orthopedic tests, transport immobilisation, desmurgia,formulation of radiological diagnosis).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical case interpretation test
Total ECTS (Creditpoints):
6.00
Contact hours:
64 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

A. Jumtiņa redakcijā. “Traumatoloģija un ortopēdija”. Rīga. 2016. RSU

2.

Browner, Bruce D. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th Edition. Elsevier, 2020.Suitable for English stream

Additional Reading

1.

Ronald Mc Rae. „Pocketbook of Orthopaedics and Fractures”. Churchill Livingstone, 2006.Suitable for English stream

2.

Lācis A., Lācis G. Augšējās ekstremitātes un pleca joslas kaulu lūzumi. Jāņa Rozes apgāds. Rīga. 2007.

3.

Ejubs L., Peredistijs A. Slimību sindromu, testu un muskuloskeletālu bojājumu eponīmiskā vārdnīca. Rīga, 2006, Nacionālais apgāds.

4.

Jakušonoka R., Jodzeviča H., Gibners R. Transporta imobilizācija. Pārsēji. Rīga. 2008. Rīga. MULTINEO.

5.

Jumtiņš A. Kaulu lūzumi. Metodiskās rekomendācijas studentiem. Rīga, 2009, RSU.

6.

Savicka M. Apdeguma trauma Rīga. Nacionālais apgāds. 2004.

7.

David J. Dandy, Dennis J. Edwards. „Essential Orthopaedics and Trauma”. Churchill Livingstone, 2009.Suitable for English stream

8.

David J. Magee. „Orthopaedic Physical Assessment”. 4th Edition. Saunders, 2021Suitable for English stream

Other Information Sources

1.

AO Foundation HomeSuitable for English stream

2.

American Academy of Orthopaedic Surgeons – AAOSSuitable for English stream

3.

The Journal of Bone & Joint Surgery | HomeSuitable for English stream

4.

Mayo ClinicSuitable for English stream

5.

Osteoarthritis - Arthritis Foundation (Diseases)Suitable for English stream

6.

InstantanatomySuitable for English stream

7.

AnatomyatlasesSuitable for English stream