Enrollment year
2020/2021
Academic discipline
MED/33 (LOCOMOTORY DISEASES)
Department
DEPARTMENT OF INTERNAL MEDICINE AND THERAPEUTICS
Course
MEDICINE AND SURGERY
Curriculum
PERCORSO COMUNE
Period
1st semester (25/09/2023 - 12/01/2024)
Lesson hours
16 lesson hours
Activity type
WRITTEN AND ORAL TEST
Prerequisites
Students of the Degree Course in Medicine and Surgery are required to possess adequate preparation in histology and anatomy, biochemistry, physiology and pathology, in addition to the basic knowledge of all the introductory courses indicated in the regulation of degree course.
The student must also be aware of the biopsychological, cognitive, emotional and social processes that regulate the doctor-patient relationship, in order to optimize the diagnostic and assistance processes.
Learning outcomes
The aims of the course are to provide the knowledge of the main diseases of the locomotor system and to develop the ability in performing a reasoned clinical examination, in order to put forward a diagnostic hypothesis and prescribe adequate instrumental examinations.
An additional goal of primary importance concerns the ability in evaluating severity, management and prognosis of traumatic injuries of the locomotor system.
A relevant part of the course is dedicated to Pediatric Orthopaedics, with the aim to acquire the knowledge of the most frequent diseases observed during growth. The skills in the pediatric field will help the general practitioner or pediatrician to discriminate the paramorphisms from pathologies and improve therapeutic pathways.
Course contents
Elements of bone histo-physiology and osteogenesis.
Pediatric Orthopaedics
The limit between normal and pathologic conditions in pediatric orthopaedics.
Developmental dysplasia of the hip.
Congenital clubfoot.
Congenital muscular torticollis.
Obstetrical brachial plexus palsy.
Transient synovitis of the hip.
Osteochondrosis (Legg-Calvé-Perthes d.,
Osgood Schlatter d., Scheuermann d.)
Flatfoot.
Scoliosis.
Spondylolysis, spondylolisthesis.
Slipped capital femoral epiphysis.
Infectious disease of bone and joints.
Primitive and secondary tumors of the skeleton.
Bone diseases (osteoporosis, rickets and osteomalacia, Paget).
Joint diseases (osteoarthritis, rheumatoid arthritis).
Avascular necrosis of the femoral head.
Herniated cervical and lumbar disc.
Myotendinous pathologies (shoulder, overload tendinopathies, Achilles tendon).
Topics of hand surgery (upper limb canalicular syndromes, Dupuytren, Volkmann).
Biomaterials in orthopedics and traumatology.
Traumatology
General principles on fractures (classification, bone repair processes, principles of treatment, complications), growth plate fractures, the polytrauma patient.
Fractures of humerus, wrist, pelvis, hip, leg, vertebrae.
Stress fractures.
Traumatic injuries of the joints (shoulder, knee, ankle).
The topics will be distributed among the teachers of the course according to the indications of the President Prof Grassi
Teaching methods
The lessons will be held in compliance with the Governance provisions: lectures, presentation and discussion of clinical cases. Power point will be used for the lectures, which will then be made available on the KIRO moodle platform.
The course is associated to a clinical ward internship, with presentation and discussion of clinical cases. The internship activity is not considered for the exam evaluation.
Reccomended or required readings
F.A.Grassi, U. Pazzaglia, G. Pilato, G. Zatti: “Manuale di ortopedia e traumatologia” (III edizione), Ed. EDRA, 2021.
L.Pedrotti: “Argomenti di Ortopedia Pediatrica”, Pavia University Press, 2012
G.Clemente, S.Citterio, G.Carfagna, L.Pedrotti: “Ortopedia pediatrica: domande e risposte”, Pavia University Press, 2015
Assessment methods
Oral examination on the topics indicated by the full professor of the course.
Only the students registered on Esse3 within the required deadline will be admitted to the exam.
The evaluation is based on the ability of exposing the required notions in a concise, clear and exhaustive way, using an adequate scientific terminology.
To reach full marks with honors, it is required the knowledge of all the topics included in the course program, not only of those presented in the lecture hall.
Further information
To reach full marks with honors in the Training Activity “501667 Diseases of the Locomotor System” it is required to achieve full marks with honors in both Didactic Units (501636 Orthopaedics and 501792 Physical Medicine and Rehabilitation)
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