Osteoarticular and Muscular Disorders

Instance: 2020/2021 - 2S

Cycles of Study/Courses

Teaching language

Objectives

Provide student´s contact with fundamental knowledge of the specialties that constitue the course of osteo-articular and muscular diseases (UC DOM).

At the end of each semester, the student should be able to accomplish an objective examination of adult and child. He should also acquire general concepts: degenerative disease of the spine and limbs; Childhood disease (congenital hip dislocation / DDH - Clubfoot; bone infections; epiphysiolysis - Perthes, spine deformity); traumatology of the spine and limbs; bone tumors as well as musculotendinous sports injuries.

In the context of rheumatic diseases students should be able to identify and evaluate individuals with inflammatory rheumatic disease such as rheumatoid arthritis, Lupus Erythematosus and other connectivitis including Sclerosis Systemic, Sjogren's Syndrome, Inflammatory myopathies, the Juvenile Idiopathic Arthritis, Vasculitis Systemic and Espondilartrites. In addition to these conditions the microcrystalline Arthritis will be focused, as well as osteoarthritis, osteoporosis and other metabolic bone diseases, periarticular Rheumatic Diseases, Fibromyalgia and Musculoskeletal manifestations of non-rheumatic diseases.

Aquisiction of general concepts on Physical Medicine and Rehabilitation (PMR). Clinical and functional evaluation of the patient, using scales and complementary diagnostic and therapeutic methods in PMR. Specific methods of prevention and treatment in PMR.

Learning outcomes and competences

Working method

Program

 
Theoretical-seminars 
Presentation of the UC DOM.
Fractures of the upper limb - Prof. Manuel Gutierres
Fractures of the lower limb - Prof. João Torres

Theoretical / practical
Basic principles of fractures treatment (manipulation, traction, cast immobilization, surgical treatment) – Dr. Bernardo Nunes

Practical classes
Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department



Theoretical-seminars
Shoulder pathology (shoulder arthrosis, rotator cuff injuries, instabilities) - Prof. Gutierres
Knee pathology (knee arthrosis, meniscal and ligamentous injuries, anterior knee pain) - Prof. Gutierres

Theoretical / practical
Knee and shoulder semiology / clinical cases- Prof. Gutierres

Practical classes
Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department 

Theoretical-seminars 
Pathology of foot and ankle - Dr Miguel Marta 
Musculo-tendinous injuries in sports - Prof João Torres

Theoretical / practical
Semiology/clinical cases of foot and ankle pathology / musculo-tendinous injuries in sports - Prof. João Torres

Practical classes
Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department



Theoretical-seminars
Spine injuries – Prof. Nuno Neves
Degenerative spine pathology/osteoporosis – Prof. Nuno Neves

Theoretical / practical
Semiology/clinical cases of spine/hip pathology / clinical cases – Prof. Nuno Neves

Practical classes
Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

Theoretical-seminars
Pathology of the hip - Prof. Rui Lemos
Pathology of hand and wrist – Dr. Pedro Negrão

Theoretical / practical
Semiology/clinical cases of elbow/wrist/hand pathology - Dr Pedro Negrão

Practical classes
Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

Theoretical-seminars 
Bone infections in children – Dr. Rui Martins
Spine deformities - scoliosis - Dr. André Pinho

Theoretical / practical
Semiology in children pathology – Dr. Rui Martins

Practical classes
Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

Theoretical-seminars 
Congenital malformations – Dr.ª Joana Freitas
Painfull hip in children – Dr.ª Joana Freitas

Theoretical / practical
Children's immobilizations – Demonstration of the Ponseti method – Dr.ª Joana Freitas

Practical classes
Orthopedic department CH São João / Gaia – Outpatient clinic / OR / Emergency department

Theoretical-seminars
Approach to the patient with musculoskeletal pain - Prof. Carlos Vaz
Rheumatoid Arthritis / Sjogren sindrom- Prof. Miguel Bernardes

Theoretical / practical
Correlation pathologic-anatomy and clinical cases of Rheumatology - Prof. Carlos Vaz / Prof. Elsa Fonseca

Practical classes
Rheumatology department CH São João – Outpatient clinic



Theoretical-seminars
Espondilartritis / osteoporosis - Prof Carlos Vaz
Osteoarthrosis and peri-articular pathology - Prof. Carlos Vaz

Theoretical / practical
Physical examination in rheumatology (part 1), correlation with the clinic - Prof.ª Iva Brito

Practical classes
Rheumatology department CH São João – Outpatient clinic

Theoretical-seminars
Lupus Erythematosus and anti-fosfolipidic syndromes - Prof.ª Iva Brito
Vasculitis / Behçet disease - Prof.ª Iva Brito

Theoretical / practical
Physical examination in rheumatology(part 2), correlation with the clinic - Prof.ª Iva Brito

Practical classes
Rheumatology department CH São João – Outpatient clinic 

Theoretical-seminars 
Sclerodermia and and associated phenomen - Prof. Carlos Vaz
Juvenile Idiopathic Arthritis and hereditary recurrent fevers  - Profª. Iva Brito / Drª. Francisca Aguiar

Theoretical / practical
Microcrystalline pathology - Prof. Carlos Vaz 

Practical classes
Rheumatology department CH São João – Outpatient clinic / ward rounds

Theoretical-seminars 
Anti-inflammatory therapy - Prof Albino Teixeira
Imaging semiology in osteoarticular and muscular diseases - Prof. Bastos Leite / Drª Madalena Pimenta 

Theoretical / practical
Clinical cases of bone tumors (Orthopedics / Anatomo pathology) - Prof. José Manuel Lopes / Dr. Filipe Duarte 

Practical classes
Therapeutics - Discussion of illustrative cases of chondroprotective therapies for osteoarthritis, anti-osteoporotic and immunomodulation in rheumatic diseases - Prof. Manuela Estevinho




Theoretical-seminars 
General concepts in Physical Medicine and Rehabilitation of Orthopedic and Reumatic patients - Drª Maria José Festas/ Drª Susana Moreira

Theoretical / practical
MFR clinical cases discussion - Dr João Barroso
Practical classes
Physical Medicine and Rehabilitation department CH São João - Treatment programs 



Evaluation

Mandatory literature

Teaching methods and learning activities

The teaching methodology involves theoretical-seminars, theoretical-practical and practical classes.

The theoretical-seminars will be previously recorded and are online in the Moodle.  The subject will traverse the proposed themes in the contents above, being exposed by teachers with clinical experience in the areas.

The theoretical-practical classes, begining each morning,  will happen in online direct sessions to alow interaction with the students, and include clinical sessions with discussion of cases, in collaboration with the integrated units of Radiology, Anatomo pathology and Physical Medicine and Rehabilitation.

Next, the practical classes in which students will be integrated into assistance activities of Orthopedic, Rheumatology and Physical Medicine and Rehabilitation departments.

Evaluation Type

Assessment Components

Amount of time allocated to each course unit

Eligibility for exams

Calculation formula of final grade

Online Written test : multiple choice ( 0 to 18 , 80 questions to 0.2 points)

(0 to 18 points in total) *



*minimum grade: 9 points

Practical evaluation-(To be held in one of the practical classes),

for example: examination of 1 joint: 0-1-2 points)*