Orthopedics

Code:

M5_BC05

Acronym:

ORT

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2021/2022 - 1S (of 13-09-2021 to 07-01-2022)

Active?	Yes
Responsible unit:	Medical Teaching
Course/CS Responsible:	Integrated Masters Degree in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIM	61	Official Study Plan	5	-	3	32	81

Teaching language

Portuguese

Objectives

The knowledge about prophylaxis, diagnosis and treatment of the most common diseases of locomotor system, namely traumatic, congenital, development and degenerative. The “Practical Lessons” are preceded by combined theoretical lessons “Theoretical Primer”.

Learning outcomes and competences

Be able to evaluate clinical background of patients with pathology of locomotor system.

 

Be able to perform physical examination of patients with osteo-articular and neurologic diseases.

 

Be able to establish diagnosis and treatment proposals, conservative or surgical, for patients with orthopedic or traumatic diseases.

 

Be able to establish a rehabilitation program for patients with traumatic osteo-articular, muscle, tendon and ligaments and vertebromedular, as well as patients submitted to conservative or surgical treatment for orthopedic lesions.

Working method

Presencial

Program

Theoretical Primer

 

Anatomical, histological and physiologic concepts applied to the discipline. Introduction to biomechanics. Description of human bipodalic gait and its influence with osteoporosis  in the genesis of more common fractures. Mechanism and classification of fractures. Bone healing and methods of treatment of fractures in childhood, young adult and elderly. Fracture complications.

 

Osteoarthritis, inflammatory arthritis and other articular diseases.

Osteoarticular infection.

Metabolic and bone development diseases.

 

Diseases of spine. Biomechanics of spine. Physiopathology of degenerative disc disease and its rule in common back pain. Clinics, imaging and treatment of the more common diseases.

 

Diseases of upper limb. Biomechanics and physiopathology of rotator cuff muscles. Clinics, imaging and treatment of the more common diseases.

 

Diseases of lower limb. Biomechanics and physiopathology of hip and the other loading joints. Chronology of hip, knee, ankle and foot pathologies from birth till oldness. Clinics, imaging and treatment of the more common diseases.

 

Rehabilitation of the patient with pathology of locomotor system.

Physical agents and Kinesiotherapy.

Exercise systems: muscle, effector organ; Nervous system, control; Energetic systems: cardiac, respiratory and metabolic.

Muscular fatigue. Peripheral and central effects of exercise. Resistance and strength training. Particularities relative to age and pathology.

Neurorehabilitation: Treatment of spinal cord and peripheral neurological diseases.

 

Practical lessons

 

Physical examination of patients present in outpatient’s clinics, wards, operating theatre and emergency.

Evidence for:

Physical examination of locomotor system.

Clinical and subsidiary exam evaluation of the more common diseases of orthopedics and traumatology. Surgical approaches and technics in Orthopedics and Traumatology.

On clinical field and at the Simulation Center workshops on immobilization techniques: bandage, plaster cast and orthotics, arthrocentesis, intra and periarticular infusion technics and arthroscopy.

Establishment of basic programs of rehabilitation with definition of objectives and functional prognosis.

Mandatory literature

Luís M. Alvim Serra, António F. Oliveira, José Costa e Castro; CRITÉRIOS FUNDAMENTAIS EM FRACTURAS E ORTOPEDIA, Lidl - 3ª Ed, 2012
S. Terry Canale, James Beaty; CAMPBELL’S OPERATIVE ORTHOPAEDICS, Mosby - 12ª Ed, 2012

Teaching methods and learning activities

Theoretical Primer and Practical Lessons

In the context of the COVID-19 pandemic, teaching / learning methodologies will depend on the existing epidemiological situation and we can have one of the 3 scenarios:

A. Face-to-face - classes will take place in the usual manner

B. Blended format for contact hours:

. Theoretical classes will be held with presence of some students or totally remotely via Zoom in a synchronous way.

. TP classes will be held with presence of some students or totally remotely via Zoom in a synchronous way with discussion of clinical cases.

. Practical classes: the groups will be divided into two parts, half should have contact with the real patient and the other half with the virtual patient or perform another activity indicated by the teacher, alternating the following week.

C. Distance learning - this model will only be applied if the conditions for semi-face-to-face teaching are impossible due to pandemic and will be done entirely with the use of virtual patients and digital platforms.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	50,00
Exame	50,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	49,00
Frequência das aulas	32,00
Total:	81,00

Eligibility for exams

The student cannot exceed ¼ faults.

 

Minimal classification = 9,5

Calculation formula of final grade

The final classification should be the arithmetical mean of written test and pratical evaluation

 

Minimal classification = 9,5

Special assessment (TE, DA, ...)

The students with status for that should be submitted to a final written exam and/or oral exam, according the Coordinator´s criterion.

Classification improvement

1 – on continuous evaluation, by repeating the practical lessons

2 – on final exam, by repeating the written test