CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICS AND TRAUMATOLOGY
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Transcript of CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICS AND TRAUMATOLOGY
CLINICAL CENTER
CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGYCLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY
ORTHOPEDICSORTHOPEDICS
ANDAND
TRAUMATOLOGYTRAUMATOLOGY “ “
DIAGNOSTIC AND THERAPEUTIC METHODS IN ORTHOPEDICS
Medical Faculty Medical Faculty Novi Sad Novi Sad Clinic of ortopaedic surgery and traumatologyClinic of ortopaedic surgery and traumatology
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
I ANAMNESISI ANAMNESIS IDENTIFICATION AND IDENTIFICATION AND
DEMOGRAPHICSDEMOGRAPHICS CHIEF COMPLAINTCHIEF COMPLAINT HISTORY OF PRESENT ILLNESSHISTORY OF PRESENT ILLNESS PAST MEDICAL HISTORYPAST MEDICAL HISTORY FAMILY DISEASESFAMILY DISEASES ANAMNESTIC CONCLUSIONANAMNESTIC CONCLUSION
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
11. PHYSICAL EXAMINATION. PHYSICAL EXAMINATION STATUS PRAESENSSTATUS PRAESENS STATUS LOCALISSTATUS LOCALIS
( STATUS ORTHOPAEDICUS)( STATUS ORTHOPAEDICUS) -- SPINESPINE
- PELVIS- PELVIS
- UPPER LIMB- UPPER LIMB
- LOWER LIMB- LOWER LIMB
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
1.1. INSPECTIONINSPECTION
2.2. PALPATIONPALPATION
3.3. PERCUSSIONPERCUSSION
4.4. AUSCULTATIONAUSCULTATION
5.5. ORTHOPEDIC EXAMINATIONORTHOPEDIC EXAMINATION
6.6. VASCULAR EXAMINATIONVASCULAR EXAMINATION
7.7. NEUROLOGICAL INVESTIGATIONNEUROLOGICAL INVESTIGATION
8.8. FUNCTIONAL STATE REWIEVFUNCTIONAL STATE REWIEV
9.9. SPECIFIC TESTSSPECIFIC TESTS
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
INSPECTIONINSPECTION
--POSITIONPOSITION
-POSTURE (ANTALGIC)-POSTURE (ANTALGIC)-PART OF THE BODY CONFIGURATION-PART OF THE BODY CONFIGURATION-SKIN-SKIN
PHYSICAL EXAMINATION PHYSICAL EXAMINATION
INSPECTIONINSPECTIONINSPECTIONINSPECTION
PHYSICAL EXAMINATION PHYSICAL EXAMINATION
INSPECTIONINSPECTIONINSPECTIONINSPECTION
PAT_OAKR0398
PHYSICAL EXAMINATION PHYSICAL EXAMINATION
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
PALPATIONPALPATION-SUPERFICIAL-DEEP-SUPERFICIAL-DEEP
-REST AND MOTION-REST AND MOTION
-PUNCTUM MAX OF PAIN-PUNCTUM MAX OF PAIN
-TUMEFACTION-TUMEFACTION
-BLOOD VESSELS-BLOOD VESSELS
-LYMPH NODES-LYMPH NODES
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
PERCUSSIONPERCUSSION
-DIRECT-DIRECT
-INDIRECT-INDIRECT
AUSCULTATIONAUSCULTATION
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
ORTHOPEDIC MEASUREMENTSORTHOPEDIC MEASUREMENTS-ORIENTATION POINTS-ORIENTATION POINTS-STRECHED POSITION AND FLACCID MUSCLES-STRECHED POSITION AND FLACCID MUSCLES
1.SCOPE1.SCOPE2.LENGTH2.LENGTH
3.AXIS3.AXIS4.JOINT MOBILITY4.JOINT MOBILITY
5.DIMENSIONS OF PATHOLOGIC CHANGES5.DIMENSIONS OF PATHOLOGIC CHANGES
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
EXAMINATION OF VASCULAR EXAMINATION OF VASCULAR STATUSSTATUS
SKIN-VARICOSE VEINSSKIN-VARICOSE VEINS
TEMPERATURETEMPERATURE
CAPILLARY NAIL REFILL TESTCAPILLARY NAIL REFILL TEST
PERIPHERAL ARTERIESPERIPHERAL ARTERIES
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
EXAMINATION OF EXAMINATION OF NEUROLOGICAL STATUSNEUROLOGICAL STATUS
CMN-PMNCMN-PMN
TENDON REFLEXESTENDON REFLEXES
SENSORY EXAMINATIONSENSORY EXAMINATION
VEGETATIVE FUNCTIONSVEGETATIVE FUNCTIONS
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
SPECIFIC TESTS EXAMINATIONSPECIFIC TESTS EXAMINATION
PHYSICAL EXAMINATION
JOINT INSTABILITY SIGNS
PHYSICAL EXAMINATIONINSTABILITYINSTABILITY
SPECIAL TESTS EXAMINATIONSPECIAL TESTS EXAMINATION
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
FUNCTIONAL STATE REWIEVFUNCTIONAL STATE REWIEV HAND HAND ((FEEDING, TOILET, DRESSING, WRITINGFEEDING, TOILET, DRESSING, WRITING))
CLOTHESPEG-TWEEZERS-FIST-HOOKCLOTHESPEG-TWEEZERS-FIST-HOOK
LEGLEG (STANDING-SUPPORT, GAIT)(STANDING-SUPPORT, GAIT)
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
2. 2. ADDITIONAL DIJAGNOSTIC ADDITIONAL DIJAGNOSTIC METHODSMETHODS
RADIOGRAPHYRADIOGRAPHYULTRASONOGRAPHYULTRASONOGRAPHY
SCINTIGRAPHYSCINTIGRAPHYCTCT
EMGEMGMRIMRI
ARTROSCOPYARTROSCOPY
RADIOGRAPHYRADIOGRAPHY
PLAIN(AP,LL)PLAIN(AP,LL)
SPECIAL POSITION(OBLIQUE, SPECIAL POSITION(OBLIQUE, TUNEL,STRESS..)TUNEL,STRESS..)
SPECIAL RTG METHODSSPECIAL RTG METHODS
CONTRAST RTG METHODSCONTRAST RTG METHODS
RADIOGRAPHYRADIOGRAPHY
RADIOGRAPHY
NUCLEAR MAGNETIC NUCLEAR MAGNETIC RESONANCERESONANCE
DIAGNOSTIC METHODS DIAGNOSTIC METHODS IN ORTHOPEDICSIN ORTHOPEDICS
LABORATORY TESTSLABORATORY TESTSHEMATOLOGY (Se, CBC with diferential...)HEMATOLOGY (Se, CBC with diferential...)
CLINICAL BIOCHEMISTRY (urine, glucose, crp...)CLINICAL BIOCHEMISTRY (urine, glucose, crp...)
IMMUNOLOGY (asto, rf, hla...)IMMUNOLOGY (asto, rf, hla...)
BACTERIOLOGY BACTERIOLOGY
CYTOPATHOLOGYCYTOPATHOLOGY
TreatmentTreatment – – PLASTER PLASTER IMMOBILIZATIONIMMOBILIZATION
PRINCIPLES :PRINCIPLES :
Physiological positionPhysiological position
Initially sets Initially sets the splintthe splint
Two adjacent Two adjacent jointsjoints
Decubitus Decubitus preventionprevention
Control of Control of limb epyphiseslimb epyphises
Principles of reductionPrinciples of reduction
PLASTER MAKER ! PLASTER MAKER !
PLASTER IMMOBILIZATIONPLASTER IMMOBILIZATION
ORTHOTICSORTHOTICS
ORTHOTICSORTHOTICS
SKELETAL PIN TRACTIONSKELETAL PIN TRACTION
SKIN TRACTIONSKIN TRACTION
CRANIAL TRACTIONCRANIAL TRACTION
TreatmentTreatment – – prosthetic prosthetic surgerysurgery
TreatmentTreatment – – prosthetic prosthetic surgerysurgery
TreatmentTreatment – – knee knee ligamentoplastyligamentoplasty
TreatmentTreatment – – Spinal surgerySpinal surgery
TreatmentTreatment – – Spinal surgerySpinal surgery
TreatmentTreatment – – long bones long bones osteosynthesisosteosynthesis
TreatmentTreatment – – long bones long bones osteosynthesisosteosynthesis
Internal fixation - Internal fixation - principlesprinciples
Internal fixation - Internal fixation - principlesprinciples
Tension band and wires
( “zuggutrung”
)
Internal fixation - Internal fixation - principlesprinciples
Intramedullary fixation
Internal fixation - Internal fixation - principlesprinciples
“Hybrid” Fixation
TreatmentTreatment - - amputationamputation