CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY

CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND TRAUMATOLOGY ORTHOPEDICS AND TRAUMATOLOGY “

Medical Faculty Novi Sad Clinic of ortopaedic surgery and traumatology DIAGNOSTIC AND THERAPEUTIC METHODS IN ORTHOPEDICS

DIAGNOSTIC METHODS IN ORTHOPEDICS I ANAMNESIS Ø IDENTIFICATION AND DEMOGRAPHICS CHIEF COMPLAINT HISTORY OF PRESENT ILLNESS Ø PAST MEDICAL HISTORY Ø FAMILY DISEASES Ø ANAMNESTIC CONCLUSION Ø Ø

DIAGNOSTIC METHODS IN ORTHOPEDICS 1. PHYSICAL EXAMINATION Ø STATUS PRAESENS Ø STATUS LOCALIS ( STATUS ORTHOPAEDICUS) - SPINE - PELVIS - UPPER LIMB - LOWER LIMB

DIAGNOSTIC METHODS IN ORTHOPEDICS 1. 2. 3. 4. 5. 6. 7. 8. 9. INSPECTION PALPATION PERCUSSION AUSCULTATION ORTHOPEDIC EXAMINATION VASCULAR EXAMINATION NEUROLOGICAL INVESTIGATION FUNCTIONAL STATE REWIEV SPECIFIC TESTS

DIAGNOSTIC METHODS IN ORTHOPEDICS INSPECTION -POSITION -POSTURE (ANTALGIC) -PART OF THE BODY CONFIGURATION -SKIN

PHYSICAL EXAMINATION INSPECTION

PHYSICAL EXAMINATION INSPECTION

PHYSICAL EXAMINATION PAT_OAKR 0398

DIAGNOSTIC METHODS IN ORTHOPEDICS PALPATION -SUPERFICIAL-DEEP -REST AND MOTION -PUNCTUM MAX OF PAIN -TUMEFACTION -BLOOD VESSELS -LYMPH NODES

DIAGNOSTIC METHODS IN ORTHOPEDICS PERCUSSION -DIRECT -INDIRECT AUSCULTATION

DIAGNOSTIC METHODS IN ORTHOPEDICS ORTHOPEDIC MEASUREMENTS -ORIENTATION POINTS -STRECHED POSITION AND FLACCID MUSCLES 1. SCOPE 2. LENGTH 3. AXIS 4. JOINT MOBILITY 5. DIMENSIONS OF PATHOLOGIC CHANGES

DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF VASCULAR STATUS SKIN-VARICOSE VEINS TEMPERATURE CAPILLARY NAIL REFILL TEST PERIPHERAL ARTERIES

DIAGNOSTIC METHODS IN ORTHOPEDICS EXAMINATION OF NEUROLOGICAL STATUS CMN-PMN TENDON REFLEXES SENSORY EXAMINATION VEGETATIVE FUNCTIONS

DIAGNOSTIC METHODS IN ORTHOPEDICS SPECIFIC TESTS EXAMINATION

PHYSICAL EXAMINATION JOINT INSTABILITY SIGNS

INSTABILITY PHYSICAL EXAMINATION

SPECIAL TESTS EXAMINATION

DIAGNOSTIC METHODS IN ORTHOPEDICS FUNCTIONAL STATE REWIEV HAND (FEEDING, TOILET, DRESSING, WRITING) CLOTHESPEG-TWEEZERS-FIST-HOOK LEG (STANDING-SUPPORT, GAIT)

DIAGNOSTIC METHODS IN ORTHOPEDICS 2. ADDITIONAL DIJAGNOSTIC METHODS RADIOGRAPHY ULTRASONOGRAPHY SCINTIGRAPHY CT EMG MRI ARTROSCOPY

RADIOGRAPHY PLAIN(AP, LL) SPECIAL POSITION(OBLIQUE, TUNEL, STRESS. . ) SPECIAL RTG METHODS CONTRAST RTG METHODS

RADIOGRAPHY

RADIOGRAPHY

NUCLEAR MAGNETIC RESONANCE

DIAGNOSTIC METHODS IN ORTHOPEDICS LABORATORY TESTS HEMATOLOGY (Se, CBC with diferential. . . ) CLINICAL BIOCHEMISTRY (urine, glucose, crp. . . ) IMMUNOLOGY (asto, rf, hla. . . ) BACTERIOLOGY CYTOPATHOLOGY

Treatment – PLASTER IMMOBILIZATION PRINCIPLES : Physiological position Initially sets the splint Two adjacent joints Decubitus prevention Control of limb epyphises Principles of reduction PLASTER MAKER !

PLASTER IMMOBILIZATION

ORTHOTICS

ORTHOTICS

SKELETAL PIN TRACTION

SKIN TRACTION

CRANIAL TRACTION

Treatment – prosthetic surgery

Treatment – prosthetic surgery

Treatment – knee ligamentoplasty

Treatment – Spinal surgery

Treatment – Spinal surgery

Treatment – long bones osteosynthesis

Treatment – long bones osteosynthesis

Internal fixation - principles

Internal fixation - principles Tension band wires ( “zuggutrung”)

Internal fixation - principles Intramedullary fixation

Internal fixation - principles “Hybrid” Fixation

Treatment - amputation