Knowledge and understanding: - To know the fundamentals about the most important orthopedic pathologies and musculoskeletal trauma in the pediatric and adult patient, from diagnosis to treatment and eventual complications
Applying knowledge and understanding: - to be able to apply to clinical practice, through the analysis of clinical cases, the acquired knowledge
Making judgements: - to be able to define the severity and the medical doctor role in orthopedic or trauma pediatric and adult cases and act accordingly in clinical practice
Communication skills: - to be able to clearly and synthetically communicate, especially with patients, the course arguments
Learning skills: - to be able to integrate the acquired knowledge with other didactic acquirements

good knowledge of the anatomy and physiology of the musculoskeletal system and general pathology

1. Principles of bone histophysiology

2. Congenital anomalies
a. Hip dysplasia
b. Congenital clubfoot
c. Congenital torticollis

3. Obstetric injuries
a. Obstetric paralysis of the upper limb

4. Developmental Disorders
a. Osteochondroses (Perthes' disease)
b. Scoliosis
c. Slipped capital femoral epiphysis
d. Pes cavus and flat foot

5. Bone and joints infections
a. Osteomyelitis
b. Skeletal tuberculosis
c. Spondylodiscitis
d. Septic arthritis

6. Bone tumors

7. Osteopathies
a. Osteoporosis
b. Osteomalacia and rickets
c. Endocrine Osteopathies (Primary hyperparathyroidism, renal osteodystrophy)
d. Paget's disease and Osteogenesis imperfecta

8. Arthropathies
a. Osteoarthritis
b. Rheumatoid arthritis
c. Gout and chondrocalcinosis

9. Degenerative Disc Disease
a. Cervical
b. Lumbar

10. Myotendinous disorders
a. Shoulder (Subacromial impingement, rotator cuff tears, long head of the biceps tendon disorders, calcific tendonitis of shoulder)
b. Elbow (medial and lateral epicondylitis)
c. Groin pain
d. Tendinopathies (Patellar tendon, Quadriceps tendon and Achilles tendon).
e.Subcutaneous tendon ruptures (biceps tendon, quadriceps tendon, patellar tendon, Achilles tendon)
f. Muscle injuries

11. Principles of hand surgery
a. Compressive neuropathies of upper limb
b. Stenosing tenosynovitis
c. Dupuytren's disease
d. Volkmann's contracture
e. Complex regional pain syndrome

Epidemiology, etiology, pathogenesis, classification, clinical and instrumental diagnosis, complications, principles of rehabilitative, ortesic and surgical treatment and specific role of the Medical Doctor in the diagnostic and treatment path of the main orthopaedic and trauma pathologies of the pediatric patient
1. Spine: scoliosis and scoliotic posture, kyphosis, spondylolysis and spondylolysthesis
2. Lower limbs lenght discrepancies: structural, apparent and functional
3. Hip: DDH, epiphisiolysis, transient hip sinovitis
4. Osteocondrosis (with special focus on Perthes disease)
5. Foot: congenital clubfoot, metatarsus adductus, flatfoot
6. Orthopaedic manifestations in syndromic patients: NF!, osteochondrodisplasias, Marfan, Ehler-Danlos, osteogenesis imperfecta
7. Knee: varus, valgus and rotational malalignement, congenital dislocation
8. Sports trauma: ACL lesions, tibial spine avulsions, meniscal lesions, OCD
9. Apophyseal and epiphyseal fractures
10. Pediatric trauma: fractures and battered child

Trauma
a. Fractures: etiology, pathogenesis, classification, healing process, complications, principles of conservative therapy and surgery
b. Epiphyseal fractures
c. Fractures of the upper limb (shoulder, wrist, scaphoid)
d. Vertebral and pelvis fractures
f. Fractures of the lower limbs (femur, tibial plateau)
g. Stress fractures
h. Traumatic injuries of the joints (sprains and dislocations)
i. Shoulder dislocations and instability
j. Knee sprains and ligament injuries. Meniscal tears
k. Ankle sprains
l.Subcutaneous tendon ruptures (biceps tendon, quadriceps tendon, patellar tendon, Achilles tendon)
m. Muscle injuries

1) Grassi F., Pazzaglia U., Pilato G., Zatti G
Manuale di ortopedia e traumatologia
Ed. Elsevier Masson


For more specialized information

Grant Cooper
Blueprints Orthopedics
Lippincott Williams & Wilkins

Miller MD, Thompson SR, Hart JA
Review of orthopedics
Elsevier Saunders

Lectures, tutorials, case studies, video tools (power point, videoclips).
The teaching material is made available to students via the MS-Teams platform.

lmurena@units.it

Exam for 874ME-2 only.
oral exam: verification questions and clinical cases
2 or 3 questions (10 to 20 minutes).
18-24): sufficient or fair knowledge of the subject, adequate mastery of the technical language (25-27): good or very good knowledge of the subject, technical language proficiency, essential ability to connect the themes addressed during the course
(28-30 with honours): excellent knowledge of the subject and technical language proficiency, autonomous critical and analytical skills, and ability to apply acquired knowledge to concrete scenarios.

This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs)