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Orthopaedic examination

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Presentation on theme: "Orthopaedic examination"— Presentation transcript:

1 Orthopaedic examination
Medical history personal details main complaints (pain, stiffness, swelling, deformity, weakness, instability, changing in sensibility, loss of function)) former course of treatment family and development history, concomitant diseases, social background

2 Orthopaedic examination
General physical examination Evaluate condition and efficiency of internal organs in the context of indication and contraindication to surgical treatment of locomotor system. Orthopaedic examinantion general sectional local

3 Orthopaedic examination
general orthopaedic examinantion static status type of body nourishing proportion symetry dynamic status gait evaluation

4 sectional orthopaedic examinantion
Limbs’ relative lengths Limbs’ absolute lengths Limbs’ circuits

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6 Orthopaedic examination
local orthopaedic examinantion (head, spine, upper and lower limb) static status skin evaluation joints’ contours or region contours evaluation evaluation of each joints’ position dynamic status range of motion in each joints muscular strength

7 Joint and region contours

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9 Thomas Test

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12 The Medical Research Council Scale of muscle power
Grade 0 No movement. Grade 1 Only a flicker of movement. Grade 2 Movement with gravity eliminated. Grade 3 Movement against gravity. Grade 4 Movement against resistance. Grade 5 Normal power.

13 Additional investigations in orthopaedics
Laboratory Hematology, biochemical test microbiologic Image examination radiological ultrasonographic CT MRI Histopatologic

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24 Treatment methods used in orthopaedics
Conservative treatment redresions plaster immobilisation traction Surgical treatment fracture osteosynthesis osteotomies bone resection joint arthroplasty joint fusions reconstructions of tendons, nerves

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