CLINICAL CENTER

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CLINICAL CENTER CLINIC OF ORTHOPEDIC SURGERY AND
TRAUMATOLOGY ORTHOPEDICS AND
TRAUMATOLOGY


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

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• I ANAMNESIS
• IDENTIFICATION AND DEMOGRAPHICS
• CHIEF COMPLAINT
• HISTORY OF PRESENT ILLNESS
• PAST MEDICAL HISTORY
• FAMILY DISEASES
• ANAMNESTIC CONCLUSION

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• 1. PHYSICAL EXAMINATION
• STATUS PRAESENS
• STATUS LOCALIS
• ( STATUS ORTHOPAEDICUS)
• - SPINE
• - PELVIS
• - UPPER LIMB
• - LOWER LIMB

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• INSPECTION
• PALPATION
• PERCUSSION
• AUSCULTATION
• ORTHOPEDIC EXAMINATION
• VASCULAR EXAMINATION
• NEUROLOGICAL INVESTIGATION
• FUNCTIONAL STATE REWIEV
• SPECIFIC TESTS

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• INSPECTION
• -POSITION
• -POSTURE (ANTALGIC)
• -PART OF THE BODY CONFIGURATION
• -SKIN

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PHYSICAL EXAMINATION
INSPECTION
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PHYSICAL EXAMINATION
INSPECTION
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PHYSICAL EXAMINATION
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DIAGNOSTIC METHODS IN ORTHOPEDICS

• PALPATION
• -SUPERFICIAL-DEEP
• -REST AND MOTION
• -PUNCTUM MAX OF PAIN
• -TUMEFACTION
• -BLOOD VESSELS
• -LYMPH NODES

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• PERCUSSION
• -DIRECT
• -INDIRECT
• AUSCULTATION

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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

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• EXAMINATION OF VASCULAR STATUS
• SKIN-VARICOSE VEINS
• TEMPERATURE
• CAPILLARY NAIL REFILL TEST
• PERIPHERAL ARTERIES

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• EXAMINATION OF NEUROLOGICAL STATUS
• CMN-PMN
• TENDON REFLEXES
• SENSORY EXAMINATION
• VEGETATIVE FUNCTIONS

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• SPECIFIC TESTS EXAMINATION

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PHYSICAL EXAMINATION
JOINT INSTABILITY SIGNS
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PHYSICAL EXAMINATION
INSTABILITY
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• SPECIAL TESTS EXAMINATION

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DIAGNOSTIC METHODS IN ORTHOPEDICS

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

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DIAGNOSTIC METHODS IN ORTHOPEDICS

• 2. ADDITIONAL DIJAGNOSTIC METHODS
• RADIOGRAPHY
• ULTRASONOGRAPHY
• SCINTIGRAPHY
• CT
• EMG
• MRI
• ARTROSCOPY

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RADIOGRAPHY
PLAIN(AP,LL) SPECIAL POSITION(OBLIQUE,
TUNEL,STRESS..) SPECIAL RTG METHODS CONTRAST
RTG METHODS
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RADIOGRAPHY
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RADIOGRAPHY
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NUCLEAR MAGNETIC RESONANCE
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DIAGNOSTIC METHODS IN ORTHOPEDICS

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

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Treatment PLASTER IMMOBILIZATION

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

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PLASTER IMMOBILIZATION
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ORTHOTICS
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ORTHOTICS
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SKELETAL PIN TRACTION
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SKIN TRACTION
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CRANIAL TRACTION
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Treatment prosthetic surgery
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Treatment prosthetic surgery
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Treatment knee ligamentoplasty
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Treatment Spinal surgery
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Treatment Spinal surgery
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Treatment long bones osteosynthesis
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Treatment long bones osteosynthesis
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Internal fixation - principles
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Internal fixation - principles
Tension band and wires ( zuggutrung)
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Internal fixation - principles
Intramedullary fixation
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Internal fixation - principles
Hybrid Fixation
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Treatment - amputation