subject - hkam€¦ · web viewupper limb & lower limb reconstruction surgery for function...

Section 1 : Curriculum for Basic Science of 37

Subject KnowledgeBase

CartilageAnatomy 2Function 2Biochemistry 3Biomechanics 3Response to injuries 2

BoneAnatomy 2Function 2Biochemistry 3Biomechanics 3Response to injuries 2

Ligaments and tendonsAnatomy 2Function 2Biochemistry 3Biomechanics 3Response to injuries 2

Skeletal musclesAnatomy 2Function 2Biochemistry 3Biomechanics 3Response to injuries 2

Peripheral nerveAnatomy 2Function 2Biochemistry 3Biomechanics 3Response to injuries 2

Development of the musculoskeletal systemGrowth plate and bone formation 2

Tissue transplantation in orthopaedics and trauma 2

Principles of genetics as applied to the musculoskeletal system 3

Section 1 : Curriculum for Basic Science of 37


The science of investigatory techniquesX-ray 2US 3Bone scan 2CT scan 2MRI 2Electro-physiological 2

BiomechanicsBasic principles 3Statics 3Dynamics 3Kinematics 3Biotribiology 3Prothetic designs 3

BiomaterialsBasics of material science 3Metals 3Polymers 3Ceramics 3Composites 3Bioabsorbable 3

KinesiologyJoint stability 3Control of movements 3Structures and functions of major joints- Shoulder 2- Elbow 2- Wrist and hand 2- Hip 2- Knee 2- Ankle and foot 2- Spine 2

Molecular and cellular biology of inflammation and neoplasiaMolecular biology 3Basis of neoplasia 3Immunobiology 3Inflammatory and autoimmune disease 3Neoplastic disease 3Infection 3

Experimental design and medical statistics 3

Section 2 : Curriculum for General Orthopaedics of 37

SubjectExpertise

KnowledgePatient

managementOperation Base

General OrthopaedicsPaediatricsGrowth and Development 1Developmental Milestones 1Osseous Growth & Ossification 2Timing of Ossification Centres 2Congenital Deformities Spinal Dysraphism C C 3 Down's syndrome C C 3 Congenital Scoliosis C C 3 Muscular Torticollis B C 2 Klippel-Feil Syndrome C C 3 Sprengel's Shoulder C C 3 Dislocation of Hip B B 2 Dislocation of Knee B C 2 Talipes Equinovarus B B 2Talipes Calcaneovalgus B B 2Metabolic Bone diseases Rickets B C 3 Cretinism B C 3 Hypophosphatasia C C 3 Renal Osteodystrophy C C 3 Parathyroid Diseases B C 3 Scurvy B C 3Neoplastic Diseases Bone Cysts B B 2 Unicameral Bone Cysts B B 2 Cartilage Forming Tumours B B 2 Bone Forming Tumours B B 2 Giant Cell Tuomours B B 2 Blood Diseases B C 3 Bone Marrow Tumours B C 3 Soft Tissue Sarcomas B C 2Ollier's Disease B C 2Multiple Epiphyseal Dysplasia C C 2Spondylo-epiphyseal Dysplasia C C 2Achondroplasia C C 2Short Stature C C 3Constitutional Diseases- Mucopolysaccharidosis C C 3


- Gaucher's Diseases C C 3

SubjectExpertise

KnowledgePatient


General OrthopaedicsNeuromuscular Diseases Myopathies C C 3 Muscular Dystrophies C C 3 Poliomyelitis B C 2 Spinal Muscular Atrophy C C 3 Cerebral Palsy B B 2 Myelodysplasia C C 3

InfectionBacteriology Encountered A 1Use of Antibiotics A 1Perioperative Infection Control A 1Management of Orthopaedic Infection A A 1Management of Implant Related Infection A A 1

Arthritis & Joint DisordersInflammatory:R.A, Crystal Induced A B 1Sero-negative Arthropathy B B 2Systemic Connective Tissue Disorders B B 2Degenerative: Primary & Secondary A B 2Osteonecrosis B B 2Ostechondritis B C 2Chondromatosis B B 2Neuropathic Joints B C 2

NeoplasmBenign Tumour of Bone, Cartilage B B 1Malignant tumour of Bone , Cartilage C C 2

Benign, Malignant Tumour of soft Tissue C C 2Pathological Fractures B C 2Classification and Staging of Tumour B 2Principle of Orthopaedic Oncology B 2


SubjectExpertise

KnowledgePatient


General OrthopaedicsNeuromuscular DisordersStroke B 2Arthrogryphosis C 2Muscular Dystrophy C C 2Syringomyelia C C 2Spina Bifida C C 2Charcot-Marie-Tooth Disease C C 2Peripheral Nerve Disorders B B 1Entrapment Syndromes B B 1Nerve Injuries B B 1Diagnostic Tests for Nerve Lesions B B 2

Bone Metabolic DisordersRickets, Osteomalacia B C 2Hypophosphatasia C C 2Osteoporosis B B 2Osteopetrosis B 3Pagets Disease B 3Endocrine Disorders B C 3Steroid-induced Disorders B B 2Renal Osteodystrophy B C 2

Microsurgery, Tissue TransferReplantation B C 2Tissue Transplant in Orthopaedics B C 2Tissue Transplant in Traumatology B C 2 Skin Graft A A 1 Bone Graft A A 1 Flaps: Skin & Muscle B B 3 Free Tissue Transfer B C 3 Use of Bone Substitute B C 2 Tissue Banking 3


Subject Expertise KnowledgePatient


General OrthopaedicsPrinciples of RehabilitationUse of Orthopaedic Walking Aids B 2Use of Plaster, Traction Device B B 2Principles & Practice of Bracing B 2Physiotherapy: Use of Physical Agents in Orthopaedics B 2 Electric therapy B 2 Therapeutic Exercise & Manipulation B 2Occupational Therapy Work-Related Injury B 2 Cumulative/Repetitive Injuries B 2Prosthetics & Orthotics Knowledge of Amputation A 2 Principles of Prosthesis C 2 Prescription & Fitting Of Prosthesis B 2Rehabilitation Psychology B 3

MiscellaneousHistory of Orthopaedics A 2Peri-operative Evaluation & Management A 2Pain Control B C 2Use of Blood Products B 2Coagulation & Thromo-embolism B 2Use of Imaging in Orthopaedics: Bone Scan B 2 Ultrasound B 2 MRI B 2 CTscan B 2Management of Ulcers B B 2Management of Pressure Sore B B 2Management of Burn C C 3


SubjectExpertise

KnowledgePatient


Regional OrthopaedicsThe ShoulderInstability: Anterior, Posterior B B 2and Multi-directional C C 3Surgical Procedures for Instability. - B 2Frozen shoulder, Rotator Cuff Lesions B B 2Tendenitis, Impingement Syndromes B B 2

The ElbowStability of Elbow B B 2Carrying angle, Cubitus valgus and varus B B 2Rotation of the forearm B C 2Dislocation of Radius B C 2Radio-ulnar Synostosis B C 3Tennis elbow, Loose bodies A A 2

The WristStability of the Ulna B C 2 Stability of the Carpal Bones B C 2 Ulna Variance, Kienbock Disease C C 3Triangular Fibrocartilage Complex B C 3

The HandSurgical Approaches B B 2Congenital Abnomalies C C 2Osteoarthritis, Rheumatoid hand B C 2Tenosynovitis A A 2Peripheral Neuropathies A A 2Entrapment Syndromes A A 2Intrinsic and Extrinsic Claw Hands, A C 3Finger Contractures C C 3

The NeckTorticollis, Sternomastoid Tumour B C 2Deformities and Degeneration B C 2Curvatures, Stability C C 2Rheumatoid Arthritis C C 2Radiculopathies and Myelopathies B C 2Thoracic Outlet Syndrome C C 3Cervical Ribs, Raynaud Disease C C 3


SubjectExpertise

KnowledgePatient


Regional OrthopaedicsThe SpineCurvatures, Stability B C 2Deformities and Degeneration B C 2Differential Diagnosis of Back Pain B 2Radiculopathies and Spinal Stenosis B B 2Spondylolysis and Spondylolisthesis B B 3Scoliosis: Structural and Non-structural B C 3Spinal Dysraphism B C 3Spinal Inflammatory Diseases B B 2Rheumatoid Arthritis B C 2Spinal Infection B B 2Spinal Neoplasm B C 2Metastatic Lesions in the Spine A B 2Spinal Cord Syndromes A 1Approaches to the Spine B B 2Spinal Instrumentations and Rationale C C 3

The HipStability of Hip joint B B 2Coxa vara, Coxa valgus B B 3Hip Dysplasias B B 3Primary and Secondary Osteoarthritis A B 1Children Hip :Developmental Dislocation of Hip B C 2Perthes Disease B C 3Slipped Femoral Epiphysis B B 2Infection B B 2Adult Hip - Infection, Rheumatoid Diseases B B 2Osteoarthritis in Hip B B 2Avascular Necrosis of Hip B B 2Approach to the Hip A B 2Soft Tissue Procedures in the Hip B B 2Osteotomy and Arthroplasties B C 3Arthrodesis B C 3


SubjectExpertise

KnowledgePatient


The KneeStability, Patella Tracking B B 2Patella Alta, Genu Recurvatum B B 2Angular Deformities B C 3Internal Derangement, Loose Bodies B C 3Chondromatosis B C 3Gout and Crystal Arthropathies B B 2Osteoarthritis, Primary and Secondary B C 2Rheumatoid Arthritis B C 2Use of Arthroscopy in Knee B C 2Soft Tissue Procedures in the Knee B C 2Osteotomy and Arthroplasties B C 2

Ankle & FootTeratogenic Foot Deformities C C 3Children foot : Talipes Deformities B C 2Intoeing, Flat Foot, Pes Cavus B C 2Adult foot : Plantar Fascitis, Heel Pain B 2 Hallux Valgus, Hallux Rigidus B C 2 Metatarsalgia B B 2 Sinus Tarsi Syndrome, B 2 Pes Cavus, Rocker bottom Foot. B C 3 D.M./PVD foot B B 2

Long BonesDysplasias, Achondroplasias, Dwarfism C 3Pseudoarthrosis, Curvatures C 2Gait: Normal and Abnormal C 3Causes of Limb Length Discrepancy B 2Elongation, Epiphysiodesis C C 3Rotational Deformities B 2Angular Deformities C 2Malalignment of Long Bones C 2

Section 3 : Curriculum for Hand Surgery of 37

SubjectExpertise

KnowledgePatient

ManagementOperation Base

Basic principlesAnatomyBiomechanicsSurgical approachRegional Anaesthesia, excluding Brachial Plexus Block

AAA

1311

Congenital anomalies B C 2

InfectionAcute infectionChronic infection

AA

AB

12

Tumour & tunour-like lesionsCommon conditionsOther conditions

AB

AC

12

Arthritis A B 2

TraumaBone & joint injury- Acute fracture / dislocation- Complex fracture / dislocation- Late management & reconstruction- Acute & chronic ligamentous injuryMuscle, tendon & nerve injury- Acute injury- Complicated injury- Late management & reconstruction- Brachial plexus injury - adult & ObstetricalAmputation & vascular injury- Acute management- Replantation & revascularisationOpen wound & burn injury- Acute management- Complicated injury- Late reconstruction

ABBB

ABBB

AB

ABB

ABBB

ABBC

AB

ABB

1222

1222

12

122

Compression neuropathyCommon lesionsUncommon lesionsThoracic outlet syndrome

ABB

ABC

122

Contractures B B 2

Section 3 : Curriculum for Hand Surgery of 37

SubjectExpertise

KnowledgePatient


Dystrophy B B 2

Tendinitis & tenovaginitis A A 1

Avascular necrosis B B 2

Rehabilitation - multidisciplinary approach A 2

Section 4 : Curriculum for Adult Joint Reconstruction of 37

SubjectExpertise

KnowledgePatient


General knowledge in Total Joint ReconstructionAnatomy of normal hip and knee joint 1Biomechanic of normal hip and knee joint 3Kinemetic of hip and knee 3Alignment of lower extremity- Mechanical axis- Anatomical axis

2

Material science- Metal properties of

Iron based alloy Cobalt based alloy Titanium based alloy

3

- Mechanical properties of bone 3- Mechanical properties polyethylene 3- Hydroxyapatite and its application 3- Porous surface material 3- Ceramic 3- Articulating surface

Metal - polyethylene Ceramic - polyethylene Ceramic - ceramic Metal - metal

3

- PMMA, chemical and mechanical properties and its application in TJR

3

- Bone graft and its application 2- Bone ingrowth implication for cementless

fixation3

Design of prosthesis, biomechanics and kinematicHip prosthesis : cemented and cementless component, hybrid

2

Head size and its affection on hip motion, wear of polyethylene

2

Knee prosthesis, design and rationale- Curciate retaining prosthesis 2- Curciate sacrifing prosthesis 2- Unicompartmental prosthesis 3- Rotating tibial bearing prosthesis 3- Patella button, design and rationale (button,

biconcave and mobile bearing)3


SubjectExpertise

KnowledgePatient


Prevention of infectionOperating room environment- Clean air surgery, lamina air flow, total

body exhaust system

2

Prophylactic antibiotic and controversy of different regimen

2

Late infection and prophylactic antibiotic 2

Pre-operative planning and patient evaluationTemplating and sizing of prosthesis, equalization of leg length

A 2

Bone loss and its management A 2Soft tissue balance A 2Radiological assessment and prosthetic selection

A 2

Anaesthesia, supportive management and blood conservationAdvantage and disadvantage of- General anaesthesia- Spinal anaesthesia- Epidural anaesthesia- Combined of various form of anaesthesia- Surgery under hypotensive anaesthesia

A 3

Blood conservation- Risk of blood transfusion- Autotransfusion- Controversy in perioperative blood salvage- Cell washing

A B 3

The prevention and management of thromboembolic diseasePathogensis of DVT and local sceneRisk factor in DVTTreatment of DVTProphylaxis of DVT

AAAA

3

Surgical approach to hip and kneeHip- Anterior, lateral, posterior- Trochantic osteotomy trochanteric slide- Triradiate approach

AAB

BBC

2


SubjectExpertise

KnowledgePatient


Knee- Medial parapatella : varus knee- Lateral parapatella : valgus knee- Tibial osteotomy and repaired

ABB

BBB

2

Surgical technique in total joint replacementHip - Cementless implant- Cemented implant- Hybrid- Cementation technique, 1st 2nd & 3rd

generation of cementing

AAAA

BABB

2

Knee- Soft tissue balance in varus, valgus and

flexion contracture- Constrained knee and its indication- Bone cut, alignment- Patella alignment and lateral release

BBBBB

BBBBC

2

Management of bone lost 2

Complication of Total Joint ReplacementHip- Vascular- Neurological, sciatic N injury- Intraoperative fracture, avoidance and

management- Dislocation and treatment- Heterotrophic ossification prevention,

diagnosis and management

BBB

BB

CCB

B

3

Knee- Fracture tibial / femur- Neurovascular complication- Wound healing and coverage- Patella clunk syndrome

BBBB

CCBC

3

Aseptic looseningMechanism B 3Small particle disease, various presentation and management

B 3

Diagnosis, X-ray interpretation B 3

Long term result in THR and TKRCemented implant 2Cementless implant 2Hybrid 2


SubjectExpertise

KnowledgePatient


Revision Total Joint Replacement Hip- Pre-operative assessment and planning- Selection of approach- Selection of implant- Surgical technique- Removal of cemental and its tools- Femoral reconstruction- Bone grafting and bone graft impacsion

technique- Concept of high hip centre

B C 3

Knee- Principle of revision TKR- Pre-operative planning- Surgical technique in component extraction- Reconstruction- Constrained knee and its application

B C 3

Rehabilitation of replaced jointHip- Stable position- Principle of physical therapy- General program- Gait training

A 2

Knee- General program- Pros and cons of CPM- Post-op flexion contractive and its

management

A 2

Arthritis and medical treatmentOsteoarthritis A 2Rheumatoid Arthritis B 3Ankylosing spondylitis A 2Other type of arthritis B 3Osteonecrosis A 2Post traumatic arthritis A 2

Non arthroplasty reconstruction of jointArthrodesis of hip & knee A B 2Various form of osteotomy- Valgus/varus/extension/flexion osteotomy

of proximal femurA B 2


SubjectExpertise

KnowledgePatient


- Different type of acetabular osteotomy indication and application

B C 3

- High tibial osteotomy, distal femoral osteotomy

A A 2

Section 5 : Curriculum for Principles of Orthopaedic Oncology of 37


Definition and termsNeoplasia, carcinoma, sarcoma, dysplasia, hyperplasia, harmatoma, cyst, reactive lesion

2

Theories of aetiology, pathogenesis, control of growth, methods of spread of neoplasm and sarcoma

3

EpidemiologyGeographic, social, risk factors 2

Clinical presentation of musculoskeletal tumor and its differentials 3

Classification by cell of origin of primary tumors and reactive lesions of bone and soft tissue

3

Clinical pathological and radiological pictures of tumors and reactive lesions of bone and soft tissue

3

Clinical pathological and radiological pictures of tumors and reactive lesions of bone and soft tissue tumors including incidence, epidemiology, natural history and prognosis

3

Principle of classifications, staging and its significanceBenign tumorMalignant tumorSoft tissue tumorMetastatic tumorTumor-like conditions

2

Methods of investigationRadiographic evaluationNuclear medicine studiesComputerized tomographyAngiographyMagnetic Resonance Imaging- Indications- Effectiveness

2

Principle of technique of biopsy of bone and soft tissueClosed 2Open 2

Principle of surgical managementMargins 2Types of resection 2Compartment sin extremities 2

Section 5 : Curriculum for Principles of Orthopaedic Oncology of 37


Knowledge of surgical proceduresMajor ablative therapy and reconstruction 3Limb sparing surgery 3Reconstructive procedure- Allograft 3- Autograft 3- Custom prostheses 3- Rotation plasty 3- Arthrodesis 3- Amputation 2

Principle of action of adjunctive methods of treatmentIndications 3Timing 3Complication 3Local- Crytherapy 3- Caustic agents 3- Radiotherapy 3Systemic- Chemotherapy 3- Immunotherapy 3Regional techniques 3

Knowledge of metastatic tumor in musculosketetal systemClinical characteristics 3Radiographic findings 3Staging studies 3Principle of management 3

Section 6 : Curriculum for Paediatric Orthopaedics of 37

SubjectExpertise

KnowledgePatient


Growth and developmentEmbryology- Neuro- Skeletal- MuscularOsseous growth- Timing of ossification centers- Physeal growth- Enchondral ossification- Inframembranous ossificationMuscular growthGrowth rateDevelopmental milestonesTiming - secondary sexual characteristics

2

Skeletal dysplasias(Paris classification)Defects of tubular bone- Achondroplasia- MED- SEDDisorganised cartilage and / or fibrous components- Ollier's- Mult hered exos- Fibrous dysplasiaConstitutional disease with bone pathology- Rickets- Mucopolysaccharidosis- Ca/phosphate disordersMetabolic- Rickets- Renal osteodys- Hypophosphatasia- Parathyroid- Thyroid- Heavy metal- Juv osteoporosis- Hypervitamin- Scurvy- Inf hyperostosConnective tissue- Ehlors danlos- Marfan's- Down'sShort stature

BBB

BBBB

B

BBBB

CCC

BBBC

B

CCCB

222

2223

3

3223


SubjectExpertise

KnowledgePatient


GeneticsAutosomal dominant- Achondroplasia, etcAutosomal recessiveSex linked dominant- Vit d res rickets, etcSex linked recessive- MDChromosomal disorder- Down's, etcMultifactorial disorders- CDH, clubfootAmniocentesis

3

Hematologic disordersGaucher'sHemoglobinopath include SCHemophilia

BBB

CCC

333

NeoplasiaCysts- Fibrous cort- Unicameral- EGChondroblastomaOsteoid osteomaOsteochondromaGiant cell tumorEwing'sOsteosarcomaFibrous dysplasisSoft tissue sarc

AABBAABBBBB

AABCBABCCBC

22222222222

Neuromuscular Muscular dyst- Duchenne- Becker- Limb girdle- FSH- Cong dyst- Hypotonic- Myotonic- Cong myopathInflammatory myopathiesMyositis ossificansPolio

B C

23333333323


SubjectExpertise

KnowledgePatient


NeuromuscularSMAHMSNsCerebral palsyMyelodysplasia

BBBB

CCBC

2333

JRA B C 3

Spondyloarthropathies B C 3

Cervical spineMuscular torticollisKlippel Fiel / cong malformationRotatory subluxationHypermobility

BBBB

BCCC

2333

Spinal deformityScoliosis- Idiopath- Congenital- Neuromuscular- OtherKyphosis- Postural- Scheurmann's- Congenital- OtherSpondylolysisSpondylolisthesis

BBBB

ABBBBB

CCCC

CCCCBB

2333

333333

Upper limbLimb deficienciesCong malformations- Dislocated radial head- Radioulnar synostosisOsteochondritis dissicansSprengel's shoulder

B

BBBB

C

CCBB

333333

HipDDHCoxa varaSynovitisSlip cap fem epLegg perthesInfectionsIdio chondrolysis

BBBBBBB

BCCBCBC

2322223


SubjectExpertise

KnowledgePatient


Leg length discrepancy B B 2

Lower limbCong deficiencies- PFFD- Tib hemimelia- Tib hemimeliaTorsional problemsTibia varaCong pseudoarthPosteromedial bowPatellofemoral- Pain syndrome- Cong disl / subOsgood Schlatter'sosteo dissecansDiscoid meniscusCong disl / sub, kneeClubfootCong vert talusPostural deformation met add, cal valgPlanovalgusTarsal conditionAdol bunionsAcc navicularCurly, overlap toesCavus footPolydactylyGrowing painsOveruse syndromesOsteochondroses

BBBBBB

ABABBBBBBBBAAABABBB

CCCCCB

CCCBBCBCBCCBBBCB

B

33332222222232322222222222

Amputations A A 2

Prosthetics / Orthotics B 2

Gait B 3

Fractures, generalPhyseal fracturesChild abuse (ms aspects)Open fracturesMultiply injured child

AAAB

AAAB

2222


SubjectExpertise

KnowledgePatient


Fractures / dislocationsHand, wristForearm- Both bones (include plastic deform)- GaleaziElbowMonteggiaRadial head, neckCondylesEpicondylesSupracondylarDislocationHumerus- Shaft- ProximalShoulder- DislocationA-C joint- DislocationScapulaS-C joint- DislocationCervical spineThoracic spineLumbar spinePelvisHip- DislocationFemur- Neck- Shaft- DistalKnee- Dislocation- Osteochond fract- Ligament injuryPatella- Fracture- DislocationTibia- Spine- Tubercle- Prox metaphysis- ShaftDistal

A

AA

AAAAAA

AA

A

A

BBBBB

B

BAA

BAA

AA

AAAAA

B

AA

AAAAAA

AA

B

B

BCCCC

B

BAA

CBB

AB

BAAAA

2

22

222222

22

2

2

23333

2

222

222

22

22222


SubjectExpertise

KnowledgePatient


Fractures / dislocationsFoot / ankle- Dislocation- Calcaneus- Talus- Tarsals- Metatarsals- Phalanges

AAAAAA

BABAAA

222222

InfectionsOsteomyelitis- Acute- Subacute- ChronicSeptic arthritis- Hip- Other joints

AAA

BA

BBB

BB

222

22

Section 7 : Curriculum for Rehabilitation of 37

SubjectExpertise Knowledge

BaseGeneral Orthopaedic RehabilitationMultidisciplinary team approachFunctional evaluationPathophysiology of tissue healing:- Fracture healing- Cartilage regeneration- Ligament healing- Tendon healing- Nerve regenerationPathophysiology of muscle training and joint mobilisationWound management: chronic ulcers, bedsoresBasic principles of physiotherapyBasic principles of work-oriented trainingBasic principles of ambulation / gaitBasic principles of splinting / bracingBasic principles of orthotic devices

BC

BCCBBB

33

222223233233

Post-Trauma RehabilitationHip fracturePolytrauma

BB

22

Arthritis RehabilitationArthritis in general- Joint protection- Splinting- Activities of daily living- AmbulationTotal joint replacement

B

B

2

2

Spinal RehabilitationChronic back pain rehabilitationSpinal cord injury rehabilitation- Secondary surgery, including upper limb reconstruction- Bladder and bowel management- Psychosocial aspect

BBCCC

22233

Osteoporosis RehabilitationPathophysiology of osteoporosisRehabilitation protocolBasic principles of adjunct medical therapy

BC

222

Amputation RehabilitationPrinciples of amputationStump managementPrinciples of prosthetics

AAB

222

Section 7 : Curriculum for Rehabilitation of 37

SubjectExpertise Knowledge

BasePaediatric & Neuromuscular RehabilitationDevelopmental milestonesManagement of cerebral palsyManagement of myelodysplasiaBasic principles of electrodiagnosisBasic principles of gait analysisFunctional level assessmentSeating strategyAmbulation strategy

BCCCBBB

22333333

Sports RehabilitationSports physiologyMuscle strength & endurance training strategiesPrinciples of protective bracing

BB

332

Hand RehabilitationFunctional assessment of the handRestoration of tendon glidingSensory re-educationPrinciples of hand splints

CCCB

3222

Section 8 : Curriculum for Spinal Surgery of 37

SubjectExpertise

KnowledgePatient


GeneralKnowledgeEmbryology of the spine 3Anatomy of the spinal column and spinal cord 2Complete neurological examination and its interpretation, including patterns of neurological deficit

2

Radiological evaluation of spinal pathologies 3Basic principles of spine biomechanics 3

Surgical ApproachesKnowledgePosterior approaches from occiput to sacrum and special precautions to the atlanto-axial area

A B 2

Anterior cervical approaches C3 to C7 A B 2Thoracotomy B C 2Thoracoabdominal approach B C 2Retroperitoneal approach to the lumbar spine A B 2

InstrumentationSublaminar wiring B B 2Hooks B B 2Pedicle screw placement B C 3

Degenerative SpineCervical spineCervical spondylosis A B 2OPLL A B 2

Thoracic spine B B 2

Lumbar spineLumbar spondylosis A B 2Fail back B C 2


SubjectExpertise

KnowledgePatient


Acute disc prolapseCervical spine A B 2

Lumbar spine A B 2

Spinal InstabilityCranio-cervical B C 2

Cervical B C 2

Thoraco-lumbar A B 2

Lumbro-sacral A C 2

Spinal Stenosis B B 2

TraumaCervical A B 2

Thoraco-lumbar A B 2

TumourPrimary B B 2

Secondary B B 2

InfectionPyogenic spondylitis A B 2

Tuberculous spondylitis A B 2

Non-spinal psosa abscess A B 2

Infammatory diseaseAnkylosing spondylitis A B 2

Other spondylo arthritides B C 3

Spinal deformityScoliosisAdolescent idiopathic B C 3Others C C 3


SubjectExpertise

KnowledgePatient


Kyphosis C C 3

Spondylolisthesis A B 2

Section 9 : Curriculum for Sports Medicine of 37

SubjectExpertise

KnowledgePatient


Foot & AnkleStress fracturesMortons neurinomaOs TrigonumAchilles paratenonitisAchilles ruptureAnkle ligament injuriesOsteochondral lesions

AAABAAB

BACAAAB

1132112

Lower legStress fractureChronic compartmentShin splintsNerve entrapmentsCalf muscle rupture

AAABA

AAABA

11221

KneeACL rupturePCL ruptureMCL ruptureMeniscal tearsOsteochondral lesionsPatella dislocationAnterior knee painIliotibial band syndrome

ABAABAAA

BCBBBB

12112222

ShoulderSwimmers shoulderAcute GH dislocationRecurrent instabilityMultidirectional instabilityImpingementRotator cuff injuriesAC joint injuriesReferred shoulder pain

AAAABBBB

BABBBBBB

21111222

ElbowPitchers elbowLittle leagues elbowLateral "epicondylitis"Chondral lesionsBiceps tendon rupture

BBABB

BBBCB

22122

Section 10 : Curriculum for Traumatology of 37

SubjectExpertise

KnowledgePatient


Basic SciencePrinciples of fracture managementDescription of fractureClassification of fractureBiomechanics of fractureClinical features of fractures & dislocations

2

Closed treatmentClosed treatment of common fracturesPlaster & synthetic materialFunctional bracing

A 2

Principles & # management - OperationPrinciples of internal fixationPrinciples of external fixationPrinciples of intramedullary nailing including the biomechanics, indications & technical aspects

2

Biology of # repairAnatomy & Biomechanics of bonePrimary & Secondary healingEffect of Operative treatment on # healing

2

Biology of soft tissue injury with respect to muscles, tendons, ligaments, nerve etc.

3

Management of multiple injury patientsPrinciples of resuscitationAssessment of triagePriorities of management

B B 3

Management of open fracturesDefinition & classificationWound assessment & initial managementPrinciples of debridementStabilisation of fracturesWound coverageSecondary procedures & management of omplication

2

Traumatic amputationEarly amputation or limb salvageTechniques & indications of common amputation procedures

A 3


SubjectExpertise

KnowledgePatient


Basic ScienceEarly complication from traumaSystemic complicationRegional complication with focus on Tetanus, Gas Gangrene, Infection, RSD,Compartment syndrome

B B 2

Pathological # & Stress # B B 3


SubjectExpertise

KnowledgePatient


Upper Limb TraumaDistal radiusClassification & mechanism of injuryMethods of treatment

A A 2

Diaphyseal forearm fractureFracture of radius & ulnaMonteggia #Galeazzi #

A A 2

Fracture of dislocation of elbowRadial head ## of distal humerusElbow dislocationOlecranon #

A B 2

Humeral shaft #ClassificationTreatment optionCommon complication

A A 2

Proximal humerus #ClassificationClosed treatment & indication for operationMethods of operative treatmentRehabilitation aspects

A B 2

Fractures around the shoulderClavicular #AC joint dislocationScapula #

B B 2

Dislocation of shoulderClassificationMethods of assessmentMethods of treatment (arthroscopic technical expertise not included)

A B 2


SubjectExpertise

KnowledgePatient


Lower ExtremityPelvic fractureSurgical anatomy & surgical approachesClassification & mechanism of injuryDiagnosis - clinical & radiologicalAssociated injuriesInitial managementDefinitive managementResults & complication

B C 3

Acetabulum fractureSurgical anatomy & surgical approachesClassification & mechanism of injuryDiagnosis - clinical & radiologicalAssociated injuriesInitial managementDefinitive managementResults & complication

B C 3

Hip dislocationClassificationDiagnosisRadiological intepretationTreatment optionResults & complication

A B 3

Proximal femoral fractureClassification - Intracapsular #, Intertrochanteric #, Subtrochanteric #Blood supply to the femoral headTreatment optionResults & complication

A A 2

Fracture shaft of femurAnatomy & blood supplySurgical approachesTreatment methodsPotential complicationsSpecial situations Segmental # Compound # Fracture neck of femur & shaft Floating knee Ipsilateral shaft & intra-articular #

A A 2


SubjectExpertise

KnowledgePatient


Lower ExtremityFractures around the kneeDistal femur # Classification Treatment optionsFracture patella Classification Differential diagnosis of extensor mechanism

injury Treatment optionsProximal tibial # Tibial plateau # avulsion of tibial spine # tibial tuberosity Fibular head #Knee dislocation & its complication

** Meniscus injury & collateral ligament injury will be covered in Sports Injury

A

A

A

A

A

A

A

B

2

Fracture of tibial shaftClassificationTreatment optionsResults & complicationManagement of compound tibial fracture

A A 2

Fractures around the anklePott # Classification & mechanism of injury Surgical anatomy & approaches Treatment options Results & ComplicationsPilon fracture Classification & mechanism of injury Surgical anatomy & approaches Treatment options Results & complications

A

A

A

A

2

2

Fractures & dislocations involving the footTalus #Os calcis fractureLisfranc fracture & dislocationMetatarsal # Classification & mechanism of injury Surgical anatomy & approaches Treatment options Results & Complications

AAAA

BAAA

2


SubjectExpertise

KnowledgePatient


Spinal InjuryPrinciples of management of spinal injury patientsInitial evaluationBiomechanics of spinal injuryClassification & mechanism of injuryNeurological examinationClassification of cord injurySpinal imaging, recognition of common fracturesSurgical approachesKnowledge of common instrumentationsSpinal rehabilitation & management of complications

2

Cervical spine injuryAnatomyDiagnosis - clinical & radiologicalNeurological examinationIdentification of common cervical spinal injuriesClassification of cord injurySurgical approachesTreatment optionsComplication - prevention, diagnosis & management

B B 3

Thoracolumbar spinal injuryAnatomyClassificationNeurological examination & patterns of neurological injuriesIdentification of common spinal injuriesSurgical approachesTreatment optionsComplication - prevention, diagnosis & management

B B 3

Sacral fractureAnatomyClassificationNeurological examination & patterns of neurological injuriesSurgical approachesTreatment optionsComplication - prevention, diagnosis & management

B C 3


SubjectExpertise

KnowledgePatient


Spinal InjuryRehabilitation for spinal injury patientsSecondary surgery - indications & methodsUpper limb & lower limb reconstruction surgery for functionBladder & bowel managementPsychosocial rehabilitation aspects

B C 3

subject - hkam€¦ · web viewupper limb & lower limb reconstruction surgery for function...

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