kuliah ortopedi oleh dr. broto suwadji spot
TRANSCRIPT
KULIAH PERDANA ORTHOPAEDIOleh:Dr. Broto Suwadji, Sp.OT
Disampaikan pada kuliah Clerkship Dokter Muda UWK di RSUD BangilUntuk Kalangan Sendiri
ANATOMICAL POSITION
ORTHOPAEDICS Orthopaedics is concerned with
Bones Joints Muscles Tendons nerves the skeletal system and all that makes it move
ORTHOPAEDICS Congenital and developmental abnormalities Infection and inflammation Arthritis and rheumatic disorders Metabolic and endocrine disorders Tumours Neurological disorders Trauma or injury
BONES A bone is a rigid organ that constitutes part
of the vertebral skeleton Two different points of bones
Bones as anatomical structureProvides the strength of the body
Bones as physiological organHematopoetic tissueReservoir for calcium, phospor etc
JOINTS is the connection made between bones in the
body Synarthrosis
Less or none of movement Diarthrosis
Movement (+)
DIARTHROSIS
MUSCLE is a soft tissue contain protein filaments of
actin and myosin that slide past one another, producing a contraction that changes both the length and the shape of the cell
Muscles function to produce force and motion.
TENDON AND LIGAMENT A tendon is a tough band of fibrous
connective tissue that usually connects muscle to bone and is capable of withstanding tension. Origo Insertio
Tendons are similar to ligaments; both are made of collagen. Ligaments join one bone to another bone, while tendons connect muscle to bone.
NERVE SYSTEM
NERVE SYSTEM
DERMATOM
DERMATOM
PLEXUS BRACHIALIS
PLEXUS LUMBOSACRAL
DIAGNOSIS IN ORTHOPAEDIC Clinical
Anamnesa Physical diagnosis
Additional
ANAMNESA/HISTORY Auto anamnesa or heteroanamnesa Present History Past History Family History Social Background
PRESENT HISTORY Chief complaint Onset Duration Aggravated factor Relief factor Mechanism
ANAMNESA/HISTORY SYMPTOMS
Pain Stiffness Swelling Deformity Weakness
PHYSICAL DIAGNOSIS
LookFeelMove
LOOK Shape and posture Skin General survey
FEEL The skin The soft tissues The bones and joints Tenderness
MOVE Active movement Passive movement Range of movement
ADDITIONAL EXAMINATION MEDICAL IMAGING TECHNIQUES BLOOD TESTS SYNOVIAL FLUID ANALYSIS
MEDICAL IMAGING TECHNIQUES
Conventional radiography (X-ray images). Computerized tomography (CT). Ultrasonography (US). Magnetic resonance imaging (MRI). Nuclear medicine imaging Bone Mineral Densitometry (BMD)
X RAY
COMPUTED TOMOGRAPHY (CT)
MAGNETIC RESONANCE IMAGING
BONE SCAN
Photon emission by radionuclides taken up in specific tissues can be recorded by a gamma camera to produce an image which reflects physiological activity in that tissue or organ
USG ULTRA SONOGRAPHY
BONE MINERAL DENSITY (BMD)
now widely used in identifying patients with osteoporosis and an increased risk of osteoporotic fractures