Disampaikan pada kuliah Clerkship Dokter Muda UWK di RSUD Bangil

1. KULIAH PERDANA ORTHOPAEDI
Oleh:
Dr. Broto Suwadji, Sp.OT
Disampaikan pada kuliah Clerkship Dokter Muda UWK di RSUD Bangil
Untuk Kalangan Sendiri

2. ANATOMICAL POSITION

9. ORTHOPAEDICS
 Orthopaedics is concerned with
 Bones
 Joints
 Muscles
 Tendons
 nerves
 the skeletal system and all that makes it move

10. ORTHOPAEDICS
 Congenital and developmental abnormalities
 Infection and inflammation
 Arthritis and rheumatic disorders
 Metabolic and endocrine disorders
 Tumours
 Neurological disorders
 Trauma or injury

11. BONES
 A bone is a rigid organ that constitutes part of the
vertebral skeleton
 Two different points of bones
 Bones as anatomical structure
Provides the strength of the body
 Bones as physiological organ
Hematopoetic tissue
Reservoir for calcium, phospor etc

15. JOINTS
 is the connection made between bones in the body
 Synarthrosis
 Less or none of movement
 Diarthrosis
 Movement (+)

16. DIARTHROSIS

18. 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.

21. 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.

22. NERVE SYSTEM

23. NERVE SYSTEM

24. DERMATOM

25. DERMATOM

26. PLEXUS BRACHIALIS

27. PLEXUS LUMBOSACRAL

28. DIAGNOSIS IN ORTHOPAEDIC
 Clinical
 Anamnesa
 Physical diagnosis
 Additional

29. ANAMNESA/HISTORY
 Auto anamnesa or heteroanamnesa
 Present History
 Past History
 Family History
 Social Background

30. PRESENT HISTORY
 Chief complaint
 Onset
 Duration
 Aggravated factor
 Relief factor
 Mechanism

31. ANAMNESA/HISTORY
 SYMPTOMS
 Pain
 Stiffness
 Swelling
 Deformity
 Weakness

32. PHYSICAL DIAGNOSIS
Look
Feel
Move

33. LOOK
 Shape and posture
 Skin
 General survey

34. FEEL
 The skin
 The soft tissues
 The bones and joints
 Tenderness

35. MOVE
 Active movement
 Passive movement
 Range of movement

36. ADDITIONAL EXAMINATION
 MEDICAL IMAGING TECHNIQUES
 BLOOD TESTS
 SYNOVIAL FLUID ANALYSIS

37. MEDICAL IMAGING TECHNIQUES
 Conventional radiography (X-ray images).
 Computerized tomography (CT).
 Ultrasonography (US).
 Magnetic resonance imaging (MRI).
 Nuclear medicine imaging
 Bone Mineral Densitometry (BMD)

38. X RAY

41. COMPUTED TOMOGRAPHY (CT)

42. MAGNETIC RESONANCE IMAGING

43. 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

44. USG
ULTRA SONOGRAPHY

45. BONE MINERAL DENSITY (BMD)
now widely used in
identifying patients
with osteoporosis
and an increased
risk of osteoporotic
fractures