‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Pediatric Ortho core objectives – attachment
#
Module/course ‫مودل‬
‫ کورس‬/
o
1
Growth &
Development:
o
o
o
o
2
Skeletal Dysplasias
(Paris classification):
3
Constitutional
diseases:
4
Connective Tissue:
5
Core topics completed
‫مضامین عمده که تکمیل شده‬
Hematologic
disorders:
6
Neoplasia:
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Instructor
Training
Type
‫نوع تریننگ‬
PGY
Embryology: Neuro, Skeletal, Muscular,
Osseous growth
Timing of ossification centers: Physeal
growth, Enchondral ossification,
Intramembranous ossification;
Muscular growth; Growth rate;
Developmental milestones; Timing –
secondary sexual characteristics
Defects of tubular bone
Achondroplasia
Disorganized cartilage and/or fibrous
components
Ollier’s disease
Multiple hereditary exostosis
Fibrous dysplasia
Local or regional malformations of
bone
Sprengel’s deformity
Klippel Feil syndrome
Rickets
Mucopolysaccharidosis
Calcium / phosphate disorders
Rickets /osteomalacia
Renal osteodystrophy
Hypophosphatasia
Parathyroidism
Thyroid
Heavy metal
Juvenile osteoporosis
Hypervitaminosis
Scurvy
Infantile cortical hyperostosis
Ehlors Danlos syndrome
Marfan’s syndrome
Down’s syndrome
Short Stature
Genetics
Autosomal dominant
Autosomal recessive
Sex linked dominant
Sex linked recessive
Chromosomal disorders
Multifactorial disorders
Gaucher’s disease
Hemoglobinopathy
Hemophilia
Cysts:
Fibrous cortical
Unicameral
Aneurysmal
Chondroblastoma
Osteoid Osteoma
Osteochondroma
Giant cell tumor
Ewing’s sarcoma
Osteosarcoma
Fibrous dysplasia
Soft tissue sarcoma
Critical Care Evaluation ‫ارزیابی مراقبت جدی‬
Page 1
Length
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Pediatric Ortho core objectives – attachment
7
Neuromuscular
(excluding spine):
8
Inflammatory
Myopathies:
9
Spondyloarthropathies
:
10
Spinal Deformity:
11
Upper Limb:
12
Hip:
13
Lower limb:
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Muscular Dystrophies:
Duchenne
Becker’s
Limb Girdle
Facioscapulohumeral
Congenital dystrophy
Hypotonic
Myotonic
Congenital Myopathy
Myositis Ossificans
Poliomyelitis
Smooth muscle antibody positive
Hereditary motor and sensory
neuropathies
Cerebral Palsy (excluding spine)
Myelodysplasia (excluding spine)
Juvenile Rheumatoid Arthritis
Cervical spine
Torticollis
Klippel Feil
Rotatory sublux
Hypermobility
Scoliosis
<40°, idiopathic
>40°, idiopathic
Congenital
Neuromuscular
Kyphosis
Postural
Scheurmann’s disease
Congenital
Spondylosis
Spondylolisthesis
Congenital deficiencies:
Congenital malformations
Dislocated radial head
Radioulnar syndrome
Osteitis Dissecans
Capitelium
Sprengel’s deformity
Dislocated hip:
Newborn
Congenital
Older infant
Walking age
Teratological
Coxa Vara
Synovitis
Slipped capital femoral epiphysis
Idiopathic Chondrolysis
Leg length discrepancy:
<2 cm
2-5 cm
>5 cm
Congenital deficiencies:
Proximal femoral focal
Tibial hemimelia
Fibular hemimelia
Other (Streeter’s, etc.)
Torsional problems
Tibia Vara
Congenital pseudoarthropathy
Critical Care Evaluation ‫ارزیابی مراقبت جدی‬
Page 2
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Pediatric Ortho core objectives – attachment
o
o
o
o
o
o
o
14
Amputations:
15
Fractures, general:
16
Fracture, dislocations:
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Posteromedial bow
Patellofemoral syndrome
Congenital dislocation/subluxation
Osgood Schlatter’s disease
Osteitis dissecans
Discoid Meniscus
Congenital dislocation/subluxation,
knee
Torn Meniscus
Newborn:
Clubfoot
Congenital vertical talus
Postural deformation
Metatarsal adductus, calcaneal valgus
Planovalgus
Tarsal Coalition
Polydactyly
Adolescent bunions
Accessory navicular
Curly, overlap toes
Cavus foot
Polydactyly
Growing pains
Overuse syndromes
Osteochondroses
Acquired flatfoot
Other (Z foot, etc)
Prosthetics/Orthotics
Gait
Physeal fractures
Child Abuse
Open fractures
Multiply injured child
Associated with head injury
Hand, wrist
Forearm
Both bones(incl plastic deform)
Galeazzi
Elbow
Monteggia
Radial head, neck
Condyles
Epicondyles
Supracondylar
Dislocation
Humerus Shaft
Proximal
Shoulder Dislocation
A-C joint Dislocation
Scapula
S-C joint Dislocation
Cervical Spine
Thoracic Spine
Lumbar Spine
Pelvis :
Hip Dislocation
Femur:
Neck, Shaft Distal
Knee:
Dislocation, osteochond fracture,
ligament injury
Patella:
Critical Care Evaluation ‫ارزیابی مراقبت جدی‬
Page 3
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Pediatric Ortho core objectives – attachment
o
o
o
o
o
o
o
o
17
Infections:
o
o
o
18
Orthopedic
procedures:
o
o
o
o
o
o
19
Assessment of Basic
Diagnostic
Radiographs:
o
o
o
o
o
o
20
o
Pre and Post-operative
care in Orthopedics:
o
o
o
o
o
o
o
Fracture, Dislocation
Tibia:
Tubercle, Proximal metaphysis, Shaft,
Distal
Foot/ankle:
Dislocation, Calcaneus, Talus
Tarsals:
Metatarsals, Phalanges
Osteomyelitis: Acute, Subacute,
Chronic
Septic Arthritis: Hip, Other joints
Puncture wounds: Foot
Understand the indications, risks, and
alternatives of these typical orthopedic
procedures, and gain experience,
under direct supervision:
Simple casting and cast management
Splinting and taping of common
injuries
Application of traction
Open reduction and fixation of
fractures
Arthrocentesis
Be able to adequately order and
properly interpret the following tests:
Conventional bone x-rays
Fluoroscopy
Understand the indications,
contraindications and risks of the
following procedures. Be able to
properly order them when indicated
and to discuss the implications of the
findings of each:
Computed tomography
MRI
Understand the principles of pre and
post-op care for common Orthopedic
problems and be able to demonstrate
to the satisfaction of the orthopedic
staff.
Knowledge of the common
postoperative complications and the
management of these complications to
include:
Wound, joint, soft tissues and
implanted material infection
Abnormal bleeding
Deep venous thrombosis, pulmonary
embolism
Fat embolism
Pressure sores
Joint ankylosis
compartment syndromes
Critical Care Evaluation ‫ارزیابی مراقبت جدی‬
Page 4