‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
#
Module/course ‫مودل‬
‫ کورس‬/
Core topics completed
‫مضامین عمده که تکمیل شده‬
o
o
o
Biology of Bone Repair and
Fracture Healing:
o
o
o
o
o
o
o
Biomechanical
considerations for
Fractures, Implants and
Fracture treatment:
o
o
o
o
o
o
Initial Assessment and
Management of the
Multiply Injured Patient:
o
o
o
Assessment, Management
and Decision Making in the
Treatment of Polytrauma
Patients with Head Injuries:
Orthopedics
o
o
Instructor
Training
Type
‫نوع تریننگ‬
PGY
To review the basic structure and histology
of bone.
To review the basic embryologic principles of
bone formation and bone growth.
To review in detail the steps and the process
of bone healing (spontaneous direct bone
healing).
To review the factors that influence the
degree and type of bone healing to include
systemic factors and the biomechanical and
biological local conditions.
To discuss the current knowledge of the
biochemical mediators of bone healing.
To review the mechanical properties of
trabecular and cortical bone.
To review the fracture patterns typically
seen with different modes of loading.
To define basic terms used in biomechanical
discussions.
To discuss and understand the definitions
and factors influencing stability.
To review the biomechanical properties of
intramedullary rods and intramedullary
fixation and how these factors can be
changed by altering the implant.
To review the biomechanical properties of
plates and screws in fracture treatment and
how these factors can be altered (i.e.
number of screws, length of plate, lag
screws, etc.).
To review the biomechanical properties of
external fixation and how these factors can
be altered.
To review the biomechanical and biological
properties of the various materials used to
make implants (include bioabsorbable
implants).
To review the basic ATLS protocols for
assessment of injured patients
To review the resuscitation and ongoing
assessment of resuscitation efforts in injured
patients
To discuss the appropriate roles and
interactions between the various
subspecialists involved in trauma care
To discuss the prioritization of injuries in the
polytrauma patient
To review the various trauma scores in use
and their relevance
To discuss fracture treatment and how it
may be changed in the treatment of the
polytraumatized patient
To understand the assessment of the head
injured polytrauma patient.
To review the Glasgow Coma Scale and its
relevance.
Page 1
Length
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
Closed Reduction, Traction
and Casting Techniques in
the Treatment of Fractures
(To include the use of nerve
blocks and anesthetic
techniques for closed
reductions):
o
o
o
o
o
o
o
General Principles of
External Fixation and its
Uses in Fracture Treatment:
o
o
o
o
o
o
o
Basic Principles and
Techniques of Internal
Fixation of Fractures:
o
o
o
Orthopedics
To consider the effect of fracture treatment
on the head injured patient and how it may
need to be altered in these patients.
To consider the effect of head injury on
fracture treatment (i.e. inability of patient to
cooperate with post-operative protocols,
contractures, spasticity, heterotopic
ossification, etc.).
To review the "proper casting" and splinting
techniques.
To review the complications of cast and
splints.
To review the basics of closed reduction
techniques.
To review specific techniques in fractures
most commonly treated by closed reduction
and casting.
To review the anesthetic techniques used to
accomplish closed reduction and casting
fractures.
To review the types of traction, both skin
traction and skeletal traction for the upper
and lower extremities.
To review pin placement for skeletal
traction.
To review fracture and techniques of
fracture bracing.
To review the indications for use of external
fixation in fracture treatment.
To review basic frame constructs for
external fixators to include uniplanar and
multiplanar and the use of half pins and thin
wires.
To review techniques and locations for
placement of pins and wires.
To review the biomechanical considerations
with different pins, wires and constructs and
how these enter decision making in fracture
treatment.
To review the advantages and disadvantages
of external fixation and its complications.
To review the techniques for pin site
management.
To understand the rationale to consider
internal fixation of fractures.
To understand reduction techniques (direct
and indirect) and how they relate to internal
fixation.
To discuss the concept of stability, both
absolute and relative and how this affects
fracture healing--primary bone healing vs.
secondary callus formation.
To understand interfragmentary
compression and lag screw techniques.
To review and understand plate fixation and
the different functions that plates can serve
when used in fracture fixation.
To review and understand the basic
principles of intramedullary fixation.
Page 2
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
To review and understand tension band wire
principles, its proper technique and its
indications for use.
o
To understand the principles of assessment
and the interpretation of the assessment of
the vascular system in patients with
fractures to include physical examination,
Doppler signals, Doppler pressure
measurements and indices.
To review and understand special
considerations related to blunt or
penetrating injuries.
To discuss and understand the use of
arteriography to include its indications,
technique and location (in the operating
room or in radiology).
To understand the types of vascular injuries
and their significance.
To understand the principles of the
treatment protocols for the patient with
their fracture and avascular injury to include
a discussion of the timing, order of
treatment, indication for shunts, different
options for fracture fixation both temporary
and definitive treatment, consideration for
amputation and interaction between the
vascular surgeon and orthopaedist when
treating these patients.
To understand the indications and
importance of fasciotomies in patients with
vascular injuries.
To discuss and understand principles of postoperative management in patients with
vascular injuries.
o
o
o
Principles for Evaluation and
Treatment of Patients with
Vascular Injuries:
o
o
o
o
o
o
o
o
Compartment Syndromes:
o
o
o
o
Fractures with Soft Tissue
Injuries (To include biology
of soft tissue injuries and
wound healing):
Orthopedics
o
To review the definition of compartment
syndromes.
To review the anatomy of the compartments
of the upper and lower extremities.
To review and understand the
pathophysiology of compartment
syndromes.
To review the possible etiologies of
compartment syndromes.
To review the diagnosis of compartment
syndromes.
To review compartment pressure
measurements to include the techniques
and the interpretation of the pressure
measurement.
To understand the local anatomy and
surgical technique used in the treatment of
compartment syndromes.
To be familiar with the sequelae of
untreated compartment syndromes.
To understand the medical-legal issues of
compartment syndromes.
To understand the importance of the
etiology and mechanism of injury as it
relates to the energy dissipated to the
extremity.
Page 3
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
o
o
Wound Coverage
Techniques:
o
o
o
o
o
Pathologic Fractures:
o
o
o
o
o
Biology of Bone Grafting
and Bone Graft Substitutes:
o
o
Orthopedics
To review soft tissue injuries and their
classification as associated with closed
fractures.
To review soft tissue injuries and their
classification as associated with open
fractures.
To understand the principles of the
treatment of the soft tissue injuries
associated with skeletal trauma.
To review the treatment of the bony injury
and how it is affected by the soft tissue
injury.
To review the bacteriology involved with
these injuries and considerations for
antibiotic use.
To review the process and the phases of
wound healing.
To review conditions affecting wound
healing.
To review wound healing as it relates to
specific tissues (tendons, ligaments and
muscles).
Consideration should be given to having a
plastic surgeon or an orthopaedic surgeon
who the bulk of the soft tissue coverage
gives at least a portion of this talk.
To review the indications for wound
coverage considering the advantages and
disadvantages over waiting for possible
wound healing.
To review issues related to the wound and
as related to the timing in consideration of
coverage.
Wound coverage techniques, grafts, flaps: to
understand the options available for specific
sites.
To review the etiologies that may lead to
pathologic fracture.
To briefly review common benign tumors
and cysts of bone that may lead to
pathologic fractures.
To briefly review primary malignant and
aggressive bone tumors that may lead to
pathologic fractures and to understand the
importance of differentiating these from
other etiologies.
To review metastatic bone lesions.
To review adjuvant treatment for metastatic
bone lesions and their indications.
To review surgical treatment of pathologic
fractures; to include indications, techniques
and complications.
To review indications for treatment of
impending pathologic fractures.
To understand the definitions involved with
bone grafts and the types of bone grafts
with their potential advantages and
disadvantages.
To review the functions of bone grafts.
To review and understand the indications
Page 4
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
o
Epidemiology, Prevention
and Treatment of
Osteoporotic Fractures:
o
o
o
o
o
o
o
o
o
ARDS Fat Embolism
Syndrome and
Thromboembolic Disorders
in the Injured Patient:
o
o
o
o
o
Orthopedics
and function for bone grafts.
To understand the process of incorporation
of bone grafts.
To understand and review the techniques
and sites for harvesting autograft.
To review and understand the techniques of
bone grafting.
To review the current options for bone graft
substitutes with current supporting data to
discuss its uses (include discussion of bioactive protein "carriers").
To understand the definition of osteoporosis
and its differential diagnosis.
To review the possible causes of
osteoporosis and its diagnostic evaluation.
To review the epidemiology of osteoporotic
fractures.
To review the ramifications of osteoporotic
fractures including utilization of resources,
financial impact and disability and mortality.
To understand the options for fracture
prevention in osteoporotic patients (include
dangers of home environment, psychoactive
drugs, shoe wear, eye care, etc.).
To review and understand treatment options
for osteoporosis and its impact on fracture
rates.
To briefly review the treatment of the more
common types of osteoporotic fractures.
To understand the issues specific to the
post-operative treatment in patients with
osteoporotic fractures.
To review the fracture outcomes and
functional outcomes in patients with
osteoporotic fractures.
To understand the definition of ARDS and fat
embolism syndrome.
To review the etiology, the diagnosis and the
pathophysiology of ARDS and fat embolism
syndrome.
To review the significance of fat embolism
syndrome as it relates to the treatment of
fractures.
To review the treatment of fat embolism
syndrome.
To understand the expected outcomes of
patients with fat embolism syndrome.
To understand the definitions associated
with thromboembolic disorders.
To review the pathophysiology and potential
etiologies of thromboembolic disorders in
trauma patients.
To review and understand the relationship
of injured patients and concerns with
thromboembolic disorders to include the
incidence of deep vein thrombosis and
pulmonary emboli in trauma patients.
To review and understand the mechanisms
of action of the possible techniques for
prophylaxis against deep vein thrombosis in
trauma patients.
To discuss the indications for deep vein
Page 5
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
General Principles in the
Assessment and Treatment
of Non-unions:
o
o
o
o
o
o
o
Non-unions with a Large
Bony Defect:
o
o
o
o
o
General Principles and the
Assessment and Treatment
of Malunions:
o
o
o
Orthopedics
thrombosis prophylaxis in trauma patients.
To understand the available screening
methods and methods of diagnosis of deep
vein thrombosis and pulmonary emboli.
To review and discuss indications for vena
caval filters and their complications.
To review the treatment of deep vein
thrombosis.
To review and understand the definitions of
delayed union and non-union.
To review and understand the etiologies of
non-unions to include systemic fractures
affecting bone healing and the local
mechanical and biologic conditions affecting
bone healing.
To understand factors important in the
patient's history, physical exam and
evaluation as related to the etiology and
treatment of non-unions.
To review and understand the diagnosis of
nonunions by clinical and radiographic
examination.
To review and understand the classification
methods of non-unions
To understand the principles of nonunion
treatment
To review nonoperative treatment of nonunions to include a review of the role of
bone stimulators to treat nonunions
To understand operative treatment methods
for non-unions and the potential advantages
and disadvantages of all of these methods
and to also understand their indications and
contraindications
To review potential etiologies of nonunions
with large bony defects.
To understand treatment options to include
cancellous bone grafting, vascularized free
bone grafts and bone transport (distraction
histiogenesis) and to review the advantages
and disadvantages with each method.
To discuss cancellous bone grafting
techniques for bony defects.
To discuss techniques of free fibular grafting.
To understand the histo logy of distraction
histiogenesis (bone transport) and to discuss
and to understand the techniques of bone
transport.
To understand the definition of malunion
and how this definition was determined.
To review and understand the natural
history of malunited fractures.
To review the indications for treatment of
malunions.
To review the radiographic evaluation and
preoperative planning in patients with
malunited fractures.
To review the treatment options and
understand the different types of
osteotomies and fixation methods with their
Page 6
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
potential advantages and disadvantages
o
Functional Outcome Tools
and Physical Impairment
Ratings in Trauma Patients:
o
o
o
o
o
o
o
Pathophysiology and
Treatment Decisions for the
Treatment of Osteomyelitis:
o
o
o
o
o
o
o
Fractures Secondary to
Gunshot Wounds:
o
o
o
o
o
Fracture Classification:
o
o
Orthopedics
To understand the methods of assessing
functional outcomes.
To review functional outcomes in
traumatized patients.
To understand methods of assigning physical
impairment ratings.
To understand work issues as they relate to
patients who have sustained injuries.
To understand the diagnosis of
osteomyelitis, both acute and chronic.
To understand the etiology of osteomyelitis.
To understand the natural history of both
treated and untreated osteomyelitis.
To understand the classification systems of
osteomyelitis and how these relate to
treatment decisions.
To understand the bacteriology and
histology as related to the pathophysiology
of osteomyelitis.
To understand surgical treatment options
and techniques for osteomyelitis.
To understand antibiotic treatment and
suppressive treatment for osteomyelitis.
To review the epidemiology of gunshot
wounds and its impact on our society and
health care system.
To review and understand the ballistics of
bullets and guns.
To review and understand injuries
associated with gunshot wounds to include
vascular injuries and nerve injuries and their
evaluation and treatment with penetrating
trauma.
To review and understand the principles of
treatment of a soft tissue injury associated
with a gunshot wound.
To review and understand the principles of
treatment of a bony injury secondary to a
gunshot wound to include the timing and
indications for surgical treatment.
To review the principles and concepts of
treatment of the musculoskeletal injury
specifically related to close range shotgun
wounds.
To review the use of antibiotics in patients
with fractures secondary to gunshot
wounds.
To review and discuss the principles for
treatment of intra-articular injuries from
gunshot wounds both with and without
fractures.
To review the significance and use of
fracture classification systems.
To understand the criteria of a useful
classification system.
To review the universal classification system
adopted by the Orthopaedic Trauma
Page 7
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
Basic Principles in the
Assessment and Treatment
of Fractures in the Skeletally
Immature Patient and
Physeal Injuries:
o
o
o
o
o
o
o
o
o
Non-accidental Trauma in
Pediatric Patients:
o
o
o
o
o
o
Injuries of the Clavicle,
Acromioclavicular Joint and
Sternoclavicular Joint:
o
o
o
Orthopedics
Association in detail stressing basic
principles.
To understand the significance of interobserver variations
To review and understand the anatomy
unique to skeletally immature bones.
To understand the anatomy and histology of
the physis.
To identify issues specific to the examination
of the injured child.
To understand the principles and specifics of
the radiographic evaluation in the injured
child to include the indications for more
extensive evaluation including arthrograms,
MRI scans and bone scans.
To become familiar with fractures common
only in the skeletally immature patient.
To become familiar with physeal fractures
and the Salter-Harris classification system.
To understand the principles and methods of
fracture treatment in children.
To understand complications of fracture
treatment in children.
To review the capacity for remodeling of
bones in the skeletally immature patients.
To review the complication and
management of growth arrest secondary to
physeal injuries.
To review and become familiar with the
epidemiology of nonaccidental trauma in the
pediatric patient population.
To be able to identify individuals at risk for
child abuse.
To understand and be familiar with the signs
from a thorough history and physical
examination which would be characteristic
of child abuse.
To become familiar with fractures and
fracture patterns commonly seen with
nonaccidental trauma.
To understand the differential diagnosis for
nonaccidental trauma and its workup.
To become familiar with the further
evaluation and management of a child with
nonaccidental trauma.
To become familiar with the process of
reporting children with nonaccidental
trauma and the legal aspects associated with
this.
To review the anatomy pertinent to injuries
in these areas.
To review the etiology and mechanism of
injury for clavicle fractures.
To review the physical examination and
radiographic evaluation for fractures of the
clavicle and acromioclavicular joint.
To understand treatment options for clavicle
fractures.
To understand the indications for acute
surgical treatment of clavicle fractures.
Page 8
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Scapular Fractures and
Scapulothoracic
Dissociation:
o
o
o
o
o
Orthopedics
To review complications of clavicle fractures
and its treatment.
To review and understand the principles for
the treatment of clavicle nonunions.
To review and become familiar with the
classification of distal clavicle fractures and
understand the relevant anatomy associated
with this classification system. Also to review
expected outcomes with operative and
nonoperative treatment with these
fractures.
To review the indications and techniques for
acute operative treatment of distal clavicle
fractures.
To review and understand the indications
and techniques for late surgery for distal
clavicle fractures.
To review the classification of
acromioclavicular joint injuries.
To review and understand the principles of
treatment options for acromioclavicular joint
injuries.
To review the indications and techniques for
acute surgical treatment of
acromioclavicular injuries.
To review the indications and techniques for
late surgical treatment of acromioclavicular
injuries.
To review the anatomy of the
sternoclavicular joint including its medial
physis.
To understand the radiographic techniques
for assessing the sternoclavicular joint in
patients with a suspected injury.
To understand injuries associated with
sternoclavicular joint dislocations.
To review the treatment of anterior
sternoclavicular dislocations.
To review the treatment of posterior
sternoclavicular dislocations.
To review the anatomy of the scapula and
shoulder girdle.
To understand the mechanisms of injury and
associated injuries with scapula fractures
and scapulothoracic dissociation.
To understand the appearance on physical
examination and radiographic evaluation of
patients with scapula fractures and
scapulothoracic dissociations.
To review common fracture patterns and the
classification of scapula fractures.
To understand the principles of
management of scapula fractures.
To understand the indications for surgical
treatment of scapula fractures and the basis
for these indications.
To review the techniques of surgical
treatment for scapula fractures to include
approaches, methods of reduction and
fixation and potential complications.
To review expected outcomes with scapula
fractures.
Page 9
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
Fractures of the Proximal
Humerus and Glenohumeral
Dislocation:
o
o
o
o
o
o
o
o
o
o
Fractures of the Humeral
Shaft:
o
o
o
Orthopedics
To understand the principles of
management of scapulothoracic dissociation
and its potential associated injuries including
vascular and neurologic injury
To review the pertinent anatomy and
functional requirements of the proximal
humerus and glenohumeral joint.
To review the etiology and mechanism of
injury for proximal humerus fractures.
To review the physical examination and
radiographic evaluation in patients with
proximal humerus fractures.
To review the classification of proximal
humerus fractures.
To review the treatment options and
principles for decision making in patients
with proximal humerus fractures.
To review the indications for surgical
treatment for each fracture classification of
the proximal humerus.
To review the indications and techniques for
hemiarthroplasty in patients with proximal
humerus fractures.
To review the post-operative management,
rehabilitation and complications for patients
with proximal humerus fractures.
To review the etiology and mechanism of
injury for glenohumeral dislocations.
To review the pathoanatomy with
glenohumeral dislocations.
To review the physical examination and
radiographic evaluation for patients with
glenohumeral dislocations.
To review and understand the management
principles of patients with glenohumeral
dislocations.
To review and understand methods of
closed reduction of glenohumeral
dislocations including anesthetic techniques.
To understand the principles of
management of patients with glenohumeral
dislocations after reduction and the
prognosis for recovery to include the
prognosis for recurrent dislocations.
To review the relevant anatomy and
deforming forces for fractures about the
humeral shaft.
To review classification system of humeral
shaft fractures.
To review and understand the mechanism of
injury, pertinent history and physical
examination in patients with humeral shaft
fractures.
To review and understand methods of
closed management in patients with
humeral shaft fractures.
To understand the surgical options of
humeral shaft fractures with specific
attention to intramedullary fixation vs. plate
fixation vs. external fixation.
To review the issues regarding a radial nerve
injury at the time of presentation in a
Page 10
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
Fractures of the Distal
Humerus:
o
o
o
o
o
o
o
o
Elbow Dislocations and
Elbow Instability:
o
o
o
Orthopedics
patient with a humeral shaft fracture.
To review the surgical techniques for the
treatment of humeral shaft fractures.
To review the outcome and complications of
the treatment of humeral shaft fractures.
To understand factors that may lead to
humeral shaft non-unions and to understand
the basic principles for the treatment of
humeral shaft non-unions.
To review the pertinent surgical and
functional anatomy about the elbow.
To review the classification of fractures at
the distal humerus.
To review and understand the mechanism of
injury, history and physical exam in patients
with distal humerus fractures.
To review the radiographic evaluation of
distal humerus fractures.
To review and understand treatment options
and techniques for all types of distal
humerus fractures including extra-articular
and intra-articular fractures, unicondylar and
bicondylar intra-articular fractures and
capitellar fractures.
To understand the principles of postoperative management for fractures about
the distal humerus with expected outcomes
and potential complications.
To understand the mechanisms of injury,
history and physical exam in patients with
elbow dislocations.
To review the radiographic evaluation of
elbow dislocations.
To review the pathoanatomy with elbow
dislocations and its possible affects on postreduction stability.
To become familiar with associated injuries
about the elbow in patients with elbow
dislocations.
To review the classification of elbow
dislocations.
To review and understand the techniques
for reduction of elbow dislocations and
subsequent determination of stability.
To understand the principles of
management after reduction of the elbow if
the elbow is stable. Also to understand the
potential early and late complications.
To understand the principles of assessment
of the elbow if the elbow remains unstable
after reduction.
To understand the principles for the
diagnosis and treatment of recurrent
dislocations or instability at the elbow after
a closed reduction of the elbow dislocation
to include surgical approaches, techniques,
the use of external fixation and open
reduction internal fixation of associated
fractures (coronoid fractures).
Page 11
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
Olecranon Fractures and
Radial Head Fractures:
o
o
o
o
o
o
o
o
o
o
Fractures and Dislocations
of the Shoulder in the
Pediatric Patient:
o
o
o
o
Orthopedics
To review the pertinent anatomy of the
olecranon and the radial head.
To review and understand the mechanisms
of injury, history and physical in patients
with olecranon fractures.
To understand principles of radiographic
evaluation of olecranon fractures.
To understand the classification of olecranon
fractures.
To review treatment options for patients
with olecranon fractures and the indications
for surgery.
To review and understand the surgical
techniques with their biomechanical
considerations, advantages and
disadvantages of these techniques for
treatment of olecranon fractures.
To review the expected outcomes and
complications of patients treated for
olecranon fractures.
To review the mechanism of injury, history
and physical exam in patients with radial
head fractures.
To review the radiographic evaluation of
patients with radial head fractures.
To review the classification of patients with
radial head fractures and specific treatment
recommendations for each classification.
To understand the indications and surgical
techniques for operative treatment of radial
head fractures.
To understand the role of the radial head in
a patient with a radial head fracture and
elbow dislocation.
To review the expected outcomes and
complications of treatment in patients with
radial head fractures.
To review the developmental anatomy and
appearance of ossification centers about the
scapula, clavicle and proximal humerus.
To review the incidence, etiology and
treatment methods for fractures of the
clavicle and acromioclavicular joint and
scapula in the pediatric patient.
To review the incidence, etiology and
treatment of glenohumeral dislocations in
the pediatric patient with review of issues
unique to the skeletally immature patient.
To review fractures of the proximal humerus
and how it relates to the specific
developmental anatomy.
To review the diagnosis of proximal humerus
fractures related to the physical exam and
radiographic evaluation.
To review the classification of proximal
humerus fractures in pediatric patients.
To understand the options and techniques
for treatment principles based on the age of
the patient, fracture classification and
displacement.
Page 12
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
Fractures and Dislocations
of the Elbow in the Pediatric
Patient:
o
o
o
o
o
o
o
o
Forearm Fractures:
o
o
o
o
o
o
o
Fractures of the Distal
Radius:
o
o
o
Orthopedics
To review the developmental anatomy and
appearance of ossification centers about the
elbow.
To review the relevant anatomy and
radiographic evaluation of the elbow in the
pediatric patient.
To understand all relevant issues of fractures
of the distal humerus to include
supracondylar fractures, complete
separation of the distal humeral physis,
lateral condyle fractures, medial condyle
fractures, medial epicondyle fractures,
lateral epicondyle fractures and T-condylar
fractures.
To understand all relevant issues of fractures
at the proximal radius and the olecranon in
the pediatric patient.
To understand all relevant issues related to
dislocation at the elbow and radial head in
the pediatric patient.
To review all pertinent anatomy and
function of the forearm.
To review the incidence, mechanisms of
injury and clinical findings related to forearm
fractures.
To review the classification of forearm
fractures.
To understand all treatment options and
techniques for forearm fractures.
To review the indications for surgical
treatment of forearm fractures.
To review the surgical approaches to the
forearm with the advantages and
disadvantages as related to the approach
and the fracture location and pattern.
To review the indications, techniques and
current recommendations for surgical
treatment of forearm fractures.
To review Galleazzi fractures to include the
treatment considerations for the distal radial
ulnar joint dislocation.
To review Monteggia fractures.
To review the outcomes and possible
complications related to fractures about the
forearm.
To review the epidemiology of distal radius
fractures.
To review pertinent clinical assessment,
clinical findings and radiographic assessment
for distal radius fractures.
To review the classification systems for distal
radius fractures.
To understand the general principles and
goals of management of distal radius
fractures.
To review the techniques for closed
reduction of distal radius fractures to include
anesthetic techniques and to include the
radiographic assessment of the acceptability
of the reduction and the alignment.
To review the indications for surgery and
Page 13
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
Carpal Fractures and
Dislocations:
o
o
o
o
o
o
o
Pediatric Fractures of the
Forearm, Wrist and Hand:
o
o
o
o
o
o
Amputations of the
Upper Extremity
o
o
o
Orthopedics
surgical options for treatment of distal
radius fractures.
To review and understand the techniques
and indications for surgical treatment and
the principles involved in decision making
for treatment of distal radius fractures.
To review the outcomes and potential
complications related to distal radius
fractures and its treatment.
To understand the anatomy about the wrist
as it relates to fractures and dislocations of
the carpus.
To understand the incidence, mechanisms of
injury and physical findings with carpal
fractures and dislocations.
To understand the radiographic evaluation
of the wrist with all the lines and angles.
To understand the general principles for
treatment of fractures and dislocations
about the wrist.
To review all pertinent issues related to
scaphoid fractures and non-unions.
To review potential outcomes and
complications of injuries to the carpal bones.
To review the developmental anatomy,
appearance of ossification centers and bone
growth in the hand, wrist and forearm.
To review the goals and principles of
treatment of forearm fractures in pediatric
patients.
To understand the techniques for closed
reduction of forearm fractures and to
understand the criteria for assessing the
alignment with a discussion of the capacity
for remodeling of the bones of the forearm
in the pediatric patient following a fracture.
To review the issues related to plastic
deformation of the forearm bones.
To review the expected outcomes and
complications with forearm fractures in
pediatric patients.
To review the issues related to the
evaluation and treatment of distal radius
fractures in pediatric patients.
To review the issues related to the
evaluation and management of carpal
injuries that are unique to the pediatric
patients.
To review the issues of injuries to the distal
radius that are unique to the management in
pediatric patients.
To review and understand the general
principles of amputations of the upper
extremity.
To review the techniques for amputations
about the upper extremity.
To review complications and their
management following amputations of the
upper extremity (include pain control).
To review prosthetic options and prosthetic
Page 14
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
wear in upper extremity amputees.
o
o
o
o
o
Hip Dislocations and
Femoral Head Fractures:
o
o
o
o
o
o
o
o
Fractures of the Femoral
Neck:
o
o
o
Orthopedics
To review the relevant anatomy with
relation to dislocations and femoral head
fractures with emphasis on the blood supply
to the femoral head.
To review the incidence, mechanisms of
injury and clinical findings with hip
dislocations and femoral head fractures.
To review the classification systems for hip
dislocations.
To review the goals and the principles of
treatment for hip dislocations to include the
techniques of closed reduction and open
reduction and how the presence of a
femoral head fracture with a dislocation
effects the decision making.
To review the radiographic assessment of
the hip before and after reduction to include
a discussion of the role for CT scans, MRI
scans and bone scans.
To understand the principles for treatment
after reduction of hip dislocations.
To understand the expected outcomes and
complications associated with patients after
hip dislocations.
To review the classification systems for
femoral head fractures.
To review the goals and principles of
treatment for femoral head fractures to
include the indications for operative
treatment.
To review the techniques for operative
treatment of femoral head fractures with
discussions of fragment excision, open
reduction and internal fixation and
prosthetic hip replacement. Also to
understand the appropriate approaches to
the hip in patients with femoral head
fractures.
To review the expected outcomes and
complications for patients with hip
dislocations and/or femoral head fractures.
To review the pertinent anatomy and to
understand the issues related to the blood
supply about the hip (include intracapsular
hematoma).
To review the incidence and mechanisms of
injury for femoral neck fractures and to
distinguish the high energy fractures in
young patients from the low energy
fractures in the osteoporotic patients.
To review the classification systems for
femoral neck fractures.
To understand the principles and options for
treatment of femoral neck fractures to
include an understanding of the advantages
and disadvantages for fixation of femoral
neck fractures, hemiarthroplasty and total
hip replacement.
To review the issues related to the diagnosis
and treatment of stress fractures and occult
Page 15
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
Intertrochanteric Femur
Fractures:
o
o
o
o
o
o
o
Femoral Shaft Fractures
(Including subtrochanteric
femur fractures):
o
o
o
o
o
Orthopedics
fractures about the femoral neck.
To understand the principles and techniques
for treatment of femoral neck fractures.
To review expected outcomes in patients
with femoral neck fractures and to
understand all potential complications, its
sequelae and treatment.
To understand principles and techniques for
treatment of femoral neck non-unions.
To review the mechanisms of injury,
incidence and physical findings related to
patients with intertrochanteric femur
fractures.
To review the radiographic assessment of
intertrochanteric femur fractures.
To review the classification systems for
intertrochanteric femur fractures.
To understand the goals and options for
treatment of patients with intertrochanteric
femur fractures.
To understand the techniques and the
rationale for implants used for operative
treatment in patients with intertrochanteric
femur fractures and to understand the
expected outcomes and possible
complications in these patients.
To understand the possible causes for failure
of treatment of intertrochanteric femur
fractures and the options and techniques for
salvage in these patients.
To review the pertinent anatomy as it
relates to fractures of the femur.
To review the incidence, mechanisms of
injury, physical findings and commonly
associated injuries in patients with femur
fractures.
To review the classification systems for
femur fractures.
To review the goals and options for
treatment of femoral fractures.
To understand the issues of femur fractures
as related to the treatment and
management of multiply-injured patients.
To review the techniques for surgical
treatment of femur fractures.
To review the management of femur
fractures requiring special consideration, to
include open fractures, pathologic fractures,
fractures associated with a vascular injury,
fractures related to gunshot wounds and
fractures with an ipsilateral femoral neck
fracture.
To review the treatment of subtrochanteric
femur fractures with the possible options for
treatment and their techniques.
To review the expected outcomes and
complications for treatment of fractures
about the femur.
To review the treatment of femur nonunions
Page 16
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
Fractures and Dislocations
of the Hip in the Pediatric
Patient:
o
o
o
o
o
o
o
o
o
o
o
Fractures of the Femoral
Shaft in the Pediatric
Patient:
o
o
o
o
o
Orthopedics
To review the anatomy, growth and
development particularly as related to the
vascular anatomy and growth plates.
To review the incidence, mechanisms of
injury and physical findings in pediatric
patients with fractures and dislocations
about the hip (include intracapsular
hematoma).
To review the radiographic evaluation
including the role for special studies in
pediatric patients with fractures and
dislocations about the hip.
To review the classification systems for
fractures of the proximal femur and hip
dislocations.
To review the goals of treatment and
specific options and their techniques for
treatment of fractures about the proximal
femur in pediatric patients.
To review the goals for treatment and
techniques of reduction for hip dislocations
in pediatric patients.
To understand post-operative management
for pediatric patients with hip dislocations
and fractures about the proximal femur.
To review and understand the consequences
of these injuries with expected outcomes.
To understand the possible complications
with their sequelae and treatment options
after these injuries to include those related
to the growth plate and avascular necrosis.
To review the anatomy and growth of the
femur.
To review the mechanisms of injury, the
incidence and physical findings in pediatric
patients with femur fractures.
To review the radiographic evaluation of
pediatric patients with femur fractures.
To review the commonly associated injuries
in pediatric patients sustaining femur
fractures.
To review the pediatric femur fracture
classification system.
To review the basic principles involved in
decision making for management of femur
fractures in pediatric patients.
To review the techniques for traction and
their use in treatment of pediatric patients
with femur fractures.
To review and understand casting
techniques and their use in pediatric
patients with femur fractures.
To review and understand the surgical
options and their indications and proper
techniques, to include the advantages and
disadvantages of each of these techniques in
pediatric patients with femur fractures.
To review the potential for remodeling and
change in growth following a femur fracture
in the pediatric patient.
To review the expected outcomes and
possible complications of pediatric patients
Page 17
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
sustaining f emur fractures as well as the
potential complications related to the
treatment of femoral fractures.
o
o
o
o
o
o
Supracondylar and
Intercondylar Fractures of
the Distal Femur:
o
o
o
o
o
o
o
o
o
o
o
Knee Dislocations:
o
o
o
o
Orthopedics
To review the pertinent anatomy as related
to the distal femur and the deforming forces
about distal femoral fractures.
To review the incidence and mechanism of
injury of distal femur fractures.
To review and understand the physical
examination and radiographic evaluation
and commonly associated injuries with distal
femur fractures.
To review the classification system of distal
femur fractures.
To review and understand the principles for
management and decision making in the
treatment of distal femur fractures.
To review the goals of treatment and all
treatment options for distal femur fractures.
To review the techniques of nonoperative
treatment for distal femur fractures.
To review and understand the indications for
surgical treatment of distal femur fractures.
To review all options and techniques for
surgical treatment of distal femur fractures.
To review indirect reduction techniques for
fractures of the distal femur.
To review fractures requiring special
considerations about the distal femur to
include those with vascular injury, open
fractures, fractures with large degree of
bone loss, fractures secondary to gunshot
wounds, pathologic fractures and fractures
with extensive intra-articular comminution.
To review the post-operative management
in patients with distal femur fractures.
To review the outcomes and possible
complications related to distal femur
fractures and its treatment.
To review the relevant anatomy associated
with the knee and knee dislocations.
To review the mechanism of injury and
incidence of knee dislocations.
To review and understand the physical
examination associated with patients with
knee dislocations including a thorough
vascular and neurologic examination.
To review the radiographic diagnosis and
findings with knee dislocations.
To review and understand the early
management with techniques for reduction,
indications for arteriogram and techniques
for bony stabilization in patients with knee
dislocations.
To review definitive management and the
role for MRI scans in patients with knee
dislocations.
To review the indications and timing for
knee ligamentous reconstruction in patients
with knee dislocations.
To review the techniques for ligamentous
Page 18
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
Injuries to the Patella and
Extensor Mechanism:
o
o
o
o
o
o
Fractures of the Tibial
Plateau:
o
o
o
o
o
Orthopedics
reconstruction in patients with knee
dislocations.
To review the post-operative management
in patients who have undergone knee
reconstruction for knee dislocations.
To review the outcomes and complications
following knee dislocations in those patients
who have and have not undergone knee
ligamentous reconstruction.
To understand and differentiate the
anatomy of those patients who undergo
extremely high energy traumatic knee
dislocations versus those who have sports
related lower energy dislocations.
To review the relevant anatomy and
biomechanical considerations of the
extensor mechanism of the knee.
To review the incidence and mechanism of
injury of extensor mechanism in patella
injuries.
To review the physical exam and
radiographic evaluation for patella injuries
and extensor mechanism injuries.
To review the fracture classification for
patella fractures.
To review the treatment options and
techniques for nonoperative treatment for
patella fractures and extensor mechanism
disruptions.
To review the indications for surgery of
patella fractures and extensor mechanism
injuries.
To review surgical techniques and postoperative management for patients with
knee dislocations and extensor mechanism
injuries.
To review outcomes and potential
complications in patients with patellar
fractures and extensor mechanism
disruptions.
To review the relevant anatomy of the
proximal tibia and knee.
To review the incidence and mechanism of
injury of tibial plateau injuries.
To review the physical exam and
radiographic evaluation including the role
for special radiographic evaluation in
patients with tibial plateau fractures (include
discussion on potential vascular injuries).
To review the classification systems for tibial
plateau fractures.
To review the goals of treatment and the
basic principles of treatment for decision
making in patients with tibial plateau
fractures.
To review the options and techniques for
closed treatment of tibial plateau fractures.
To review the indications for surgical
treatment of tibial plateau fractures.
To review the options for surgical treatment
with the potential advantages and
Page 19
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
Fractures and Dislocations
of the Knee in Pediatric
Patients:
o
o
o
o
o
o
o
o
o
o
Closed Fractures of the
Tibial Diaphysis:
o
o
o
o
o
o
Orthopedics
disadvantages related to all of these options
based on the particular type of fracture
classification.
To review the post-operative management.
To review the outcomes and possible
complications related to the injury and those
related to the form of treatment itself in
patients with tibial plateau fractures.
To review the anatomy, development,
growth and appearance of ossification
centers about the knee.
To review the issues related to fractures of
the distal femoral metaphysis and distal
physeal injuries in pediatric patients.
To review the issues related to
osteochondral fractures of the femoral
condyles and patella.
To review the issues related to patella
fractures in pediatric patients.
To review the issues related to the tibial
eminence fractures in pediatric patients.
To review the issues related to proximal
tibial physeal fractures and tibial tubercle
fractures in pediatric patients.
To review the issues related to proximal
tibial metaphyseal fractures in pediatric
patients.
To review patellar subluxation and
dislocation in pediatric patients.
To review the issues of knee dislocations
unique to the pediatric population.
To review the relevant anatomy about the
tibia.
To review the incidence and mechanism of
injury of closed tibial shaft fractures.
To review the physical exam, radiographic
evaluation and commonly associated injuries
in patients with tibial shaft fractures.
To review the classification systems for tibial
shaft fractures.
To review the goals and principles of
treatment and to understand the basis for
what is considered acceptable alignment for
tibial shaft fractures.
To review the techniques for reduction,
casting and functional bracing for tibial shaft
fractures.
To review the indications for surgical
treatment of tibial shaft fractures.
To review the options for surgical treatment
with the advantages and disadvantages of
each of these options for tibial shaft
fractures.
To review the techniques for surgical
treatment of tibial shaft fractures.
To review the expected outcomes and
complications of fractures of the tibial shaft
based on the injury and based on the form
of treatment.
To review briefly compartment pressure
measurements and compartment
Page 20
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
syndromes as related to tibial shaft
fractures.
o
o
o
o
Open Fractures of the Tibial
Diaphysis:
o
o
o
o
o
o
o
o
Fractures of the Tibia and
Fibula in the Pediatric
Patient:
o
o
o
o
o
o
Fractures of the Tibial
Plafond:
o
o
o
o
Orthopedics
To review the incidence and mechanism of
injury of open tibial shaft fractures.
To review the physical examination,
radiographic evaluation and associated
injuries with open tibial shaft injuries.
To review the classification for fractures
about the tibia and classification for the soft
tissue injuries.
To review the principles of treatment of the
soft tissue injury related to tibial shaft
fractures and issues of coverage.
To review treatment options for stabilization
of the bones in patients with open tibial
shaft fractures with the advantages and
disadvantages of each option.
To review the considerations and possible
indications for early amputation to include a
discussion of commonly used scores.
To review the complications of open tibial
shaft fractures and their subsequent
treatment.
To review expected outcomes with open
tibial shaft fractures.
To review the relevant anatomy,
development and growth about the tibia and
fibula.
To review the incidence, mechanism of
injury and physical examination with these
injuries in the pediatric patient.
To review the radiographic evaluation of
these injuries in the pediatric patient.
To review the classification of tibia and
fibular fractures in the pediatric patient.
To review the principles for decision making
and the goals for treatment with this injury
in the pediatric patient.
To review the treatment options and
techniques for fractures of the tibia and
fibula in pediatric patients.
To review the indications and techniques for
surgical treatment in these patients.
To review the expected outcomes and
possible complications related to these
fractures and their treatment.
To review and understand the relevant
anatomy of the distal tibia and ankle with
pertinent biomechanical considerations.
To review the incidence, mechanism of
injury and physical examination in patients
with tibial plafond fractures.
To review the radiographic evaluation
including the role of CT scans in patients
with tibial plafond fractures.
To review assessment of soft tissues in
patients with tibial plafond fractures.
To review the classification of tibial plafond
fractures.
To review the goals and principles for
Page 21
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
o
o
o
o
Ankle Fractures and
Dislocations:
o
o
o
o
o
o
o
o
o
Ligamentous and Tendon
Injuries of the Ankle and
Foot (Including Achilles
tendon):
Orthopedics
o
o
treatment of tibial plafond fractures.
To review nonoperative treatment of tibial
plafond fractures with the review of the
techniques and indications.
To review the operative treatment with its
indications and options for fractures of the
tibial plafond.
To review the goals of surgical treatment of
tibial plafond fractures.
To review the techniques for the surgical
treatment of tibial plafond fractures.
To review the complications related to tibial
plafond fractures and those related to the
treatment itself.
To review the expected outcomes in patients
with tibial plafond fractures based on the
fracture classification and soft tissue injury
as well as the form of treatment.
To review the relevant anatomy,
biomechanical considerations and
kinematics of the ankle joint.
To review the incidence and mechanism of
injury in ankle fractures.
To review the physical examination and
radiographic evaluation of patients with
ankle fractures.
To review the classification systems for ankle
fractures.
To review the goals and principles for
treatment of ankle fractures.
To understand the techniques of
nonoperative treatment and its indications
in patients with ankle fractures.
To understand the indications for surgical
treatment of ankle fractures.
To understand the techniques for surgical
treatment of ankle fractures.
To understand the evaluation and treatment
of syndesmotic injuries in patients with
ankle fractures.
To review fractures that require special
considerations including those with soft
tissue injury and with associated dislocation
of the ankle.
To review the principles of post-operative
management.
To review the outcomes and possible
complications in these patients.
To review the relevant anatomy.
To review lateral ankle sprains and medial
ankle sprains with all treatment options.
To review syndesmotic injuries, both their
evaluation and treatment.
To review all issues associated with ankle
dislocations.
To review the issues associated with Achilles
tendon rupture and to understand the
advantages and disadvantages of operative
versus nonoperative treatment and the
techniques for both of these forms of
treatment.
Page 22
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
o
o
Fractures of the Talus and
Subtalar Dislocations:
o
o
o
o
o
o
o
o
o
Calcaneus Fractures:
o
o
Orthopedics
To review the issues associated with
peroneal tendon dislocations.
To review issues that are associated with
posterior tibial tendon ruptures.
To review the issues related to injuries and
adhesions of the long tendons to the hallux
and lesser toes.
To review the relevant anatomy of the talus
and subtalar joint including the blood supply
to the talus.
To review the incidence, physical
examination and mechanism of injury in
patients with talus fractures and subtalar
dislocations.
To review the radiographic evaluation and
the indications for special tests such as CT
scans in patients with talus fractures and
subtalar dislocations.
To review the classification for talar neck
fractures.
To review the options and principles for
management of talar neck fractures.
To understand the issues with nonoperative
treatment of talar neck fractures.
To understand the technique of closed
reduction for talar neck fractures.
To understand the indications and
techniques for operative treatment of talar
neck fractures.
To understand the post-operative
management with attention to the concerns
for avascular necrosis in patients who have
been treated for talar neck fractures.
To review the issues regarding fractures of
the body of the talus, the head of the talus
and the lateral process of the talus.
To review the classification of subtalar
dislocations.
To review the techniques for closed
reduction and open reduction of patients
with subtalar dislocations and to review the
post-reduction management in these
patients.
To review the expected outcomes and
complications related to talus fractures and
subtalar injuries.
To review the relevant anatomy and
function about the calcaneus.
To review the incidence, mechanism of
injury and physical examination related to
patients with calcaneus fractures.
To review the radiographic evaluation and
role for CT scans in patients with calcaneus
fractures.
To review the classification and fracture
patterns in patients with calcaneus
fractures.
To review and understand the appropriate
evaluation of the soft tissues about the foot
in patients with calcaneus fractures and to
review the issues of compartment
Page 23
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
Fractures and Dislocations
of the Mid-Foot Including
Lisfranc Injuries:
o
o
o
o
o
o
Fractures of the Forefoot:
o
o
o
o
Fractures and Dislocations
of the Foot and Ankle in the
Pediatric Patient:
o
o
o
o
o
Orthopedics
syndromes about the foot.
To review the issues related to closed
treatment of calcaneus fractures.
To review the indications and goals for
surgical treatment of fractures of the
calcaneus.
To review the techniques for surgical
treatment and soft tissue handling with
fractures about the calcaneus.
To review the post-operative management
of calcaneus fractures.
To review the outcomes with attention to
studies comparing surgical and nonsurgical
treatment of calcaneus fractures.
To review the potential complications of
calcaneus fractures and its related
treatment.
To review the relevant anatomy of the
midfoot and tarsometatarsal joints.
To review the tarsometatarsal joint
dislocations with attention to the incidence,
mechanisms of injury, physical exam and
radiographic evaluation.
To review the treatment options and
techniques for tarsometatarsal joint injuries
and the post-operative management for
those that are treated surgically.
To review the outcome with tarsometatarsal
joint injuries.
To review the issues related to navicular
fractures.
To review the issues related to cuboid and
cuneiform fractures and dislocations.
To review the pertinent anatomy.
To review the issues related to metatarsal
fractures to include those issues specific to
the fifth metatarsal shaft fracture, stress
fractures and open fractures.
To review the evaluation and treatment of
dislocations and fractures of the
metatarsophalangeal joint.
To review the issues related to fractures of
the toe phalanges.
To review the issues related to fractures of
the sesamoids.
To review the anatomy, development,
growth, ossification centers and
radiographic evaluation about the foot in
pediatric patients.
To review distal tibial physeal injuries.
To review the issues related to tillaux
fractures.
To review the issues related to triplane
fractures.
To review issues related to ankle fractures in
the pediatric patient including fractures of
the distal fibula and medial malleolus.
To review the issues related to ankle sprains
and ligamentous injuries in the pediatric
patient.
Page 24
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
Amputations of the Lower
Extremity:
o
o
o
o
o
o
Radiographic Evaluation,
Anatomy and Classification
of Pelvic Ring Injuries:
o
o
o
o
o
o
o
o
The Acute Management of
Pelvic Ring Injuries:
o
o
o
o
Orthopedics
To review the issues related to talus injuries
and subtalar dislocations in the pediatric
patient.
To review the issues related to calcaneus
fractures as they relate specifically to
pediatric patients.
To review the issues of injuries to the
midfoot including Lisfranc dislocations in
pediatric patients.
To review the issues related to forefoot
injuries in the pediatric patient.
To review and understand the general
principles of lower extremity amputations
To review the levels of amputations and the
techniques of amputations about the lower
extremities
To review the prosthetic options and issues
of prosthetic wear in lower extremity
amputees
To review the complications and their
management following amputations of the
lower extremities
To review the bony anatomy of the pelvis.
To review the soft tissue and ligamentous
anatomy of the pelvis.
To review the pertinent vascular and
neurologic structures relevant to a
discussion for pelvic anatomy.
To review of the visceral anatomy about the
pelvis.
To review the biomechanical considerations
of the pelvis.
To review the concept and issues related to
"pelvic stability".
To review the radiographic evaluation of the
pelvic ring with plain x-rays to include
discussion of the AP and the caudal and
caudad projection x-rays.
To review the findings and evaluation of the
pelvic ring by CT evaluation.
To review the commonly used classification
systems with their relative merits discussed
To review the mechanism of injury and the
profile of patients with pelvic ring
disruptions.
To review the general principles of
assessment of the polytrauma patient.
To understand the principles of assessing
shock and hemodynamic stability and the
affects of resuscitation efforts.
To review and understand the determination
of the source of blood loss in the polytrauma
patient with a pelvic ring injury.
To review the role for arteriography in
patients with pelvic ring injuries.
To review the role for emergent external
fixation in patients with pelvic ring
disruptions.
To review the role for other methods of
emergent stabilization of the pelvis in
polytrauma patients.
Page 25
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
o
o
o
o
Definitive Treatment of
Pelvic Ring Disruptions:
o
o
o
o
o
o
o
Radiographic Evaluation,
Anatomy and Classification
of Acetabular Fractures:
o
o
o
Orthopedics
To understand the assessment of the GU
tract and neurologic injuries in patients with
pelvic ring injuries.
To understand the importance of the
location for placement of ostomies in
patients with pelvic ring injuries.
To understand the issues related to open
pelvic fractures including a discussion of
debridement and colostomies.
To review and understand the appropriate
interaction for the orthopaedic surgeon in
the resuscitation and treatment process of a
hemodynamically unstable patient with a
pelvic ring injury.
To review and understand an algorithm for
treatment of patients with hemodynamic
instability and pelvic ring disruptions.
To review the assessment of displacement
and instability and how this relates to
decision making in pelvic ring disruptions.
To review the nonoperative treatment
protocols for pelvic ring injuries.
To review the indications for surgery.
To review the role of external fixation in
pelvic ring injuries.
To review the approaches to the anterior
pelvic ring.
To review the techniques for open reduction
and internal fixation of the anterior pelvic
ring.
To review the approaches to the posterior
ring, both from anterior and posterior.
To review the techniques for open reduction
and internal fixation of the posterior pelvic
ring.
To review the methods of closed reduction
for pelvic ring disruptions.
To review the issues related to percutaneous
screw fixation for anterior and posterior
pelvic ring injuries.
To review complications related to pelvic
fractures and the treatment of pelvic
fractures.
To review the outcomes and the factors that
are important in determining the outcomes
as related to both the bony and soft tissue
injuries in patients with pelvic ring injuries.
To review the bony anatomy and pertinent
soft tissue and vascular anatomy.
To review the radiographic evaluation and
radiographic lines seen on the plain x-rays
on the AP pelvic view.
To review the 45° oblique x-rays of the pelvis
with the bony landmarks seen there.
To understand the principles of determining
congruency of the hip and the affect of a
fracture on the weight bearing dome to
include a review of roof arc measurements
for appropriate fractures.
To review the CT scan assessment and the
role for CT reconstructions.
Page 26
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
To review the classification of acetabular
fractures.
o
To review surgical approaches for anterior
column exposures.
To review surgical approaches for posterior
column exposures.
To review the role and technique for
extensile surgical approaches.
To review the role for two surgical
approaches to acetabular fractures.
To review approaches based on the fracture
classification and pattern.
To review complications related to the
approach used for the treatment of
acetabular fractures and how these can be
avoided and/or treated.
o
o
Surgical Approaches to
Acetabular Fractures:
o
o
o
o
o
o
o
Surgical Treatment of
Acetabular Fractures:
o
o
o
o
o
o
Fractures of the Pelvis and
Acetabulum in Pediatric
Patients:
o
o
o
o
Initial Evaluation of the
Spine Injured Patient:
o
o
o
Orthopedics
To review the decision making and
indications for surgical treatment for
acetabular fractures.
To understand the timing of surgical
treatment of acetabular fractures.
To review the techniques for reduction of
the different fracture types as they would be
approached through common incisions.
To review appropriate placement for plates,
screws and lag screws for treatment of
acetabular fractures.
To review assessment of fracture reduction
for acetabular fractures.
To review patient positioning for operative
treatment of acetabular fractures.
To review post-operative management of
acetabular fractures.
To review the complications of surgical
treatment of acetabular fractures.
To review the outcomes of surgical
treatment of acetabular fractures.
To review pelvic and acetabular fractures
and those issues of these injuries that are
unique to the skeletally immature patient
and how their treatment may be different in
this patient population.
To review apophyseal avulsions about the
pelvis.
To review the issues related to triradiate
injuries in the pediatric patients.
To review the incidence and demographics
of spinal cord injuries.
To review the anatomy of the spinal column
and the neurologic structures that pass
through it.
To review the pathophysiology of spinal cord
injuries.
To review the pattern of spinal cord injuries,
both complete and incomplete and to
include the incomplete cord syndromes.
To review the initial exam and determination
of the level of injury in spinal cord injury
patients.
Page 27
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
o
o
o
o
o
o
o
Fractures and Dislocations
of the Upper Cervical Spine:
Occiput, Atlas and Axis:
o
o
o
o
o
o
o
Lower Cervical Spine
Injuries, Classification and
Management:
o
o
o
o
o
o
Thoracic and Lumbar Spine
Fractures and Dislocations:
Assessment and
Classification:
o
o
o
Orthopedics
To review the appropriate radiographic
evaluation in patients with spinal cord
injuries including special studies.
To review injuries commonly associated in
patients with spinal cord injuries.
To review the concept of spinal shock.
To review the effects of spinal cord injury on
the management of polytrauma patients and
how it effects decision making in definitive
treatment of extremity fractures.
To review timing of surgery in patients with
spinal cord injuries and prognostic issues
related to spinal cord injuries.
To review the pertinent anatomy,
biomechanical considerations and
kinematics of the upper cervical spine.
To review issues of occipitoatlantal
dislocations.
To review issues of the types of atlas
fractures.
To review the issues of atlantoaxial
instability.
To review the types of odontoid fractures
and their recommended treatments.
To review C2 fractures to include lateral
mass fractures and traumatic
spondylolisthesis of the axis (hangman's
fracture).
To review the outcomes and complications
of fractures and surgeries for injuries to the
upper cervical spine.
To review the pertinent anatomy of the
lower cervical spine.
To review the mechanisms of injury and the
resultant injuries seen.
To review classification systems for injuries
of the lower cervical spine.
To review issues related to purely
ligamentous injuries.
To review issues related to facet fractures,
facet subluxations and facet dislocations.
To review issues related to burst fractures.
To review issues related to the timing of
surgery for the lower cervical spine.
To review outcomes and complications of
fractures of the lower cervical spine and
those related to its treatment.
To review the pertinent anatomy of the
thoracic and lumbar spine including the
spinal column and the neurologic structures
associated with it.
To review the incidence of thoracic and
lumbar spine injuries.
To review the mechanism of injury and
resultant injury seen in patients with
fractures about the thoracic and lumbar
spine.
To review the classification systems for
thoracic and lumbar spine injuries.
Page 28
‫ماموریت تربیوی ناتو در افغانستان‬
‫ریاست صحیه‬
NKC ‫تیم مشاورین تعلیمات صحی – کمپ‬
‫روغتون شهید سردار محمد داود خان‬
Orthopedic Traumatology core objective – attachment
o
To review the issues related to the
assessment of spinal stability.
o
To review the issues related to stability
about the thoracic and lumbar spine.
To review the indications for surgical
treatment with an understanding of the pros
and cons and arguments related to
operative and nonoperative treatment.
To review burst fractures with the relative
operative indications and the techniques
involved for treatment of these injuries.
To review the role for decompression of the
neurologic elements in patients with
fractures about the thoracic and lumbar
spine.
To review treatment of operative and
nonoperative seatbelt injuries for the
Chance fractures.
To review the timing of surgery for fractures
about the thoracic and lumbar spine.
To review outcomes and complications
related to these injuries and their treatment.
o
o
Surgical Treatment of
Fractures and Dislocations
of the Thoracic and Lumbar
Spine:
o
o
o
o
Fractures of the Spine in
Children:
Orthopedics
o
To review all issues of spine fractures and
spinal cord injuries, as they are unique to the
pediatric population.
Page 29