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Traumatology

Orthopedics

50 concise modules: definitions, key facts, and classroom review questions.

Orthopedics studies congenital and acquired deformities of the musculoskeletal system. This section brings together the quintessence of pathologies: from congenital hip dislocation and clubfoot to severe degenerative processes such as coxarthrosis and spinal stenosis.

The material is structured by key nosologies. You will examine the pathogenesis and classification of osteoarthritis, study spinal disorders in detail (scoliosis, osteochondrosis, disc herniations), and metabolic disorders (osteoporosis, gout). A separate module covers bone oncology and osteoarticular tuberculosis. The section spans the entire patient management cycle: from clinical diagnosis to joint arthroplasty, spinal fusion, and rehabilitation.

Clinical rotations and exams feature rigorous questioning on the differential diagnosis of bone tumors, indications for surgical treatment of disc herniations, and the management of patients with gonarthrosis. Pay special attention to diagnostic imaging, selection of conservative therapy, and prevention of postoperative complications—this is the foundational knowledge required at the patient's bedside.

Section Topics

Congenital dislocation of the hipLuxatio coxae congenitaCongenital clubfootTalipes equinovarus congenitusCongenital muscular torticollisTorticollis congenitaCongenital spinal deformitiesCongenital deformities of this region involve complex pathologiesCongenital hand malformationsSevere malformations occupy a prominent place in modern traumatology and orthopedicsOsteogenesis imperfectaOsteogenesis imperfectaArthrogryposisArthrogryposis multiplex congenitaOsteoarthritisOsteoarthrosisPathogenesis of osteoarthritisOsteoarthritis is a chronic disease with an insidious onset and slowClassification of osteoarthritisOsteoarthritis management requires a comprehensive approach, classifiedClinical presentation of osteoarthritisAlthough the topic title specifies the clinical presentation, the actual approachDiagnosis of osteoarthritisOsteoarthritis of the hip joint (coxarthrosis) is a progressiveCoxarthrosisCoxarthrosisGonarthrosisGonarthrosisOsteoarthritis of other jointsThe term "snapping hip syndrome" describes a specific clicking sensationConservative treatment of osteoarthritisThe risk of post-traumatic coxarthrosis (osteoarthritis of the hip)Non-pharmacological treatment of osteoarthritisOsteoarthritis is a major cause of the gradual onset ofSurgical treatment of osteoarthritisSurgical interventions on the hip joint, including arthroplastyTotal hip arthroplastyThe presence of a hip arthroplasty requires high vigilanceTotal knee arthroplastyTotal knee arthroplasty is a surgical procedureClassification and diagnosis of bone tumorsBone oncology is one of the most challenging areas of orthopedics. The difficultiesBenign bone tumorsBenign bone tumors represent a broad group of neoplasmsMalignant bone tumorsThe diagnosis of malignant bone neoplasms is based on the evaluationTumor-like bone lesionsThe primary treatment modality for bone and soft tissue neoplasms isPosture disordersVitia posturaeScoliosisScoliosisDiagnosis of scoliosisThe diagnosis of scoliosis includes history taking, physical examination in threeTreatment of scoliosisScoliosis treatment is a comprehensive orthopedic process aimed atSpinal osteochondrosisOsteochondrosis columnae vertebralisPathogenesis of degenerative spine diseasesDegenerative spine diseases comprise a group of pathologies rooted inIntervertebral herniaHernia disci intervertebralisCervical osteochondrosisCervical osteochondrosis is a degenerative disease of the intervertebral discsLumbar osteochondrosisLumbar osteochondrosis and related degenerative processes (spondylo-)Spinal stenosisStenosis canalis vertebralisSpondyloarthrosisSpondyloarthrosisDegenerative spondylolisthesisSpondylolisthesisDiagnosis of degenerative spine diseasesDiagnosis of cervical spine and brachial plexus pathologiesConservative treatment of spinal disordersThe primary treatment for transient brachial plexus neurapraxiaSurgical treatment of intervertebral disc herniationsIntervertebral disc herniation is a pathological process whereinSpinal fusionSpondylodesisComplications of spine surgerySurgery involving spinal structures is a radical procedureRehabilitation after spinal surgeryUnderstanding the principles of managing patients with spinal pathology is impossible withoutPrevention of degenerative spine diseasesDegenerative spinal changes are a universal phenomenon of agingOsteoporosisOsteoporosisOsteopeniaOsteopeniaBone and joint tuberculosisTuberculosis ossium et articulorumTuberculous spondylitisSpondylitis tuberculosaTuberculosis of large jointsSpecific infection of large joints proceeding with sequentialGoutArthritis uricaPseudogoutChondrocalcinosis

Frequently asked questions for this section

Why is the proximal femur of a newborn not visible on radiographs?

In infants, the femoral head, neck, and greater trochanter consist entirely of cartilaginous tissue, which is radiolucent. The ossification center appears only by 3–4 months of age.

Which theory of clubfoot development is considered primary?

The mechanical theory is considered the most well-founded, explaining the deformity as a result of external factors during the critical period of embryogenesis.

At what age do the first reliable signs of muscular torticollis appear?

During the first 7–10 days of life, symptoms are virtually absent. Reliable signs (muscle induration and restricted movement) manifest by the 3rd week of life.

Why should Sprengel's deformity not be operated on in adolescents?

In older children, secondary deformities of the shoulder girdle become established, and attempts to lower the scapula sharply increase the risk of postoperative complications, up to severe brachial plexus palsy.

At what age do chest wall deformities progress most rapidly?

Progression correlates with physiological growth spurts in children: at ages 5–6, 8–10, and 13–15 years.

Why is bone distraction performed so slowly (up to 1 mm per day)?

The slow rate is due to the low elasticity and extensibility of neurovascular bundles, underdevelopment of surrounding soft tissues, and slow formation of new bone against the background of vascular dysplasia.

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