Psychology and sociology
Module MALATTIE APPARATO LOCOMOTORE

Academic Year 2025/2026 - Teacher: GIANLUCA TESTA

Expected Learning Outcomes

1. Knowledge and understanding The student must acquire a solid theoretical foundation in:

  • Etiopathogenesis: Understand the causes and mechanisms of development of degenerative (osteoarthritis, osteoporosis) and inflammatory pathologies.

  • Traumatology: Know the classification of fractures, dislocations, and ligamentous injuries, including bone healing.

  • Instrumental Diagnostics: Know the indications and limitations of X-ray (RX), CT, MRI, and bone densitometry (DEXA).

  • Therapeutic Options: Understand the principles of non-operative treatment (casts, braces) and surgical treatment (osteosynthesis, prosthetics).

2. Applying knowledge and understanding At the end of the course, the student will be able to:

  • Perform the Physical Examination: Identify clinical signs of joint instability, limitation of ROM (Range of Motion), or deformity.

  • Interpret Diagnostics: Correlate radiological findings with the patient's clinical symptoms to formulate a correct diagnosis.

  • Manage Emergencies: Apply first aid protocols in case of trauma (temporary immobilization, neurovascular assessment).

3. Making judgements The student must develop the ability to:

  • Differential Diagnosis: Distinguish between pain of mechanical, inflammatory, or referred origin (e.g., sciatica vs. hip pathology).

  • Therapeutic Choice: Critically evaluate when to opt for surgery versus conservative treatment, considering age and comorbidities (link with Internal Medicine).

  • Prognostication: Estimate recovery times and the risk of complications (pseudoarthrosis/nonunion, infections, avascular necrosis).

  • 4. Communication skills The future professional must be able to:

    ·       Inform about Consent: Explain the risks and benefits of a prosthetic procedure or osteosynthesis, in line with the dictates of Law 219/2017 (Legal Medicine).

    ·       Educate on Rehabilitation: Communicate the importance of early weight-bearing or post-operative restrictions for the success of the treatment.

    ·       Interprofessional Collaboration: Collaborate with physiotherapists and case managers for the patient's functional recovery (link with Neurorehabilitation).

    5. Learning skills The student must acquire the tools to:

    ·       Stay Technologically Updated: Follow the evolution of materials (biomaterials, metal alloys) and minimally invasive techniques (arthroscopy).

    ·       EBM in Orthopedics: Consult prosthesis registries and clinical trials to choose the safest and most effective medical devices.

    ·       Prevention: Integrate orthopedic knowledge with Occupational Medicine to prevent biomechanical overload pathologies.

Course Structure

Frontal lession. Ppt files.

Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus.
 
Learning assessment may also be carried out on line, should the conditions require it.

Required Prerequisites

Knowledge of anatomy, physiology and biomechanics of musculo-skeletal system.

Attendance of Lessons

Mandatory.

Detailed Course Content

The course is based on the main orthopaedic and traumatologic disorders, highlighting: epidemiology, etiology, pathogenesis, clinical features, imaging investigations, differential diagnosis, prognosis, complications, conservative and surgical treatment.

Textbook Information

1. Sessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore.

Course Planning

 SubjectsText References
1Generalità: Contusioni, Distorsioni, LussazioniSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Traumatologia dell’età adulta – Cap. “Le distorsioni”; Cap. “Le lussazioni”. Consultare dispense
2Fratture in generale e gestione delle loro complicanze.Sessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Parte generale. Cap. “Fratture: generalità”. Cap. “Fisiopatologia del processo riparativo delle fratture”. Traumatologia dell’età adulta. Consultare dispense
3Distacchi EpifisariSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Traumatologia dell’età evolutiva. Cap. “Traumatologia dell’età evolutiva”.
4La gestione del paziente allettato; principi di primo soccorsoConsultare dispense
5Piede Torto CongenitoSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Ortopedia dell’età evolutiva. Cap. “Piede torto congenito”. Consultare Dispense
6Displasia Congenita dell’AncaSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Ortopedia dell’età evolutiva. Cap. “La Displasia evolutiva dell’anca, epifisiolisi”. Consultare Dispense
7Osteocondrosi (M. Di Legg-Perthes-Calvè, M Di Schuermann, M. Di Osgood- Schlatter, M. Di Sever, Etc)Sessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Ortopedia dell’età evolutiva. Cap. “Le osteocondrosi”. Consultare Dispense
8Piede Piatto GiovanileSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Ortopedia dell’età evolutiva. Cap. “Piede piatto evolutivo dell’infanzia”. Consultare Dispense
9Paramorfismi e Dismorfismi RachideiSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Ortopedia dell’età evolutiva. Cap. “Deviazioni del rachide”. Consultare Dispense
10OsteoporosiSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Ortopedia dell’età adulta - Cap. “Osteoporosi”. Consultare dispense
11Artrosi e sue maggiori localizzazioniSessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore. Ortopedia dell’età adulta - Cap. “Artrosi-Generalità” ; Cap. “La coxartrosi”; Cap. “La Gonartrosi”. Consultare dispense
12Lombalgie e CervicalgieConsultare dispense
13Fratture del collo femoreConsultare dispense
14Lesioni Meniscali e Capsulo-Ligamentose del GinocchioConsultare dispense

Learning Assessment

Learning Assessment Procedures

- Written quiz test at the end of the lessions

- Oral exam during scheduled sessions.

Examples of frequently asked questions and / or exercises

Oral question example:

1. Which is etiology of Legg-Perthes-Calvè disease?

2. Diagnostic-therapeutic approach on frailty fractures.

Quiz test example:

For dislocation is defined:

A) temporary and partial loss of articularity

B) Permanent and total loss of articularity

C) Ligamentous tears

D) None of the previous

VERSIONE IN ITALIANO