SCOPE ORTHOPAEDI

HARDJONO GENERAL HOSPITAL PONOROGO

3/15/19 Click to edit Master subtitle style

THE BEGINING ...
 Nicolas Adry (1741)

Orthopaedia :
 orthos : free from deformity

 pais : child

Expressed the view that most deformities in

adult have their origin in childhood

3/15/19
Salter, RB. Musculoskeletal Disorders-General and Spesific, 3rd ed. 1999.
THE PRESENT SCOPE (1)

 Considered to consist of the art and science of

investigation, diagnosis, and treatment of disorders
and injuries of the musculoskeletal system by
medical, surgical, and physical means

 Include :
 All age

 Physiotherapy

 Study of musculoskeletal physiology, patology, and

3/15/19
Salter, RB. Musculoskeletal Disorders-General and Spesific, 3rd ed. 1999. Lippincott
other related basic sciences
 Joints
Muscles
Tendons
Nerves
 Concerned with :
 Bones
The skeletal system and
 Joints all that makes it move
 Muscles

 Tendons

 Nerves

Solomon, L, at al. Apley’s3/15/19

System of Orthopaedics and
 Infection & inflamation
Arthritis & rheumatic disorders
Metabolic & endocrine disorders
Tumours & lesions that mimic them
 Seven
Sensorypairs :
disturbance & muscle weakness
Injury & mechanical derangement
 Congenital & developmental abnormalities

 Infection & inflamation

 Arthritis & rheumatic disorders

 Metabolic & endocrine disorders

 Tumours & lesions that mimic them

 Sensory disturbance & muscle weakness

Solomon, L, at al. Apley’s3/15/19
System of Orthopaedics and
 Injury & mechanical derangement
 CONGENITAL & DEVELOPMENTAL ABNORMALITIES

CTEV :

a congenital foot deformity, characterized by :

 equinus of hindfoot

 adduction of the midfoot and forefoot

 varus through the subtalar joint complex

Beaty, James H.; Kasser, James R. Rockwood &3/15/19

Wilkins' Fractures in Children,
 INFECTION & INFLAMATION

 Osteomyelitis
 usually results from trauma (open fractures),

 surgical procedures,

 or contiguous spread from adjacent infections

3/15/19
Vaccaro, AR. Orthopaedic Knowledge Update. 8th ed.
 ARTHRITIS & RHEUMATIC DISORDERS

Osteoarthitis :

“heterogeneous group of conditions that lead to joint

symptoms and signs which are associated with defective
integrity of articular cartilage, in addition to related changes
in the underlying bone at the joint margins”
(American College of Rheumatology)

Felix Bronner3/15/19
and Mary C. Farach-Carson.
Bone and Osteoarthriris. 2007. Springer-Verlag .Berlin Heidelberg.
 METABOLIC & ENDOCRINE DISORDERS

 Paget’s disease
 isa localized
disorder of bone
remodeling

3/15/19
 TUMOURS

 Bone tumours
Exp : Osteosarcome, Chondrosarcome,
Ewing sarcoma

 Soft tissue tumours

Exp : Rhabdomyosarcome,
Synovial sarcome.
3/15/19
Pappo, Alberto. Pediatric Bone and Soft Tissue Sarcoma. 2006.
Springer-Verlag .Berlin Heidelberg.
INJURY & MECHANICAL DERANGEMENT

 Bone :
 Fracture is a break in the structural continuity of the
bone

 Soft tissue

Solomon, L, at al. Apley’s3/15/19

System of Orthopaedics and
Thank you

3/15/19