เอกสารค าสอน - Chiang Mai University

1 607 - (LOW BACK & NECK PAIN) (DEGENERATIVE DISEASES OF THE SPINE) ..2557 I (Musculoskeletal system) - (Low Back & Neck Pain)

2 (Degenerative Diseases of the Spine) "Common Problems of the Spine" .. 607 .. 2552-2557.

3 II : : 332607 : ..607 : 4(0-12-0) . 5 6 ..507 4.

4 1. III 2. Compartment syndrome Major vascular injuries Fat embolism syndrome 3.

5 Common closed fracture of long bone in children and epiphyseal plate injuries Non-displaced and non-complicated closed fracture in adults Non-complicated compression fracture of the spine Non-complicated dislocation of the shoulder, hip, elbow osteoarthritis ganglion, lipoma, adventitious bursa, giant cell tumor of tendon sheath IV trigger finger, trigger thumb, de Quervain disease acute ligamentous sprain.

6 Hemarthrosis carpal tunnel syndrome paronychia, felon, web space infection 4. malunion, nonunion, infection, instabilities Common benign and malignant tumor of bone and soft tissue poliomyelitis, cerebral palsy congenital club foot , syndactyly, polydactyly Epiphyseal disorders 5.

7 Amputation Excision of simple benign soft tissue tumor of extremities shoulder, elbow, hip skin skeletal traction Debridement of open fracture and open joint injuries Incision and drainage of abscess 6. Open reduction and internal fixation Closed reduction and internal fixation V External fixation arthrotomy Brisement force ( joint manipulation) Soft tissue release Continuous passive motion Local and intra-articular steroid injection 7.

8 Normal bone and joint Fracture and dislocation Common arthritis condition Common bone tumor 8. 9.. 6.

9 1. Common problems of the shoulder 2 2. Common problems of the elbow 2 3. Common problems of the wrist 2 4. Common problems of the hand 2 5. Common problems of the hip 2 VI 6. Common problems of the knee 2 7. Common problems of the ankle 2 8. Common problems of the foot 2 9. Common problems of the spine 2 10. Orthopaedic trauma 4 11. Bone and soft tissue tumor 2 24 . 1. 40% ( MEQ) 40 % 2. 60% - 5 % - 1 5 % ( ) 20 % ( 2 3 ) - ward, OPD, OR, ER ( )

10 Progress note 10 % Interesting case & Problem solving 10 % conference ( ) 10 % VII ( ) 80% 1 1 ( )