MasterClass in Orthopaedic Medicine Cyriax Diagnosis

 

“MasterClass in Orthopaedic Medicine”

A film series on Diagnosis of Soft Tissue Lesions

Presented by Steven De Coninck, MSc PT

december 2014

17 films illustrating specific diagnostic challenges in orthopaedic medicine

 

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Film 1 : “Clinical Reasoning Strategy in Orthopaedic Medicine”

Discover the four guidelines in order to reach a useful diagnosis in an objective way.

 

Film 2 : “Dural signs and symptoms”

How can one discover dural involvement on the basis of elements from the history and/or the functional examination ?

 

Film 3 : “Shoulder tendinosis : how to differentiate ?”

A rotator cuff lesion ?  Yes, but which structure is at fault ?  Once having defined the structure, in which part of it can we locate the lesion ?

 

Film 4 : “Clinical interpretation of a painful arc in the shoulder”

A painful arc is probably one of the most useful localizing signs in the clinical examination ; in combination with other positive tests it has a significant added value.

 

Film 5 : “How to differentiate an acute from a chronic subdeltoid bursitis ?”

An chronic subdeltoid bursitis is not an acute one which became chronic.  The chronic and the acute version show as two completely different clinical images.

 

Film 6 : “Tendinous lesion or chronich subdeltoid bursitis : how to differentiate ?”

The clinical image could be quite confusing at first sight : the image of a tendinous lesion can be very similar to the one of a chronic subdeltoid bursitis.  How do we proceed ?

 

Film 7 : “Shoulder arthritis : which stage ?”

An arthritis is not just an arthritis : it is very important to determine the stage of an arthritis, since the treatment strategy depends on it.

 

Film 8 : “Clinical image tennis and golfer elbow”

How can one determine the different types of tennis and golfer elbow ?

 

Film 9 : “Clinical image of a carpal subluxation”

What's the difference between a recent and an older carpal subluxation ?

 

Film 10 : “Suspecting a scaphoid fracture without medical imaging”

Following trauma one can suspect a fracture of the scaphoid bone : how do we come to this conclusion without prior medical imaging ?

 

Film 11 : “How to detect a sign of the buttock”

The "sign of the buttock" is am important red flag which may not be missed.  How can we detect it and what are the consequences ?

 

Film 12 : “Psoas bursitis versus psoas muscle lesion”

A psoas bursitis is sometimes overlooked allthough it is easy to find.

 

Film 13 : “Straight Leg Raise test, a matter of interpretation”

The straight leg raise test can be interpreted in a number of ways ; discover quite a lot of diagnostic information with one simple test.

 

Film 14 : “Ankle sprain : how to differentiate ligamentous and tendinous lesions”

The patient suffers from an inversion trauma ; which ligaments and/or tendons are lesioned ; or is there a fracture ?  

 

Film 15 : “Different reasons for weakness on resisted abduction in the shoulder”

The most common reason for weakness is a tendinous rupture...however, it is necessary to exclude other options.

 

Film 16 : “Coronary ligament sprain in the knee, a forgotten lesion ?”

Following a flexion-lateral rotation trauma, we may never forget to exclude a lesion of the coronary lesion.

 

Film 17 : "What to expect from a course in orthopaedic medicine ?"

 

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