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
17 films illustrating specific diagnostic challenges in orthopaedic medicine
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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 ?
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 ?
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.
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.
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.
How can one determine the different types of tennis and golfer elbow ?
What's the difference between a recent and an older carpal subluxation ?
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 ?
A psoas bursitis is sometimes overlooked allthough it is easy to find.
The straight leg raise test can be interpreted in a number of ways ; discover quite a lot of diagnostic information with one simple test.
The patient suffers from an inversion trauma ; which ligaments and/or tendons are lesioned ; or is there a fracture ?
The most common reason for weakness is a tendinous rupture...however, it is necessary to exclude other options.
Following a flexion-lateral rotation trauma, we may never forget to exclude a lesion of the coronary lesion.
You would like to have more information on examination and treatment techniques ?