Topic Areas:

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Each resident will review the topic areas listed above in the readings list during their rotations.  Overall, the curriculum is designed to cover the following areas by rotation and provider listed (Providers will often address a mix of upper and lower extremity problems):

  1. Ortho R2:
    1. Lower Spine/Back & Hip
    2. Knee
    3. Ankle
    4. Foot
  2. Ortho R3:
    1. Cervical Spine
    2. Shoulder
    3. Elbow
    4. Wrist & Hand
    5. Orthopedic problems in the pediatric patient
  3. Other Ortho Topics (Contact Dr. Collins for additional review/readings):
    1. Splinting and Casting - R1 November Procedures
    2. Joint Injections - Outpatient Noon Conference Series
    3. Other Orthopedic Procedures - Outpatient Noon Conference Series
    4. Radiologic evaluation - Radiology Curriculum  (Dr. Hillary Mount)
Ortho R3Ortho R2
  1. Evaluation of Ankle Pain (Sports Medicine, Dr. Marcheschi)
    1. Charcot's Joint
    2. Fractures
    3. Sprains
    4. Osteroarthritis
  2. Knee (Dr. Scott Jolson, Dr. Sambhu Choudhury)
    1. Complete Exam
    2. Evaluation of knee pain
      1. Osteoarthritis
      2. Menisucs Injury
      3. Anterior knee pain (Chondromalacia patellae)
      4. Ligamentous Injuries/Tears (Anterior and Posterior Cruciate Ligaments)
      5. Bursitis (Pre-patellar and superficial infrapatellar (housemaid knee), anserine bursitis
      6. Tendonitis (patellar, iliotibial band)
      7. Bakers Cyst
    3. Pediatric Knee Pain
      1. Osgood Schlatter
    4. Knee Injection and Aspiration
  3. Shoulder (Dr. Scott Jolson, Dr. Sambhu Choudhury)
    1. Complete Exam
    2. Evaluation of Shoulder Pain
      1. Osteoarthritis
      2. Impingement Syndromes
      3. Rotator Cuff Syndromes
      4. Rotator Cuff Tears
      5. Bicep Tendonitis and Tears
      6. Acromioclavicular ligamentous injuries (sprains, subluxation, dislocation)
      7. Dislocation of the shoulder
      8. Frozen Shoulder (Adhesive Capsulitis)
    3. Injections
  4. Fractures
    1. Initial management
    2. Salter Harris fractures
    3. Buckle fractures
    4. Ottowa rules
    5. Jones fracture (Dr. Todd Adams)
    6. Vertebral Fractures (Dr.Daniel Funk)
    7. Clavicular Fractures (Dr. Scott Jolson)
  5. Leg (Dr. Edward Marcheschi)
    1. Complete Exam
    2. Evaluation of leg pain
      1. Shin Splints
      2. Stress Fracture of the tibia and fibular
      3. Tenosynovitis of the anterior long tendons of the foot
      4. Compartment syndrome
  6. In-Toeing Alignment Problems (Pediatric Rotations)
    1. Gait Evaluation and Alignment Exam
    2. Following conditions:
      1. Metatarsus adductus
      2. Femoral Anteversion
      3. Tibial Torsion
  1. Podiatry (Dr. Todd Adams)
    1. Evalaution of foot pain
      1. Plantar fasciitis
      2. Heel Spurs
      3. Mortons Neuroma
      4. Stress Fracture
      5. Achilles Tendonitis
      6. Hallux Valgus
    2. Routine Nail Care (Dr. Todd Adams)
      1. Onychocryptosis (ingrown toenail)
      2. Routine Care
    3. Deformities of the toes (Dr. Todd Adams)
      1. Hammertoes
      2. Mallet Toes
  2. Knee (Dr. Scott Jolson, Dr. Sambhu Choudhury)
    1. Complete Exam
    2. Evaluation of knee pain
      1. Osteoarthritis
      2. Menisucs Injury
      3. Anterior knee pain (Chondromalacia patellae)
      4. Ligamentous Injuries/Tears (Anterior and Posterior Cruciate Ligaments)
      5. Bursitis (Pre-patellar and superficial infrapatellar (housemaid knee), anserine bursitis
      6. Tendonitis (patellar, iliotibial band)
      7. Bakers Cyst
    3. Pediatric Knee Pain
      1. Osgood Schlatter
    4. Knee Injection and Aspiration
  3. Shoulder (Dr. Rob Rolf, Scott Jolson, Dr Sambhu Choudhury)
    1. Complete Exam
    2. Evaluation of Shoulder Pain
      1. Osteoarthritis
      2. Impingement Syndromes
      3. Rotator Cuff Syndromes
      4. Rotator Cuff Tears
      5. Bicep Tendonitis and Tears
      6. Acromioclavicular ligamentous injuries (sprains, subluxation, dislocation)
      7. Dislocation of the shoulder
      8. Frozen Shoulder (Adhesive Capsulitis)
    3. Injections
  4. Hip (Dr. Sambhu Choudhury)
    1. Complete Examination
    2. Evalatuion of Hip Pain
      1. OA
      2. Avascular Necrosis of the Hip
      3. Bursitis (Trochanteric and tibial band syndrome)
      4. Fracture
    3. Pediatric Hip Pain
      1. Slipped Capital Femoral Epiphysis
      2. Legg-Calve-Perthes
      3. Developmental Dysplasia of the hips
  5. Procedures
    1. Casting and splinting (CCHMC Casting Clinic, Peds ED)
    2. Knee and Shoulder Injection (Dr. Scott Jolson, Dr. Sambhu Choudhury)
    3. Olecranon Aspiration (Other)
    4. Reduction of subluxation of the head of the radius (nursemaid's elbow) (Peds ED)
    5. Steroid injection of Trochanteric bursa (Dr. Sambhu Choudhury)
    6. Incision and drainage of Paronychia (UH ED)
  6. Spine (Dr. Daniel Funk)
  7. Rheumatic Conditions