Modules
- Year 1
- Year 2
- Introduction to Year 2 and Year Outcomes
- Cardiorespiratory 2
- Metabolism 2
- Brain and Behaviour 2
- Human Development 2
- Human Sciences and Public Health 2
- Locomotor 2
- Cancer Week
- Moving and Handling Training
- Year 2 Lifesaver Programme
- Clinical Communication Skills
- Medicine in Society 2
- Extended Patient Contact
- Student Selected Component (SSC)
- Year 3
- Introduction to Year 3 and Year Outcomes
- Clinical Science and Professionalism (Weeks 1-3)
- Cardiovascular, Respiratory and Haematology (CR3)
- Gastroenterology and Cancer (MET3A)
- Public Health
- Endocrinology and Renal Medicine (MET3B)
- General Practice and Community Care
- Student Selected Component (SSC)
- Clinical and Communication Skills
- Year 4
- Introduction and Year 4 Outcomes
- Obstetrics and Gynaecology
- Child Health
- HIV & Sexual Health
- Musculoskeletal
- Health Care of the Elderly
- Neuroscience
- Dermatology
- General Practice and Community Care
- Psychiatry
- Ear, Nose and Throat
- Global Health and Ethics
- Ophthalmology
- Clinical & Communication Skills
- Student Selected Component (SSC)
- Year 5
- Introduction to Year 5 and Year Outcomes
- Teaching Week 1
- Teaching Week 2
- Anaesthesia & ITU (AN & ITU)
- Breaking Bad News
- Clinical Pharmacology & Therapeutics
- Community Care
- Doctors as Teachers and Educators (DATE)
- Emergency Medicine (EMERG MED)
- General (Internal) Medicine (G(I)M)
- Immediate Life Support (ILS)
- Student Assistantship
- Simulation
- Surgery
- Student Selected Component (SSC)
- Year GEP 1
Year 1 LOC1: Locomotor 1
- Dr Lesley Robson
- l.g.robson@qmul.ac.uk
Teaching Material for this Module
Introduction
Disorders of the Locomotor (musculoskeletal) system are extremely common in the community. They account for up to a third of all General Practitioner consultations and result in huge costs to the economy in terms of time lost from work, costs to industry and the individual, as well as significant disability.
In 2007, musculoskeletal disorders resulted in 9.5 million lost working days, and were estimated to cost society approximately £7.4 billion. In the UK, four out every five adults will experience back pain at some point in their life. Whilst most cases are classed as simple low back pain which will resolve within four weeks, about quarter of patients will suffer from significant pain and disability which lasts for longer than six weeks.
Back pain is the second most frequent cause (after the common cold) for visits to the GP accounting for about 7 million GP visits annually, an estimated cost to the NHS of around £481 million and a further £197 million of non-NHS costs as a result of private consultations and treatment.
What is less well known is that some Locomotor Diseases may also reduce life span of the individual significantly - or can cause life-threatening complications. There are over 200 known rheumatic diseases and over 8 million people in the UK have osteoarthritis or one of the other conditions in this group. Not only are adults affected - one child in every thousand has arthritis so these conditions do
not just affect the elderly. A rheumatic disease causes a significant disability in more than 3 million people in the UK; this is half of the physically disabled adults in the UK.
In order to understand these diseases and understand their impact of the musculoskeletal system, you have to appreciate the basic anatomy of the limbs and vertebral column. This module is designed to introduce you to the normal structure and function of the Locomotor system. It builds on the learning undertaken in the FunMed module on the skeletal/muscle.
Sessions
- Lecture: Introduction to Locomotor- fasciae and compartments
- Lecture: The Shoulder
- Understand the movements of the shoulder and the muscles that produce these movements.
- Be able to identify the bones, their arrangements and joints that comprise the pectoral girdle
- Understand the functional anatomy of the glenohumeral joint and its modifications for alloweing movement. Understand the clinical relevance of these modification
- Lecture: The Elbow
- Lecture: Movements of the Hand
- Lecture: Introduction to the Joint Examination
Teaching Material for this Session
- To appeciate the anatomy of the elbow and knee
- How to gain consent to examine a patients joints
- How to position a patient correctly prior to examining the joints
- How to identify some simple generic abnormalities of a joint; practice correct terminology
- The correct techniques to examine a patients elbows or knees following the principle of LOOK -FEEL- MOVE- Special tests - FUNCTION
- How to complete a joint examination
- Lecture: Nerve and Blood Supply to the Upper Limb
- Lecture: Imaging the Skeleton
- Lecture: Overview of the Upper Limb
- Lecture: Joint Structure and Function
Teaching Material for this Session
- Understand how the articular cartilage contributes to the function of synovial joints.
- Be able to describe the different types of synovial joints
- Be able to identify the three main types of joints and how, structurally, they influence the amount of movement possible
- Understand the components of a synovial joint
- Lecture: Synovial Fluid
- Lecture: The Knee
Teaching Material for this Session
- Recap the muscles of the thigh.
- Understand the function of the bursae around the knee joint.
- Describe the extra-capsular and intra-capsular ligaments of the knee joint
- Be able to describe the structures that pass through the popliteal region
- Understand the arrangement of the bones and their osteological features that make up the knee joint
- Lecture: The Hip
- Lecture: Nerve and Blood Supply to the Lower Limb
- Be able to describe the course of the major arteries in the lower limb.
- Be able to describe the course of nerves in the lower limb.
- Describe the formation of the lumbar and sacral plexi
- Be able to identify where arterial pulsations may be felt in the lower limb
- Know the functional problems arising from damage to nerves in the lower limb and the lumbar and sacral plexi
- Know the mechanisms by which blood returns from the veins of the lower limb to the heart.
- Lecture: Overview of the Lower Limb
- Lecture: The Ankle and Foot
- Lecture: Walking and Posture
- Lecture: The Neuromuscular Junction
- Lecture: Vertebrae and Vertebral Column
- Lecture: Imaging the Muscular System
- Lecture: Muscle Function and Contraction
- Lecture: Surface Anatomy
- Lecture: Bone Development: fetal and postnatal
- Lecture: Intervertebral Disc and Functional Anatomy of the Back
- Lecture: Neurological Examination of the Limbs
Teaching Material for this Session
- The anatomical / physiological basis of the peripheral neurological examination
- How to gain consent to examine a person / patient’s neurological system(s)
- How to correctly identify some simple abnormalities of the neurological system
- The correct technique used to perform a limited motor examination of the upper limbs
- The correct technique used to perform a limited motor examination of the lower limbs
- The correct technique used to perform a limited sensory examination of the upper limbs
- The correct technique used to perform a limited sensory examination of the lower limbs
- Lecture: Basics of Bone Metabolism
- Workshop: Formative PBL Workshop
- Clinical Skills: Knee and Elbow
- Anatomy Practical: Upper Limb
- Anatomy Practical: Lower Limb
- Anatomy Practical: Vertebrae & Surface anatomy of the Limbs
- Physiology Practical: Muscle Physiology
- PBL 1: The Rugby Tackle
Teaching Material for this Session
- PBL 2: The Bicycle Accident
Teaching Material for this Session
- PBL 3: The Car Accident
Teaching Material for this Session
- PBL 4: The Chef's Back
Teaching Material for this Session
