Outcomes - COMPAS

Modules

Year 1 LOC1: Locomotor 1

Dr Lesley Robson
l.g.robson@qmul.ac.uk

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.

Index

General Outcomes for the Whole Person
General Outcomes for the Musculoskeletal System

General Outcomes for the Whole Person
- Medical knowledge: PHYSIOLOGY (TD 8.2)
  - Muscle Function and the Neuromuscular Junction
    1. Know the anatomy, physiology and pharmacology relating to the neuromuscular junction
General Outcomes for the Musculoskeletal System
- Medical knowledge: ANATOMY (TD 8.1)
  - Muscles, Tendons and Movements of the Hand
    1. Define the term opposition of the hand.
  - Bones and Joints of the Upper Limb
  - Muscles, Tendons and Movement of the Upper Limb
    1. Know the functional anatomy of the upper limb
    2. Be able to understand the modifications for movement and the clinical relevance of these modifications.
  - Innervation of the Shoulder, Arm and Hand
    1. Be able to explain briefly the effect of the most common nerve injuries to the upper limb
    2. Know the passage of blood vessels and nerves through the elbow region
  - Surface Anatomy of the Shoulder and Upper Limb
    1. Be able to describe the major surface landmarks of the upper and lower limbs
    2. Relate these to the clinical exams and assessment of the limbs in health and disease
  - The Brachial Plexus
    1. Be able to explain the formation of the brachial plexus
  - Circulation of the Shoulder, Arm and Hand
    1. Know the passage of blood vessels and nerves through the elbow region
    2. Be able to identify the positions where arterial pulsations may be felt in the upper limb
  - The Knee Joint and Popliteal Fossa
  - Circulation of the lower limb and foot
  - Muscles, Tendons and Movement of the Hip and Leg
    1. Describe the hip joint and the functional anatomy that provides it with stability
    2. Know the movements possible at the hip joint and the muscles that produce these movements
  - Surface Anatomy of the Hip, Leg and Foot
    1. Be able to describe the major surface landmarks of the upper and lower limbs
    2. Relate these to the clinical exams and assessment of the limbs in health and disease
  - Muscles, Tendons and Movement of the Foot
    1. Understand the functional anatomy of the foot.
  - Innervation of the Lower Limb and Foot
  - Bones and Joints of the Hip and Leg
    1. Understand the arrangement of the pelvic girdle in relation to the hip joint
    2. Understand the clinical relevance of the hip joint
  - Spinal Regions, Vertebrae and Intervertebral Discs
    1. Know the arrangement of the vertebrae in the vertebral column
    2. Know the main features of a typical vertebrae and identify the atypical vertebrae
- Medical knowledge: PHYSIOLOGY (TD 8.2)
  - Joint Structure and Function
  - Synovial Fluid
    1. Understand how glycosaminoglycans contribute to lubricating properties of the synovial joint.
    2. Understand how synovial fluid is produced
  - Skeletal Muscle (Striated Muscle)
    1. Understand the structure of skeletal muscle fibre
    2. Understand the physiology of the skeletal muscle fibre
  - Walking and Posture
  - General Musculoskeletal Physiology
    1. Understand the functional anatomy and modification of the lower limb for stability and locomotion
- Clinical skills: PLANNING AND INTERPRETING INVESTIGATIONS (TD 14 c-d)
  - Musculosketetal Imaging

Modules

Comment

Year 1 LOC1: Locomotor 1

Introduction

Filter outcomes

Index