Course Objective: mastering the complex foundations of theoretical knowledges, practical skills and abilities for

physical and laboratory-instrumental methods of examination in patients with lesions of the musculoskeletal system
(MSS) with the study of the characteristics of the course of diseases in children, as well as the principles of treatment
and prevention of syndromes affecting the musculoskeletal system in adults and children.

After study of the discipline the student must:

Knowledge:
- a scheme of medical history that determines the sequence of examining a patient with musculoskeletal diseases
using physical, clinical, laboratory, functional and instrumental methods;
- main symptoms and syndromes of pathological lesions of the MSS, mechanisms of their development and
methods for their detection;
- patterns of functioning of the organs of MSS, mechanisms of development of the main symptoms and syndromes,
as well as methods for their detection;
- the essence of methods for clinical, laboratory and functional examination of adults and children;
- the essence of normal biochemical processes at the level of organs, systems and the body as a whole, as well as
standards for the results of biochemical and clinical studies in diseases of the MSS.
Skill:
- collect the necessary information, describe all sections of the “student’s” medical history carefully and
competently, recording all the necessary data reflecting the course of clinical thinking in the process of
diagnosing and choosing treatment tactics for musculoskeletal diseases;
- analyze and synthesize information about identified pathological symptoms and syndromes of MSS lesions and
prescribe an adequate examination for the purpose of reliable diagnosis of diseases;
- identify the main symptoms using physical examination methods and group them into syndromes based on
knowledge of the anatomical and physiological characteristics and patterns of functioning of the MSS;
- analyze the results of clinical, laboratory and functional examination of an adult person and child, taking into
account their specifics in order to diagnose the main diseases of MSS;
- recognize and interpret the results of biochemical and clinical studies, identifies logical relationships between
changes in biochemical parameters and the clinical state of the body.
Attitude:
- demonstrate practical skills in collecting patient complaints, his medical history, conducting a physical
examination in accordance with the medical history chart at the bedside of a patient with musculoskeletal
pathology;
- skills in the practical use of methods aimed at identifying the main pathological symptoms and syndromes of
MSS in order to reliably diagnose MSS diseases;
- skills in physical examination of patients aimed at identifying the main pathological symptoms and syndromes
of MSS for the purpose of reliable diagnosis of diseases;
- skills in conducting basic clinical, laboratory and functional examinations of adults and children;
- skills in making a primary diagnosis based on the results of biochemical and clinical studies for musculoskeletal
pathology.

Pre-requisites:
- macroanatomy of bones, muscles and joints;
- normal physiology;
- biochemistry (calcium-phosphorus exchange);
- microanatomy (different types of muscle tissue);
- introduction to therapy (physical examination of musculoskeletal system of healthy person )
Post-requisites:
- all clinical subjects;
- clinical training «Feldsher’s assistant»
- clinical training «Doctor’s assistant»

THEMATIC PLAN OF LECTURES

№ Theme of lecture Hours Date
1 The especially topographical anatomy of the fascia muscular 2 According to the
synoviales of the upper limb. timetable
2 The especially topographical anatomy of the fascia muscular 2 According to the
synoviales of the lower limb. timetable
3 Typical disorders of musculoskeletal system. 2 According to the
timetable
4 The main syndromes of skeletal and muscular system pathology 2 According to the
and skin pathology of children. timetable

2
5 Radiology of bone and joint diseases. 2 According to the
timetable
6 Introduction to traumatology and orthopedics. Fractures and 2 According to the
dislocations of the upper limb. timetable
7 Fractures and dislocations of the lower limb. Spinal and pelvic 2 According to the
injuries. timetable
8 Physical examination of patients with musculoskeletal disorders. 2 According to the
Inflammatory periarticular lesions syndrome. timetable
9 Systemic connective tissue inflammation syndrome. Skeletal muscle 2 According to the
inflammation syndrome. Myodystrophy. timetable

THEMATIC PLAN OF PRACTICAL CLASSES

№ Theme of practical class Hours Date
1 The topographical anatomy of the upper limb 2 According to the
timetable
2 The topographical anatomy of the lower limb. 2 According to the
timetable
3 The topographical anatomy of the vertebral column. 2 According to the
timetable
4 Typical disorders of musculoskeletal system. 2 According to the
timetable
5 Anatomical and physiological peculiarities of the skin, 2 According to the
musculoskeletal system in child. timetable
6 The main syndromes of skin, skeletal and muscular system 2 According to the
pathology in child timetable
7 Unit №1 2 According to the
timetable
8 Radiology of bone and joint diseases. 2 According to the
timetable
9 Radiological semiotic of different diseases and lesions of 2 According to the
musculoskeletal system. timetable
10 Introduction to traumatology and orthopedics. 2 According to the
timetable
11 Fractures and dislocations of the upper limb. 2 According to the
timetable
12 Fractures and dislocations of the lower limb. Spinal and pelvic 2 According to the
injuries. timetable
13 Unit №2 2 According to the
timetable
14 Physical examination of patients with musculoskeletal 2 According to the
disorders. Inflammatory periarticular lesions syndrome. timetable
15 Joint inflammation syndrome. Degenerative joint 3
disorder According to the
syndrome. timetable
16 Systemic connective tissue inflammation syndrome. 3 According to the
timetable
17 Skeletal muscle inflammation syndrome. Myodystrophy. 2 According to the
timetable
18 Unit №3 2 According to the
timetable

THEMATIC PLAN OF INDEPENDENT WORK OF STUDENTS

Unit № Theme of independent work Hours Date
1 Top anatomy 1. Make a table classifying bones by shape and 9 According to
and structure. the timetable
pathophysiolog 2. Make a table classifying joints by tissue type,
y of MSS shape, and axis of motion.
3. Make a table classifying muscles by fiber type,
number of heads (striated muscles), and function.

3
 4. To make a drawing of general structure of
synovial joint with short explanation.
5. Make an outline on the topic temporo-mandibular
joint and muscles and muscles moving lower jaw.

Choose topic for presentation:

6. Paget's disease
7. Rhabdomyolysis
8. Marfan syndrome
9. Duchenne muscular dystrophy
10. Achondroplasia
11. Osteomyelitis
12. Main parts and manipulation in inspection of skin
and adipose tissue
13. Inspection and evaluation of the child’s body
14. Assessment of musculoskeletal apparatus of
children
15. Clinical signs, laboratory diagnosis, treatment
principles of rickets.

2 Investigation Make an abstract for topics: 9 According to

and 1. Radiological signs of complicated fractures the timetable
traumatology in 2. Radio anatomical parallels between
MSS osteochondrosis and deforming spondylosis
3. Osseous callosity as pathology of childhood its
radiological signs
4. Primary and late radiographic signs of
osteomyelitis
5. General signs and differences between pyogenic
and tuberculous arthritis
6. Make the table with indicating the nerves and
vessels in the area of the upper arm
7. Make a list of complications of fractures of the
upper extremities
8. Decipher the fracture according to the indicated
X-ray images.
9. Make the table with illustrating the differences
between Montegi and Galiaci fractures.
10. Make the table with illustrating the differences
between Collis and Smith fractures.
11. Make the table of bone strength (Bone density
table. T score)
12. Make a graph of changes in bone strength with
age for men and women
3 The main Choose topic for presentation: 12 According to
lesion 1. Raynaud's syndrome (pathogenesis, clinical the timetable
syndromes of manifestations, stage, diagnostics)
musculoskeletal 2. Systemic lupus erythematosus (SLE) (variants of
system the clinical features of the disease)
3. Verlgof’s syndrome (autoimmune
thrombocytopenia) in SLE
4. Тhe criteria for the diagnosis of acute rheumatic
fever (criteria Kisel-Jones)
5. Possibilities of ultrasound diagnostics for diseases
of the joints
6. Radiological signs of rheumatoid arthritis.
7. Signs of articular syndrome in rheumatoid
arthritis.
8. Features articular syndrome in acute rheumatic
fever.

4
 9. The criteria for the diagnosis of rheumatoid
arthritis by the American Rheumatology
Association.
10. The variants of the clinical course of rheumatoid
arthritis.
11. The changes in the internal organs in
dermatomyositis.
12. The differential diagnostic symptoms of
dermatomyositis.
13. Differential diagnostic signs of systemic sclerosis
with other systemic diseases.
14. The pathogenesis of scleroderma.
15. Manifestations of visceral forms of systemic
sclerosis.
16. X-ray differences syndromes inflammatory
changes in joints and degenerative changes in
joints.
17. The diagnostic criteria for systemic lupus
erythematosus developed by the American
Association of Rheumatic.
18. X-ray signs of changes in the joints in gout.
19. Clinical signs of acute gouty arthritis
20. Raynaud's Syndrome. Causes of development
21. Diagnosis of Raynaud's syndrome
22. Clinical and laboratory characteristics of
rheumatoid arthritis, reactive arthritis and
osteoarthritis.
23. Differential diagnosis of SLE.
24. Сharacteristics of the skin lesions in systemic
diseases.
25. Differential diagnostic signs of joint disease in
systemic diseases.
26. Bekhterev’s disease. Diagnostics.
27. Signs of acute rheumatic fever.

Total 30

Recommended reading for the discipline:

Basic:
Traumatology:
1. Maheshwari and Mhaskar «Essential Orthopaedics», 6th edition 2019
Patophysiology:
2. Robins and Katran «Pathologic basis of disease», 8th edition 2012
3. Harsh Mohan «Textbook of pathology», 8th edition 2019
Topanatomy:
4. B.D.Chaurasia «Human Anatomy» Volume 1-4, 8th edition 2020
Propedtherapy:
5. Barbara Bates «A guide to physical examinaton and history taking», 6th edition 2009
6. Davidson «Principles and Practice of medicine», 23rd edition 2018
7. Harrison «Principles of Internal Medicine» Volume 1-2, 16th edition 2005
Propedpediatrics:
8. Ghai «Essential Pediatrics», 8th edition 2014
9. Nelson «Textbook of Pediatrics», 21th edition 2020
Radiology:
10. Satish K. Bhargava «Textbook of radiology», 3rd edition 2007

Additional:
5
Topanatomy:
11. Frank H. Netter «Atlas of Human Anatomy», 6th edition 2011
Radiology:
12. RadiologyEducation: https://www.radiologyeducation.com/
PubMed: https://www.ncbi.nlm.nih.gov/
ffMedLine: https://www.nlm.nih.gov/
Medscape: https://www.medscape.com

Grading policy and procedures for all types of work

For the period of studying the discipline, the student gains points for the relevant parameters (per unit):
 current score - 20 points
 independent work - 20 points
 unit/ module – 20 points
 the overall score - 60 (20+20+20)

For violations of the conduct policy, the overall discipline score will be reduced by a maximum of 10 points.
For violations of the academic ethics policy, the overall score in the discipline is reduced by a maximum of 10 points.

Grading system for student’s achievements

Grading criteria per discipline
Maximum score Intervals
«unsatisfactory» «satisfactory» «good» «excellent»
Current control 0-11 12-15 16-17 18-20
- 20
Interval The student The student knows The student knows The student is fluent
description refuses to answer the educational program material in educational
or when trying to material partially. fluently in a material of varying
Incorrectly
answer familiar situation complexity and uses
performs or
demonstrates a disrupts the and makes two or information from
complete lack of sequence of three mistakes other disciplines.
knowledge of the clinical when answering. The student
material. examination of the The student demonstrates the
No clinical task patient. confidently ability to think and
has been solved, Can apply his answers additional perform practical
knowledge only in
no practical task questions. work independently.
a typical familiar
has been situation, and Able to apply All tasks of the
completed. experiences knowledge and practical part were
difficulty when relevant clinical completed at a high
changing the skills to a range of level, clinical
question. routine tasks. thinking and a non-
There are also There are minor standard approach to
difficulties in using
special skills. errors in the problem solving
Can only solve preparation of the were demonstrated.
typical clinical medical history or He is fluent in
problems and has situational task. communication
poor Good confidence in skills.
communication communication
skills.
skills and ability to
conduct effective
dialogue.
Independent 0-11 12-15 16-17 18-20
work - 20
Interval As above As above As above As above
description The following are additionally taken into account
 compliance with the expected answers;

6
  correct using of the algorithm for performing actions (methodology,
technology, etc.);
 logic of reasoning;
 original approach to the solution.
Description of Given to the Given to the Given to the Given to the student
criteria by student if he does student if he student if the task if the task is
intervals not possess the demonstrates is completed with completed in full.
listed skills. knowledge and minor errors. The The student knows
understanding of student masters the the categorical
most of the categorical apparatus, can
assignment. The apparatus, can classify the factors of
student knows the classify the factors a phenomenon, solve
categorical of a phenomenon, the problem and
apparatus, can give solve the problem analyze the results
calculation and analyze the obtained, explain the
formulas, and results obtained reasons for
calculate the task. deviations from the
desired result, defend
his point of view,
citing facts.
Control work 0-11 12-15 16-17 18-20
(module) - 20
Interval Number of Number of correct Number of correct Number of correct
description correct answers answers to MCQs answers to MCQs – answers to MCQs –
to MCQs –49% –50-75 % 76-89% 90% and above
or less

Exam 40 points.
The exam is carried out in 2 stages:
Stage 1 - clinical skills exam – 20
Stage 2 - theoretical knowledge exam – 20

Grand total score for the discipline (average score for units 60 + exam score 40) = 100 points
Grand total score for the discipline put into the record book.

Conduct Policy: (lateness, absence, behavior in the auditorium, late submission of work).
- Punctuality and completion of tasks.
- Mandatory attendance of classes.
- Attending class in a clean medical uniform.
- Eliminating conversations on a cell phone in the classroom.
- Active participation in the learning process.
- Doing homework on time.
- Academic detention at the time specified by the teacher.
For violations of the Conduct Policy, the total points for discipline might be reduced to 1-10 points.

Academic Ethics Policy.

- Be tolerant, respect the opinions of others.
- Formulate objections in the correct form.
- Constructively support feedback in all classes.
- Plagiarism and other forms of dishonest work are unacceptable. Plagiarism includes the following: the absence of
references when using printed and electronic materials, quotes, thoughts and works of other authors or students.
- Prompting and cheating during tests, exams, classes is unacceptable as well as passing an exam for another student,
unauthorized copying of materials.
For violations of the Academic Ethics Policy, the total points for the discipline may be reduced to 1-10 points.

Guidelines for the lessons of the discipline

Key questions covered in lesson 1. The topographical anatomy of the upper limb.
1. The borders of the axillary region.
2. The layered topography of the axillary region.
7
 3. The borders and layers of the deltoid region.
4. The topography of the subclavian region.
5. The borders and layers of the scapular region.
6. Find out the ligaments of the shoulder joint.
7. The topography of the arm region.
8. The topography of the elbow joint.
9. The borders and layers of the forearm regions.
10. The topography of the wrist joint.
11. The topography of the carpal tunnel.
12. The topography of the extensor retinaculum.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[4,11]

Key questions covered in lesson 2. The topographical anatomy of the lower limb.
1. The topography of gluteal region.
2. The topography of the hip joint.
3. The borders and layers of the thigh regions.
4. The borders and layers of the popliteal regions. The topography of the popliteal fossa.
5. The topography of the knee joint.
6. The borders and layers of the leg regions.
7. The topography of the ankle joint.
8. The borders and layers of the foot regions.
9. The topography of the calcaneal and plantar canals.
10. The foot as a functional unit.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[4,11]

Key questions covered in lesson 3. The topographical anatomy of the vertebral column.
1. The border and layers of vertebral column.
2. The joints and ligaments of vertebral column.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[4,11]

Key questions covered in lesson 4. Typical disorders of musculoskeletal system.

1. What is the difference between osteopenia and osteopetrosis?
2. Definition, causes and mechanisms of osteoporosis development
3. Definition, causes and mechanisms of development of osteomalacia
4. Consequences of osteomalacia and osteoporosis.
5. What does RANK mean?
6. What does RANKL mean?

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[2,3]

Key questions covered in lesson 5. Anatomical and physiological peculiarities of the skin, musculoskeletal system
in child.
1. Features of the structure of the skin and subcutaneous fat in children and their value in clinical practice.
2. The main reasons for changes in skin color. Jaundice, types of jaundice. Cyanosis, types of cyanosis.
3. Characteristics of the rash elements. Classification of the rash. Main causes of the rash. The clinical
manifestation and differential diagnosis of rash in children.
4. Changes in the structure of the skin and subcutaneous fat layer. The main causes, clinical manifestations,
differential diagnosis. The scars, the scar tissue. Skin changes due to autoimmune diseases.
5. Changes in the structure of the skin appendages: hair and nails. The main causes, clinical manifestations,
differential diagnosis.
6. Physical methods of studies of skin and subcutaneous fat layer. Inspection, palpation conducting various tests
(temperature, humidity, turgor, elasticity, puffiness).
7. Features of the composition of bone in children, especially the structure of the epiphysis, the timing of
ossification and their importance in determining the child's biological age.

8
 8. Inspection and examination of the head in infants.
9. Milk-teeth and permanent teeth erupt and the timing of their shift. The formulas for the calculation of the teeth.
Reasons for delays in dentition.
10. Features of the structure of the spine.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[8,9]

Key questions covered in lesson 6. The main syndromes of skin, skeletal and muscular system pathology in child.
1. Pathology chest. "Funnel-shaped" and "keeled" rib cage. The main causes, methods of correction.
2. The physiological and pathological changes in the limbs. O-shaped, X-shaped curvature. Valgus position of the
heel bone in children of the 2nd year of life.
3. Inspection and testing of the joints. Tests to determine the functional activity of the joints in children. The hip
joint. Maturity Evaluation of the newborn. Signs of dysplasia and dislocation of the hip in children of different
ages.
4. Features of the structure and blood supply to the muscle tissue in children.
5. Physical methods of examination of the musculoskeletal system. Inspection, palpation. Methods for
determination of muscle strength, tone and physiological reflexes.
6. Instrumental methods of investigation of the musculoskeletal system. Myography, radiography, computed and
MRI.
7. Violations of muscle tone and muscle strength in various diseases.
8. Violations of the calcium-phosphorus metabolism. Rickets, its clinical and laboratory signs

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[8,9]

Key questions covered in lesson 7. Unit №1

Module questions
1. The borders of the axillary region.
2. The layered topography of the axillary region.
3. The borders and layers of the deltoid region.
4. The topography of the subclavian region.
5. The borders and layers of the scapular region.
6. Find out the ligaments of the shoulder joint.
7. The topography of the arm region.
8. The topography of the elbow joint.
9. The borders and layers of the forearm regions.
10. The topography of the wrist joint.
11. The topography of the carpal tunnel.
12. The topography of the extensor retinaculum.
13. The topography of gluteal region.
14. The topography of the hip joint.
15. The borders and layers of the thigh regions.
16. The borders and layers of the popliteal regions. The topography of the popliteal fossa.
17. The topography of the knee joint.
18. The borders and layers of the leg regions.
19. The topography of the ankle joint.
20. The borders and layers of the foot regions.
21. The topography of the calcaneal and plantar canals.
22. The foot as a functional unit.
23. The border and layers of vertebral column.
24. The joints and ligaments of vertebral column.
25. Definition, causes and mechanisms of osteoporosis development
26. Definition, causes and mechanisms of development of osteomalacia
27. Examination of the skin of different ages of children, consideration of the elements of rash (in the absence of
case-patients - working with photo).
28. Assessment of muscle tone in children of different ages. The study of X-rays.
29. The survey based on questions for self - features of the structure and physiology of the baby's skin, bone and
muscle systems.
30. Muscle hypertrophy, atrophy, muscle tone disorders, diseases accompanied these changes.
9
 Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[2,3,4,8,9,11]

Key questions covered in lesson 8. Radiology of bone and joint diseases.

1. Radiological semiotic of long tubular bone.
2. Osteoporosis, osteosclerosis, osteolysis, destruction, necrosis, hyperostosis, atrophy etc.
3. Correlation of pathological osseous metabolism with clinical signs.
4. Radial reflection of the most common systemic, specific & tumorous diseases.
5. Osteoarticular trauma.
6. Classification of fractures, dislocations, subluxations.
7. Soft tissue trauma.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[10,12]

Key questions covered in lesson 9. Radiological semiotic of different diseases and lesions of musculoskeletal
system.
1. Gun shooting trauma.
2. Gaseous infections.
3. Osteomyelitis.
4. Tuberculosis.
5. Tumors.
6. Endocrinal disorders.
7. Interventional orthopedic procedures.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[10,12]

Key questions covered in lesson 10. Introduction to traumatology and orthopedics.

1. Definition of traumatology and orthopedics. Anatomy of bones and joints.
2. Fracture. Definition and classification of fractures.
3. Diagnostics in orthopedics and traumatology.
4. Treatment methods in traumatology and orthopedics
5. Stages of fracture regeneration
6. Principles and methods of diagnosis
7. Treatment principles in traumatology and orthopedics
8. Treatment classification
Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[1]

Key questions covered in lesson 11. Fractures and dislocations of the upper limb.
1. Lesions around the shoulder girdle and humerus
2. Injuries around the elbow joint
3. Damage to the bones of the forearm and hand
Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[1]

Key questions covered in lesson 12. Fractures and dislocations of the lower limb. Spinal and pelvic injuries.
1. Injuries around the hip joint and femur
2. Injuries around the knee
3. Injuries to the bones of the lower leg and, ankle joint and foot
4. Pelvic bone injury
a. Anatomy
b. Classification
c. Diagnostics
d. Treatment
e. complications
10
 5. Spinal cord injury
a. Anatomy
b. Classification
c. Diagnostics
d. Treatment
e. Complications

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[1]

Key questions covered in lesson 13. Unit №2

Module questions
1. Definition of the concept of "trauma". Traumatology and Orthopedics as a Medical Specialty.
2. Definition and classification of fractures.
3. Complications of fractures and their treatment.
4. Types of treatment for traumatological and orthopedic patients.
5. Fracture of the clavicle. Definition. Classification. Diagnostics. Treatment. Complications.
6. Fracture of the scapula. Definition. Classification. Diagnostics. Treatment. Complications.
7. Dislocation of the shoulder joint. Definition. Classification. Diagnostics. Treatment. Complications.
8. Fracture of the surgical neck of the humerus. Definition. Classification. Diagnostics. Treatment.
Complications.
9. Fracture of the diaphysis of the humerus. Definition. Classification. Diagnostics. Treatment. Complications.
10. Supracondylar fracture of the humerus. Definition. Classification. Diagnostics. Treatment. Complications.
11. Dislocation of the elbow joint. Definition. Classification. Diagnostics. Treatment. Complications.
12. Dislocation of the head of the ulna. Definition. Classification. Diagnostics. Treatment. Complications.
13. Fracture of the olecranon. Definition. Classification. Diagnostics. Treatment. Complications.
14. Fracture of Monteggi. Definition. Classification. Diagnostics. Treatment. Complications.
15. Fracture Galiazi. Definition. Classification. Diagnostics. Treatment. Complications.
16. Collis and Smith fracture. Definition. Classification. Diagnostics. Treatment. Complications.
17. Barton's fracture. Definition. Classification. Diagnostics. Treatment. Complications.
18. Rolando and Benett's fracture. Definition. Classification. Diagnostics. Treatment. Complications.
19. Scaphoid fracture. Definition. Classification. Diagnostics. Treatment. Complications.
20. Fracture of the phalanges of the hand. Definition. Classification. Diagnostics. Treatment. Complications.
21. Dislocation of the hip joint. Definition. Classification. Diagnostics. Treatment. Complications.
22. Fracture of the femoral neck. Definition. Classification. Diagnostics. Treatment. Complications.
23. Transtrochanteric fracture. Definition. Classification. Diagnostics. Treatment. Complications.
24. Subtrochanteric fracture. Definition. Classification. Diagnostics. Treatment. Complications.
25. Fracture of the femoral shaft. Definition. Classification. Diagnostics. Treatment. Complications.
26. Supracondylar fracture of the femur. Definition. Classification. Diagnostics. Treatment. Complications.
27. Damage to the PKS and ZKS. Definition. Classification. Diagnostics. Treatment. Complications.
28. Damage to the ISS and LKS. Definition. Classification. Diagnostics. Treatment. Complications.
29. Fracture of the patella. Definition. Classification. Diagnostics. Treatment. Complications.
30. Fracture of the tibial plateau. Definition. Classification. Diagnostics. Treatment. Complications.
31. Fracture of the diaphysis of the shin bones. Definition. Classification. Diagnostics. Treatment. Complications.
32. Fractures and dislocations of the ankle. Definition. Classification. Diagnostics. Treatment. Complications.
33. Fracture of the calcaneus and talus. Definition. Classification. Diagnostics. Treatment. Complications.
34. Fracture of the metacarpal bones and bones of the phalanges of the foot. Definition. Classification.
Diagnostics. Treatment. Complications.
35. Fracture of the pelvic bones. Definition. Classification. Diagnostics. Treatment. Complications.
36. Fracture of the spinal column. Definition. Classification. Diagnostics. Treatment. Complications.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[1,10,12]

Key questions covered in lesson 14. Physical examination of patients with musculoskeletal disorders.
Inflammatory periarticular lesions syndrome.
1. Interviewing, physical examination, laboratory and instrumental methods of investigation of the patients with disorders
of the musculoskeletal system.
2. Inflammatory periarticular lesions syndrome (complaints, history of present illness, life history, physical examination,
laboratory and instrumental methods of investigation)
3. Situational tasks, their decisions.

11
Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[5,6,7]

Key questions covered in lesson 15. Joint inflammation syndrome. Degenerative joint disorder syndrome
1. Joint inflammation syndrome (complaints, history of present illness, life history, physical examination, laboratory and
instrumental methods of investigation)
2. Degenerative joint disorder syndrome (complaints, history of present illness, life history, physical examination,
laboratory and instrumental methods of investigation)
3. Situational tasks, their decisions.

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[5,6,7]

Key questions covered in lesson 16. Systemic connective tissue inflammation syndrome.
1. Systemic connective tissue inflammation syndrome ((complaints, history of present illness, life history, physical
examination, laboratory and instrumental methods of investigation)
2. Situational tasks and their results

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[5,6,7]

Key questions covered in lesson 17. Skeletal muscle inflammation syndrome. Myodystrophy.
1. Skeletal muscle inflammation syndrome (complaints, history of present illness, life history, physical examination,
laboratory and instrumental methods of investigation)
2. Myodystrophies (complaints, history of present illness, life history, physical examination, laboratory and instrumental
methods of investigation)
3. Situational tasks and their results

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[5,6,7]

Key questions covered in lesson 18. Unit №3

Module questions
1.Inflammatory joint disorders syndrome: (complaints, present illness, life history).
2.Inflammatory joint disorders syndrome: (palpation of involved joints at rest, inspection during movement, lab tests,
imaging studies).
3. Degenerative joint disorders syndrome: [complaints, present illness, life history).
4. Degenerative joint disorders syndrome:(lab tests, imaging studies).
5. Inflammatory muscle disorders syndrome: (complaints, present illness, life history, Inspection of involved muscles at
rest, palpation of involved muscles at rest).
6. Degenerative joint disorders syndrome: (inspection during movement, lab tests,imaging studies).
7. Inflammatory periarticular lesions syndrome: (complaints, present illness, life history, attitude of the extremities,
inspection of involved periarticular structure at rest, palpation of involved periarticular structure at rest).
8. Inflammatory periarticular lesions syndrome: (lab tests, imaging studies).
9. Inflammatory muscle disorders syndrome: (inspection during movement, specialtests, lab tests, imaging studies).
10. Inflammatory periarticular lesions syndrome: (palpation of involved periarticular structure at rest, inspection and
auscultation during movement, lab tests, imaging studies).
11. Inflammatory periarticular lesions syndrome: (lab tests, imaging studies).
12. Inflammatory muscle disorders syndrome: (complaints, present illness, life history, attitude of the extremities and
posture of patient) .
13. Inflammatory muscle disorders syndrome:(Inspection of involved muscles at rest, palpation of involved muscles at
rest).
14. Inflammatory muscle disorders syndrome: (inspection during movement, special tests).
15. Inflammatory muscle disorders syndrome: (lab tests, imaging studies).
16. Systemic connective tissue inflammation syndrome: [complaints, present illness, life history).
17. Systemic connective tissue inflammation syndrome:( general survey, skin changes, hair and nail lesions).
18. Systemic connective tissue inflammation syndrome: (vascular disorders, mucous membrane lesions, lymphatic
nodes lesions, inflammatory joint disorders).
19. Systemic connective tissue inflammation syndrome: (lab tests, imaging studies).
12
20. Inflammatory joint disorders syndrome: (complaints, present illness, life history, inspection of gait, attitude of the
extremities, inspection of involved joints at rest).
21. Inflammatory joint disorders syndrome: (lab tests, imaging studies).
22. Inflammatory joint disorders syndrome: (palpation of involved joints at rest, inspection during movement, lab tests,
imaging studies).
23. Systemic connective tissue inflammation syndrome: (lab tests, imaging studies).
24. Degenerative joint disorders syndrome: (complaints, present illness, life history, inspection of gait).
25. Degenerative joint disorders syndrome: (lab tests, imaging studies).
26. Degenerative joint disorders syndrome: ( inspection during movement, lab tests, imaging studies).
27. Inflammatory periarticular lesions syndrome:( lab tests, imaging studies).
28. Inflammatory periarticular lesions syndrome: (complaints, present illness, life history , inspection of involved
periarticular structure at rest, palpation of involved periarticular structure at rest).
29. Inflammatory joint disorders syndrome:( lab tests, imaging studies).
30. Inflammatory periarticular lesions syndrome: (palpation of involved periarticular structure at rest, inspection and
auscultation during movement, lab tests, imaging studies).

Recommended reading for the lesson/unit (if necessary); serial number is indicated in square brackets.
[5,6,7]

Methodological instructions for the implementation of independent work on the discipline

Methodological instructions for making an abstract:

1. To study the curriculum and the working curriculum.

2. Determine the place of the topic of this lecture in the structure of the discipline according to the thematic plan.
3. Find out all the issues that need to be studied.
4. To study material, which is in the syllabus, to clarify the amount of missing material on the basis of control questions,
tasks for control work and questions submitted for the module (see the program discipline and the working
curriculum).
5. Determine the literature in which there is the necessary educational material, and the sequence of its assimilation.
6. To process each educational material in the following way.
7. Read it in dynamics to understand the general essence.
8. Read the study material a second time, understanding each word and sentence
9. For the third time to identify the basic concepts, the essence of phenomena and processes, their structure and content,
as well as the links between them.
10. Write it all down in a synopsis.
11. To establish a connection with the previous educational material.
12. Independently answer all control questions on this topic.

Methodological instructions for independent work:

1. Study the theoretical material well; master the method of applying knowledge in practice.
2. Be able to use the necessary equipment, materials, equipment for measurements.
3. To study the recommendations for specific laboratory or practical work, which are set out in textbooks and
methodological developments.
4. Make a plan for laboratory or practical work.
5. Prepare the necessary material.
6. Perform tasks of laboratory or practical work.
7. Interpret the results and describe the identified phenomena.
8. Draw conclusions.
9. Draw up everything accordingly.

13