Orthopedics, Traumatology and Rehabilitation
A.Y. 2025/2026
Learning objectives
The course will highlight the main clinical features of orthopaedics, rheumatology /clinical immunology/allergy and physical rehabilitation medicine to provide a comprehensive overview of the basic clinical presentations and treatment options of patient presenting with clinical history and evaluation suggesting orthopaedics. Further, the course will provide a comprehensive view of the semantics of the associated conditions and determine their common mechanisms and unique features. The module of Orthopaedics introduces the students to clinical practice on patient evaluation and interpretations of specific investigations i.e. X-ray, CT scans, MRI for all different pathologies. Students are trained to the most updated knowledge on the commonest orthopaedic problems. The module of Physical and Rehabilitation Medicine introduces the students to the basic techniques of assessment of passive mobility, strength and coordination, and to the essentials of treatment of orthopaedic and rheumatic disorders with therapeutic exercise and physical agents.
Expected learning outcomes
Students are expected to: - Provide general terminology, anatomy, biomechanics, and function of the body major joints. - Learn to recognize the most common articular problems from patients' complaints, clinical history and patients' physical examination. - Learn to recognize the most common trauma problems and limb or life threatening injuries (trauma emergencies) - Understand the pathological joints biomechanics and identify them on correct further investigations (XRAY; CT; MRI etc.) - Reach the ability to recognize the entity of the disease (classifications) and start a correct therapeutic approach accordingly. - Reach some basic understanding of the difference between a growing and a mature skeleton. - Recognize some of the most common congenital deformities. - - Learn the correct kinesiology definition of joint movements; - Learn how to assess joint mobility; - Learn how to assess force, based on knowledge of muscle anatomy and physiology, and of the joint leverage; - Learn the basic physiology of walking and how to steer its clinical observation; - Learn the basic criteria for personalized prescription of therapeutic exercise and therapies with physical agents; - Basic physiology of human walking with some hints on diagnosis of walking impairments.
Lesson period: First semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Responsible
Prerequisites for admission
To take the Orthopedics, traumatology and rehabilitation exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Fundamentals of biomedical imaging, Cells Molecules and Genes, Genetics, Human Body, Functions 1 and 2 and Mechanisms of Diseases).
Assessment methods and Criteria
The final assessment will consist of a written test with 60 multiple-choice questions (40 on orthopedics, 20on physical & rehabilitation medicine) each with only one correct answer. Test duration: one minute will be allowed for each question. The score for each section will be transformed into x/30, proportional to the number of correct answers (minimum score to pass each section 18/30). No penalties will be given to missing or wrong answers.
The final mark will take into account the scores achieved in the three sections of the MCQ test.
Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
The final mark will take into account the scores achieved in the three sections of the MCQ test.
Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
Orthopedics
Course syllabus
ORTHOPAEDICS AND TRAUMA
GENERAL LEARNING GOALS
Provide general terminology, anatomy, biomechanics, and function of the body major joints.
Learn to recognise the most common articular problems from patients' complaints, clinical history and patients' examination.
Learn to recognise the most common trauma problems and limb or life threatening injuries (trauma emergencies)
Understand the pathological joints biomechanics and recognise them on correct further investigations (XRAY; CT; MRI etc.)
Reach the ability to recognise the entity of the disease (classifications) and start a correct therapeutic approach accordingly.
Reach some basic understanding of the difference between a growing and mature skeleton.
Recognise some of the most common congenital deformities.
Topic 1a. ORTHOPEDICS Birth and decay of human frame Part 1: birth
Learn basic bones anatomy and architecture
Understand bone structure and cells devoted to bone remodelling
Describe the most important steps of foetal development of the musculoskeletal system
Understand the different ossification mechanism and bone formation
Understand the changing from neonatal to adult bone configuration
Topic 2a. ORTHOPEDICS Congenital malformations Part 1
Describe the deformities in club foot and principles of treatment
Understand the articular malformation associated with DDH; early diagnosis and treatment
Describe the spine normal and abnormal curvatures with special regards to scoliosis
Topic 2b. ORTHOPEDICS Congenital malformations Part 2
Understand the pathology associated with the most common form of osteochondral dysplasias
Understand conservative and surgical treatment for congenital diseases
Topic 3. ORTHOPEDICS Bone fractures: biomechanics, imaging and treatment
Understand the biological and biomechanical principles of fracture healing
Describe the most common devices of fracture fixation
Describe the well-established and new imaging techniques to determine fracture types and healing
Understand emergency in traumatology
Topic 4. ORTHOPEDICS Biomechanics of deformities and correction strategies
Understand Musculoskeletal biomechanics
Describe the major mechanical and anatomical axis of long bones
Understand how abnormal anatomy and biomechanics may play a major role in articular surfaces disruption
Internal and External fixation to correct bone deformities
Topic 9a. ORTHOPEDICS Articular cartilage disease: surgery for cartilage
Learn basic cartilage macro and micro anatomy and biomechanics
Describe the principles of cartilage surgery, rationale, surgical steps
Results of surgery for cartilage damage
Topic 9b. ORTHOPEDICS Articular cartilage disease: osteoarthritis
Describe the principles of cartilage degeneration: mechanical and biochemical
Describe the major symptoms/syndromes leading to the suspect of osteoarthritis and its complications
Describe the risk factors for osteoarthritis
Understand the differential diagnosis of osteoarthritis
Understand the epidemiology, pathogenesis, and differential diagnosis of osteoarthritis
Understand the therapeutic approach to osteoarthritis, including non- pharmacological treatments
Understand the major imaging (X ray, CT, MRI, ultrasound), invasive (arthrocentesis, etc), and laboratory (autoantibody, CRP) findings that are helpful in the diagnosis and management of patients with osteoarthritis
Understand the cardiovascular and metabolic comorbidities of osteoarthritis
Topic 10. ORTHOPEDICS Bone and soft tissue tumors
Understand the classification of tumors involving the musculoskeletal system
Understand the epidemiology and the staging of tumors
Describe selected tumors (osteosarcoma, chondrosarcoma, Ewing sarcoma) and bone metastasis
Describe the principle of treatment and the therapeutic advances
Topic 11. ORTHOPEDICS Joint biomechanics and semeiotics: the hip
Understand signs and symptoms of early joint compromise
Describe CAM and Pincer lesion and their treatment
Describe principles of total hip replacement
Understand the major imaging (X ray, CT, MRI, ultrasound) of FAI - Hip arthritis and THR
Topic 12. ORTHOPEDICS Tendons and muscular abuse: sport medicine
Describe the macroscopic and microscopic structures of ligament and tendons
Understand the biomechanics of the muscular tendon unit
Describe damage mechanism and soft tissue repair biology
Describe the typical tendon abusers lesions in children and adults
Describe basic principles of treatment
Topic 13. ORTHOPEDICS Joint biomechanics and semeiotics: the shoulder
Describe basic anatomy of the intrinsic and extrinsic muscles of the shoulder girdle
Understand the biomechanics of the multiple joints complex of the shoulder
Understand the shoulder malfunction and consequent pathology (acute and cronic)
Describe the principles of clinical semeiotic and instrumental diagnosis of shoulder pain
Describe principles of conservative and surgical treatment of shoulder affections
Topic 14. ORTHOPEDICS Joint biomechanics and semeiotics: the knee
Describe the basic anatomy of ligaments and tendons of the knee joint
Understand the biomechanics of the multiple structures complex of the knee
Understand the knee malfunction and consequent pathology (acute and cronic)
Describe the principles of clinical semeiotic and instrumental diagnosis of knee pain
Describe the principles of conservative and surgical treatment of knee affections
Topic 15. ORTHOPEDICS Joint biomechanics and semeiotics: the elbow, wrist and hand
Describe the basic anatomy of the intrinsic and extrinsic muscles of the hand/wrist/elbow
Understand the biomechanics of the multiple joints complex of the hand/wrist/elbow
Describe the principles of clinical semeiotic and instrumental diagnosis of hand pain, wrist/elbow pain
Understand the pathogenesis of De Quervain and Dupuytren disease
Describe the median nerve compression in the carpal tunnel syndrome
Describe principles of conservative and surgical treatment of hand affections
Describe tennis elbow - golf elbow and elbow instabilities
Describe ulnar nerve entrapment syndrome at the elbow
Topic 16. ORTHOPEDICS Joint biomechanics and semeiotics: the foot and ankle
Describe the basic anatomy of the foot-ankle
Understand the biomechanics of the multiple joints complex
Understand the principles of gait analysis
Describe the principles of clinical semeiotic and instrumental diagnosis of foot- ankle pain
Describe the principles of conservative and surgical treatment of foot affections as Pes Planus, hallux deformities, pes cavus
Describe how to treat an ankle sprain
Understand the major imaging (X ray, CT, MRI, ultrasound) of foot and ankle
Topic 17. PHYSICAL AND REHABILITATION MEDICINE approach. Why and what
The White Book of Physical and Rehabilitation Medicine in Europe
Introductions, Executive Summary, and Methodology
Definitions and concepts of Physical and Rehabilitation Medicine
Why rehabilitation is needed by individual and society
A primary medical specialty: the fundamentals of PRMTopic 20. PHYSICAL AND REHABILITATION MEDICINE approach. Who and how
History of the specialty: where PRM comes from
The PRM organizations in Europe: structure and activities
Knowledge and skills of PRM physicians
The clinical field of competence: PRM in practice
Topic 18. PHYSICAL AND REHABILITATION MEDICINE in the health care system and basis of PRM approach
The PRM specialty in the healthcare system and society
Education and continuous professional development: shaping the future of PRM
Science and research in PRM: specificities and challenges
Evidence based medicine in PRM
Basis of PRM in main musculoskeletal diseases of rehabilitation interest
Basis of PRM in main neurological diseases of rehabilitation interest
Basis of PRM inv the other main diseases of rehabilitation interest
GENERAL LEARNING GOALS
Provide general terminology, anatomy, biomechanics, and function of the body major joints.
Learn to recognise the most common articular problems from patients' complaints, clinical history and patients' examination.
Learn to recognise the most common trauma problems and limb or life threatening injuries (trauma emergencies)
Understand the pathological joints biomechanics and recognise them on correct further investigations (XRAY; CT; MRI etc.)
Reach the ability to recognise the entity of the disease (classifications) and start a correct therapeutic approach accordingly.
Reach some basic understanding of the difference between a growing and mature skeleton.
Recognise some of the most common congenital deformities.
Topic 1a. ORTHOPEDICS Birth and decay of human frame Part 1: birth
Learn basic bones anatomy and architecture
Understand bone structure and cells devoted to bone remodelling
Describe the most important steps of foetal development of the musculoskeletal system
Understand the different ossification mechanism and bone formation
Understand the changing from neonatal to adult bone configuration
Topic 2a. ORTHOPEDICS Congenital malformations Part 1
Describe the deformities in club foot and principles of treatment
Understand the articular malformation associated with DDH; early diagnosis and treatment
Describe the spine normal and abnormal curvatures with special regards to scoliosis
Topic 2b. ORTHOPEDICS Congenital malformations Part 2
Understand the pathology associated with the most common form of osteochondral dysplasias
Understand conservative and surgical treatment for congenital diseases
Topic 3. ORTHOPEDICS Bone fractures: biomechanics, imaging and treatment
Understand the biological and biomechanical principles of fracture healing
Describe the most common devices of fracture fixation
Describe the well-established and new imaging techniques to determine fracture types and healing
Understand emergency in traumatology
Topic 4. ORTHOPEDICS Biomechanics of deformities and correction strategies
Understand Musculoskeletal biomechanics
Describe the major mechanical and anatomical axis of long bones
Understand how abnormal anatomy and biomechanics may play a major role in articular surfaces disruption
Internal and External fixation to correct bone deformities
Topic 9a. ORTHOPEDICS Articular cartilage disease: surgery for cartilage
Learn basic cartilage macro and micro anatomy and biomechanics
Describe the principles of cartilage surgery, rationale, surgical steps
Results of surgery for cartilage damage
Topic 9b. ORTHOPEDICS Articular cartilage disease: osteoarthritis
Describe the principles of cartilage degeneration: mechanical and biochemical
Describe the major symptoms/syndromes leading to the suspect of osteoarthritis and its complications
Describe the risk factors for osteoarthritis
Understand the differential diagnosis of osteoarthritis
Understand the epidemiology, pathogenesis, and differential diagnosis of osteoarthritis
Understand the therapeutic approach to osteoarthritis, including non- pharmacological treatments
Understand the major imaging (X ray, CT, MRI, ultrasound), invasive (arthrocentesis, etc), and laboratory (autoantibody, CRP) findings that are helpful in the diagnosis and management of patients with osteoarthritis
Understand the cardiovascular and metabolic comorbidities of osteoarthritis
Topic 10. ORTHOPEDICS Bone and soft tissue tumors
Understand the classification of tumors involving the musculoskeletal system
Understand the epidemiology and the staging of tumors
Describe selected tumors (osteosarcoma, chondrosarcoma, Ewing sarcoma) and bone metastasis
Describe the principle of treatment and the therapeutic advances
Topic 11. ORTHOPEDICS Joint biomechanics and semeiotics: the hip
Understand signs and symptoms of early joint compromise
Describe CAM and Pincer lesion and their treatment
Describe principles of total hip replacement
Understand the major imaging (X ray, CT, MRI, ultrasound) of FAI - Hip arthritis and THR
Topic 12. ORTHOPEDICS Tendons and muscular abuse: sport medicine
Describe the macroscopic and microscopic structures of ligament and tendons
Understand the biomechanics of the muscular tendon unit
Describe damage mechanism and soft tissue repair biology
Describe the typical tendon abusers lesions in children and adults
Describe basic principles of treatment
Topic 13. ORTHOPEDICS Joint biomechanics and semeiotics: the shoulder
Describe basic anatomy of the intrinsic and extrinsic muscles of the shoulder girdle
Understand the biomechanics of the multiple joints complex of the shoulder
Understand the shoulder malfunction and consequent pathology (acute and cronic)
Describe the principles of clinical semeiotic and instrumental diagnosis of shoulder pain
Describe principles of conservative and surgical treatment of shoulder affections
Topic 14. ORTHOPEDICS Joint biomechanics and semeiotics: the knee
Describe the basic anatomy of ligaments and tendons of the knee joint
Understand the biomechanics of the multiple structures complex of the knee
Understand the knee malfunction and consequent pathology (acute and cronic)
Describe the principles of clinical semeiotic and instrumental diagnosis of knee pain
Describe the principles of conservative and surgical treatment of knee affections
Topic 15. ORTHOPEDICS Joint biomechanics and semeiotics: the elbow, wrist and hand
Describe the basic anatomy of the intrinsic and extrinsic muscles of the hand/wrist/elbow
Understand the biomechanics of the multiple joints complex of the hand/wrist/elbow
Describe the principles of clinical semeiotic and instrumental diagnosis of hand pain, wrist/elbow pain
Understand the pathogenesis of De Quervain and Dupuytren disease
Describe the median nerve compression in the carpal tunnel syndrome
Describe principles of conservative and surgical treatment of hand affections
Describe tennis elbow - golf elbow and elbow instabilities
Describe ulnar nerve entrapment syndrome at the elbow
Topic 16. ORTHOPEDICS Joint biomechanics and semeiotics: the foot and ankle
Describe the basic anatomy of the foot-ankle
Understand the biomechanics of the multiple joints complex
Understand the principles of gait analysis
Describe the principles of clinical semeiotic and instrumental diagnosis of foot- ankle pain
Describe the principles of conservative and surgical treatment of foot affections as Pes Planus, hallux deformities, pes cavus
Describe how to treat an ankle sprain
Understand the major imaging (X ray, CT, MRI, ultrasound) of foot and ankle
Topic 17. PHYSICAL AND REHABILITATION MEDICINE approach. Why and what
The White Book of Physical and Rehabilitation Medicine in Europe
Introductions, Executive Summary, and Methodology
Definitions and concepts of Physical and Rehabilitation Medicine
Why rehabilitation is needed by individual and society
A primary medical specialty: the fundamentals of PRMTopic 20. PHYSICAL AND REHABILITATION MEDICINE approach. Who and how
History of the specialty: where PRM comes from
The PRM organizations in Europe: structure and activities
Knowledge and skills of PRM physicians
The clinical field of competence: PRM in practice
Topic 18. PHYSICAL AND REHABILITATION MEDICINE in the health care system and basis of PRM approach
The PRM specialty in the healthcare system and society
Education and continuous professional development: shaping the future of PRM
Science and research in PRM: specificities and challenges
Evidence based medicine in PRM
Basis of PRM in main musculoskeletal diseases of rehabilitation interest
Basis of PRM in main neurological diseases of rehabilitation interest
Basis of PRM inv the other main diseases of rehabilitation interest
Teaching methods
Lectures, Clinical examination, OR exposure, Videos, clinical clerkship
Teaching Resources
Orthopaedics and Traumatology Pocketbook of orthopaedics and fractures - McRae
Essential orthopaedics and trauma - Dandy, Edwards
Rheumatology, orthopaedics and trauma at a glance - Swales, Bulstrode
Adam's Outline of orthopaedics - Hamblen, Simpson
Essential orthopaedics and trauma - Dandy, Edwards
Rheumatology, orthopaedics and trauma at a glance - Swales, Bulstrode
Adam's Outline of orthopaedics - Hamblen, Simpson
Rehabilitation medicine
Course syllabus
PHYSICAL AND REHABILITATION MEDICINE
GENERAL LEARNING GOALS
Learn what is physical and rehabilitation medicine;
Learn the concepts of disability and functioning;
Learn the basic knowledge and skills of physical and rehabilitation medicine;
Learn the fields of implementation of physical and rehabilitation medicine;
Learn the the principles of an evidence medicine approach in physical and rehabilitation medicine.
Topic 17. PHYSICAL AND REHABILITATION MEDICINE approach. Why and what
The White Book of Physical and Rehabilitation Medicine in Europe
Introductions, Executive Summary, and Methodology
Definitions and concepts of Physical and Rehabilitation Medicine
Why rehabilitation is needed by individual and society
A primary medical specialty: the fundamentals of PRMTopic 20. PHYSICAL AND REHABILITATION MEDICINE approach. Who and how
History of the specialty: where PRM comes from
The PRM organizations in Europe: structure and activities
Knowledge and skills of PRM physicians
The clinical field of competence: PRM in practice
Topic 18. PHYSICAL AND REHABILITATION MEDICINE in the health care system and basis of PRM approach
The PRM specialty in the healthcare system and society
Education and continuous professional development: shaping the future of PRM
Science and research in PRM: specificities and challenges
Evidence based medicine in PRM
Basis of PRM in main musculoskeletal diseases of rehabilitation interest
Basis of PRM in main neurological diseases of rehabilitation interest
Basis of PRM inv the other main diseases of rehabilitation interest
GENERAL LEARNING GOALS
Learn what is physical and rehabilitation medicine;
Learn the concepts of disability and functioning;
Learn the basic knowledge and skills of physical and rehabilitation medicine;
Learn the fields of implementation of physical and rehabilitation medicine;
Learn the the principles of an evidence medicine approach in physical and rehabilitation medicine.
Topic 17. PHYSICAL AND REHABILITATION MEDICINE approach. Why and what
The White Book of Physical and Rehabilitation Medicine in Europe
Introductions, Executive Summary, and Methodology
Definitions and concepts of Physical and Rehabilitation Medicine
Why rehabilitation is needed by individual and society
A primary medical specialty: the fundamentals of PRMTopic 20. PHYSICAL AND REHABILITATION MEDICINE approach. Who and how
History of the specialty: where PRM comes from
The PRM organizations in Europe: structure and activities
Knowledge and skills of PRM physicians
The clinical field of competence: PRM in practice
Topic 18. PHYSICAL AND REHABILITATION MEDICINE in the health care system and basis of PRM approach
The PRM specialty in the healthcare system and society
Education and continuous professional development: shaping the future of PRM
Science and research in PRM: specificities and challenges
Evidence based medicine in PRM
Basis of PRM in main musculoskeletal diseases of rehabilitation interest
Basis of PRM in main neurological diseases of rehabilitation interest
Basis of PRM inv the other main diseases of rehabilitation interest
Teaching methods
Lectures, Clinical examination, OR exposure, Videos, clinical clerkship
Teaching Resources
PHYSICAL AND REHABILITATION MEDICINE
European Physical and Rehabilitation Medicine Bodies. The White Book of Physical and Rehabilitation Medicine in Europe. Editors: Stefano Negrini, Pedro Cantista, Maria Gabriella Ceravolo, Nicolas Christodoulou, Alain Delarque, Christoph Gutenbrunner, Carlotte Kiekens, Saša Moslavac, Enrique Varela-Donoso, Anthony B. Ward, Mauro ZampoliniEur J Phys Rehabil Med, 2018.
European Union of Medical Specialists (UEMS) Board and Section of Physical and Rehabilitation Medicine. Physical and rehabilitation medicine for medical students. Editors: Maria Gabriella Ceravolo, Nicolas Christodoulou. Edi Ermes 2019.
European Physical and Rehabilitation Medicine Bodies. The White Book of Physical and Rehabilitation Medicine in Europe. Editors: Stefano Negrini, Pedro Cantista, Maria Gabriella Ceravolo, Nicolas Christodoulou, Alain Delarque, Christoph Gutenbrunner, Carlotte Kiekens, Saša Moslavac, Enrique Varela-Donoso, Anthony B. Ward, Mauro ZampoliniEur J Phys Rehabil Med, 2018.
European Union of Medical Specialists (UEMS) Board and Section of Physical and Rehabilitation Medicine. Physical and rehabilitation medicine for medical students. Editors: Maria Gabriella Ceravolo, Nicolas Christodoulou. Edi Ermes 2019.
Modules or teaching units
Orthopedics
MED/33 - ORTHOPAEDICS - University credits: 4
Lessons: 32 hours
Lessons - Innovative Teaching: 16 hours
Lessons - Innovative Teaching: 16 hours
Rehabilitation medicine
MED/34 - PHYSICAL AND REHABILITATION MEDICINE - University credits: 1
Lessons: 8 hours
Lessons - Innovative Teaching: 4 hours
Lessons - Innovative Teaching: 4 hours
Professor:
Negrini Stefano
Professor(s)
Reception:
Appointments can be arranged by email
Reception:
Appointments can be arranged by email
Appointments can be arranged by email