METODOLOGIA DELLA RIABILITAZIONE IN ETA' EVOLUTIVA

Module MUSCULO-SKELETAL SYSTEM DISEASES IN PEDIATRIC AGE

1. Knowledge and understanding The student must acquire a solid theoretical foundation in:

·       Etiopathogenesis: Understand the causes and mechanisms of development of degenerative (osteoarthritis, osteoporosis) and inflammatory pathologies.

·       Traumatology: Know the classification of fractures, dislocations, and ligamentous injuries, including bone healing.

·       Instrumental Diagnostics: Know the indications and limitations of X-ray (RX), CT, MRI, and bone densitometry (DEXA).

·       Therapeutic Options: Understand the principles of non-operative treatment (casts, braces) and surgical treatment (osteosynthesis, prosthetics).

2. Applying knowledge and understanding At the end of the course, the student will be able to:

·       Perform the Physical Examination: Identify clinical signs of joint instability, limitation of ROM (Range of Motion), or deformity.

·       Interpret Diagnostics: Correlate radiological findings with the patient's clinical symptoms to formulate a correct diagnosis.

·       Manage Emergencies: Apply first aid protocols in case of trauma (temporary immobilization, neurovascular assessment).

3. Making judgements The student must develop the ability to:

·       Differential Diagnosis: Distinguish between pain of mechanical, inflammatory, or referred origin (e.g., sciatica vs. hip pathology).

·       Therapeutic Choice: Critically evaluate when to opt for surgery versus conservative treatment, considering age and comorbidities (link with Internal Medicine).

·       Prognostication: Estimate recovery times and the risk of complications (pseudoarthrosis/nonunion, infections, avascular necrosis).

·       4. Communication skills The future professional must be able to:

·       Inform about Consent: Explain the risks and benefits of a prosthetic procedure or osteosynthesis, in line with the dictates of Law 219/2017 (Legal Medicine).

·       Educate on Rehabilitation: Communicate the importance of early weight-bearing or post-operative restrictions for the success of the treatment.

·       Interprofessional Collaboration: Collaborate with physiotherapists and case managers for the patient's functional recovery (link with Neurorehabilitation).

5. Learning skills The student must acquire the tools to:

·       Stay Technologically Updated: Follow the evolution of materials (biomaterials, metal alloys) and minimally invasive techniques (arthroscopy).

·       EBM in Orthopedics: Consult prosthesis registries and clinical trials to choose the safest and most effective medical devices.

·       Prevention: Integrate orthopedic knowledge with Occupational Medicine to prevent biomechanical overload pathologies.

Frontal lessons. Ppt files.

The course is based on the main orthopaedic and traumatologic disorders in pediatric age, highlighting: epidemiology, etiology, pathogenesis, clinical features, imaging investigations, differential diagnosis, prognosis, complications, conservative and surgivcal treatment.

1. Sessa-Villani. Ortopedia e Traumatologia. Monduzzi Editore (reference book)

2. Canavese - Andreacchio. Manuale Pratico di Traumatologia Pediatrica. Timeo Editore (consultation book)

Oral exam. Elements to be evaluated: relevance of the answers, quality of their contents, ability to connect with other topics within the program, ability to report examples, quality of technical language, and overall expressive ability.

To guarantee equal opportunities and in compliance with current laws, students can request a meeting in order to plan any compensatory and/or dispensatory measure, according to the educational goals and specific needs. In this case, it is advisable to contact the CInAP (Centre for Active and Participated Integration - Services for Disabilities and/or SLD) professor of the Department where the Degree Course is included.