Orthopedics II - The Lower Extremities

Course Objectives

At the completion of this course, participants will be able to:

1. Discuss the epidemioloty of low back pain to include incidence, predisposing factors, and the magnitude of the disablitily.
2. Identify the barriers which limit the establishment of the efficacy of therapy procedures for the treatment of low back pain.
3. Discuss the issues relative to patient classification vs patho-anatomical diagnosis for patients with the low back pain.
4. Recall the bony architecture, joint geometry and ligamentous arrangement of the hip joint, pelvis and lumbar spine.
5. Identify the muscular and neurovascular arrangement of the hip, buttock and spine.
6. Discuss the arthrokinematics of the hip, sacroiliac joint and lumbar spine which occur during typical activities of daily living.
7. Contrast regional vs segmental movement of the lumbar spine from the persective of joint geometry and disc mechanics. Identify the problems of
measurement of spinal motion.
8. Identify the pathology which occurs in the hip, SIJ and lumbar spine as a result of arthrosis, common fractures, and common developmental
disorders. Discuss the radiographic findings which occur with these disorders.
9. Discuss the sequence of events which lead to spinal segmental instability, disc herniation, disc degeneration, and spinal stenosis. Identify the value of magnetic resonance imaging to identify these problems.
10. Identify those criterion which are important for the assessment of individuals who have dysfunction of the hip, SIJ or lumbar spine.
11. Discuss the sequence of testing procedures to be used for the evaluation of hip, SIJ and spinal problems.

Chapter 1 - Functional Anatomy Review of the Ankle and Foot