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LOCO0130-1

Multidisciplinary approach to the musculoskeletal system

[ version française ]

Duration :14h Th, 24h Pr, 4h QA Sess., 18h APP
Credits/ECTS :
3rd "candidature" in medicine7
Holder(s) :Jacques Boniver, Jean‑Pierre Bourguignon, Vincent Bours, Alain Carlier, Jean‑Olivier Defraigne, Patrick De Mol, Philippe Gillet, Thierry Grisar, Ernst Heinen, Maurice Lamy, Raymond Limet, Jean‑Pierre Schaaps, André Scheen, Jean Schoenen, Vincent Seutin
Course contents : Based on six problems, the musculoskeletal system module presents the anatomy, histology and embryonic development of limbs and rachis as well as biochemical and physiological aspects of bone, cartilage, capsule and tendon tissues. The integrated study of structures and functions will be supported by practical problems and provide students with the required introduction to the pathology notions that will be studied in later years by presenting the musculoskeletal system’s normal structural and functional aspects. Neurological notions presented in the Neurology Module will be referred to on a regular basis. Students must obviously master them to understand numerous aspects of the musculoskeletal system.
Course objective : - Presented problems will have the following general objectives:
- understanding and learning about bone metabolism – notably bone turnover, which maintains necessary skeletal mechanical characteristics – and bone repair mechanisms;
- understanding and learning about the different bone types’ histological structures and understanding the connection with the different bone parts’ roles;
- understanding and learning about normal rachis alignment in different spatial planes and determining factors;
- understanding and learning about the potential mobility of spinal elements depending on the different segments’ specific anatomical structures;
- understanding and learning about the function of the different torso muscular groups;
- understanding and learning about the axial skeleton’s embryonic development;
- understanding and learning about the appendicular skeleton’s embryonic development;
- understanding and learning about bone growth mechanisms;
- understanding and learning about the upper limb’s bone and articular anatomical structures;
- understanding and learning about the lower limb’s bone and articular anatomical structures;
- understanding the fundamental function differences between the upper and lower limbs, notably through comparative anatomy;
- understanding and learning about limb muscle distribution and function;
- integrating the distribution of peripheral vascular and nervous elements into the bone, articulation and muscle anatomy of torso and limbs – notably thanks to anatomy practicals;
- understanding the anatomical and functional characteristics that need to be preserved in articulations to retain normal passive and active functions: stability and mobility;
- understanding and learning about skeletal muscular innervation’s role and distribution;
- understanding and learning about vascularization’s role and distribution in bone, articular and muscular structures;
- understanding and learning about the biochemical and physiological aspects of skeletal striated muscles and connections with body segments’ normal functions for movements in force, fine movements, limited or sustained effort in time – including the notion of effort endurance;
- mastering the musculoskeletal system’s normal semiological aspects: normal alignment, passive and active articular mobility, muscular acts and normal or altered force.
Prerequisites : 1st and 2nd-year courses: Introduction to Anatomy, General Histology, General Embryology, General Physiology and General Biochemistry.
Workshops : Theoretical notions taught during problem-solving sessions will be completed with practical anatomy, histology, physiology and biochemistry exercises. Anatomy: besides practicals in the Institute of Anatomy under the supervision of Professor Carlier, students will be able to improve their comprehension and three-dimensional vision of topographical and functional anatomy – including connections with clinical imagery and semiology – thanks to 3D virtual anatomy CD roms (supervising lecturer: Professor Gillet).
Organization : Introduction course: 4h
Synthesis course: 4h
Semiology practicals: 2h
Revision session with quizzes: 4h
PSL seminars: 6 problems (twelve 90-minute sessions)
Written notes : - Physiologie articulaire by Kapandji, Ed. Maloine (Membre supérieur; membre inférieur; tronc et rachis).
- Ostéologie et arthrologie du squelette appendiculaire - Volume 1 - Olivier - Edition Vigot 2001.
- Ostéologie et arthrologie du squelette axial - Volume 1 - Olivier - Edition Vigot 2001.
- Myologie, angéologie, névrologie, topographie du membre supérieur - Volume 3 - Libersa - Edition Vigot 2001.
- Myologie, angéologie, névrologie, topographie du membre inférieur - Volume 4 - Libersa - Edition Vigot 2001.
- Myologie, angéologie, névrologie des parois du tronc - Volume 5 - Libersa - Edition Vigot 2001.
Assessment : 1st and 2nd exam periods:
- written exam with 1 open question, 4 short open questions, 50 multiple-choice questions with general implicit solutions and certainty indexes.
- integrative oral exam (skills test). All students are tested by a jury with 5 lecturers. Each jury has a question database (PSL type). Students draw lots for a question, then have 45 minutes for preparation and are tested for 20 minutes.
- Multidisciplinary practical exam for Anatomy, Histology and Anatomopathology (same week, group alternation).
Contacts : Musculoskeletal System Module Coordinator:
Philippe GILLET, Chargé de cours (Junior Lecturer)
Service de chirurgie de l’appareil locomoteur, CHU Sart-Tilman (B35)
Administration secretary: Ms Lhôte, phone: 04/366 88 52, email: chirortho@ulg.ac.be




ULg : Students and Studies Administration - Academic Affairs
Contact : Monique Marcourt, direction A.E.E.
Date of data : 27/02/2006
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