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At least 163 records · Page 9Linked to original sources
PubMed2004

Competence in the musculoskeletal system: assessing the progression of knowledge through an undergraduate medical course.

BACKGROUND: Professional bodies have expressed concerns that medical students lack appropriate knowledge in musculoskeletal medicine despite its high prevalence of use within the community. Changes in curriculum and teaching strategies may be contributing factors to this. There is little evidence to evaluate the degree to which these concerns are justified. OBJECTIVES: To design and evaluate an assessment procedure that tests the progress of medical students in achieving a core level of knowledge in musculoskeletal medicine during the course. PARTICIPANTS AND SETTING: A stratified sample of 136 volunteer students from all 5 years of the medical course at Sheffield University. METHODS: The progress test concept was adapted to provide a cross-sectional view of student knowledge gain during each year of the course. A test was devised which aimed to provide an assessment of competence set at the standard required of the newly qualified doctor in understanding basic and clinical sciences relevant to musculoskeletal medicine. The test was blueprinted against internal and external guidelines. It comprised 40 multiple-choice and extended matching questions administered by computer. Six musculoskeletal practitioners set the standard using a modified Angoff procedure. RESULTS: Test reliability was 0.6 (Cronbach's alpha). Mean scores of students increased from 41% in Year 1 to 84% by the final year. Data suggest that, from a baseline score in Year 1, there is a disparate experience of learning in Year 2 that evens out in Year 3, with knowledge progression becoming more consistent thereafter. All final year participants scored above the standard predicted by the Angoff procedure. CONCLUSIONS: This short computer-based test was a feasible method of estimating student knowledge acquisition in musculoskeletal medicine across the undergraduate curriculum. Tested students appear to have acquired a satisfactory knowledge base by the end of the course. Knowledge gain seemed relatively independent of specialty-specific clinical training. Proposals from specialty bodies to include long periods of disciplinary teaching may be unnecessary.

Computers↗
PubMed1989

[Development of functional stability of the musculoskeletal system in athletes in childhood and adolescence].

Based on the experience gained in sports medicine a review is given on the development of functional stability of the musculoskeletal and locomotive system in actively sporting children and adolescents. Inadequate physical exercise during the growth periods may result in maladaption. Children retarded in their musculoskeletal development exhibit a reduced exercise tolerance. A training system with a high amount of exercises strengthening muscles in general may improve the efficiency of the locomotive system. In school children deficient muscular training results in a progressive reduction of stretching capacity of back and thigh (upper part) muscles. With a view to primary prevention of premature disturbances of the musculoskeletal and articular systems more attention has to be attached to the development of functional stability by adequate physical training both at school and during free-time activities.

Adolescent↗
PubMed2002

Sarcoidosis involving the musculoskeletal system.

Although sarcoidosis can affect virtually any organ, musculoskeletal involvement is infrequent. Early in the course of the disease, acute polyarthritis may be observed in up to 40% of patients, but this is often self-limited. Chronic or recurrent sarcoid arthritis is rare, affecting only 1 to 4% of patients. Asymptomatic involvement of muscles has been reported in 25 to 75% of patients in small series, but symptomatic involvement of muscles is rare. Although prospective studies assessing the prevalence of muscle involvement in sarcoidosis have not been done, several large retrospective studies suggest that symptomatic muscle involvement occurs in < 0.5% of patients with sarcoidosis. Patterns of sarcoid muscle involvement include chronic, progressive myopathy; nodular or tumorous sarcoidosis affecting muscles; and an acute polymyositis-like syndrome. Corticosteroid therapy is usually efficacious for the acute myositis variant but is less consistently helpful in the other forms (e.g., chronic myopathy or nodules). Similarly, clinically significant involvement of bone is rare (< 2-5%), and is often associated with chronic multisystemic disease, lupus pernio, and chronic uveitis. Unfortunately, osseous sarcoidosis is often unresponsive to therapy. In this review, we discuss the prevalence, clinical features, and management of sarcoidosis involving muscle, joints, and bones.

Journal Article↗
PubMed1995

Digital radiography of the musculoskeletal system: the optimal image.

Digital radiography (DR) is replacing screen-film (SF) radiography for musculoskeletal examinations in our institution. After an iterative process of image quality improvement, our DR images are now preferred to SF images, and we have detailed our current optimized settings for the Fuji 9000 (Fuji Medical Systems, Tokyo, Japan). DR offers the advantages of improved contrast resolution, adjustable image contrast, the ability to reprocess the image, and the ease of transferring the image to an image management and communication system (IMAC).

Bone and Bones↗
PubMed2004

Percutaneous CT-guided interventional procedures in musculoskeletal system (our experience).

Percutaneous interventional procedures include a broad spectrum of minimal invasive techniques, which are a useful diagnostic and therapeutic tool. In this study we present our experience in CT-guided percutaneous musculoskeletal biopsies, drainages of musculoskeletal abscesses, facet and sacroiliac joint injection and radiofrequency thermal ablation of painful metastases or osteoid osteomas.

Abscess↗