Ortho - OSCE's

Question 1

Time yourself for 12 mn & talk out loud (to time your explanations as well)

Wrist station: Grogu 50 y.o. come to your clinic in this lovely morning. He just survived a spaceship attack and his L hand was injured.

Assess the range of motion of the wrist

Assess the MMT for the 2nd digit MCP joint

Palpation

• lunate and capitate
• trapezium tubercle
• scaphoid

If time: give an exercise to increase wrist RD ROM

Answer 1

Good job!

Question 2

Station: hip
Time: 10 mn

Situation: The patient has a R hip weakness

• Assess ROM for hip flexion, extension
• Assess RISOM and MMT for hip flexion and extension
• MMT grade 3, give a endurance type exercise for hip flexion

Answer 2

Well done!

Question 3

Station: spine and stuff
Time: 10 mn

Palpation

• transversospinalis group
• quadratus lumborum
• C1 to C7

Rheumathology
- evaluate all the joints of the hand

DTF
- acromioclavicular ligament

Answer 3

Bien joué!

Question 4

Station: Knee and hip
Time: 12 mn

Situation: The patient has an old knee injury and a new pain

• Assess ROM of the knee
• Assess flexibility of ITB

Palpation:

• pectineus
• adductor magnus

Give an exercise to improve ITB flexibility

Answer 4

¡Felicitaciones!

Question 5

Station Elbow
Time: 12 mn

Mr. Skywalker, 22yo had a really bad day yesterday, he is hospitalized in the burn unit and has several amputations. On the L arm, his elbow has suffered several injuries.

Assess ROM for pronation and supination

Assess flexibility of the biceps

Biceps is not flexible -> Do a treatment to increase biceps’s flexibility

Answer 5

Bravo!

Question 6

Station: ankle
Time: 12mn
Mr Frodo just came back from his quest and feel a pain in his R ankle.

• Assess the edema
• Assess ROM inversion and eversion
• Assess also the subtalar joint
• Do the RISOM for the R ankle only

Palpation

• deltoid ligament
• head of the talus

DTF
- anterior talofibular ligament

Answer 6

Bien hecho!

Question 7

Station: shoulder
Time: 15? mn

The patient have an acute pain in the L shoulder

• Assess: Scapular movement
• RISOM for L shoulder
• Assess flexibility of the pectoralis major (your favorite head) and give a PNF treatement (contract+agonist)

Palpation
- all the insertions of RC muscles

• Give a tx to improve shld abduction

Answer 7

7ela!

Question 8

Station: Knee
Time: 20mn

The patient had a TKA post op day 1, able to WB

• make general observation of the knee
• assess the edema and girth measurement

Palpation + origin, insertion and action
plantaris
popliteus

• Describe a TKA transfer

Answer 8

Awesome!