Exame Para Ortopedistas da SICOT

The candidate must demonstrate adequate knowledge of the following
Anatomy and embryology of bone and joints
Clinical and functional anatomy of hip, knee, shoulder, elbow, wrist, hand foot, ankle and spine, with an emphasis on applied surgical anatomy
Relevant surgical approaches to upper and lower limbs, pelvis and spine
Embryology; the growth and development of the organs of movement
Anatomy, structure and function of the following soft tissues
Articular Cartilage
Muscle and tendon
Intervertebral disc

Applied physiology and pathology of the following clinical conditions
Shock -‐ types, physiology, recognition and treatment
Principles of fracture healing
Mechanisms of wound healing
Metabolic and immunological response to trauma
Blood loss and blood transfusion
Fluid balance and resuscitation
Venous Thromboembolism and Thromboprophylaxis
Tendon injury and healing
Ligament injury and healing
Nerve injury and regeneration
Calcium metabolism and hormonal regulation
Metabolic bone disease
Rheumatoid arthritis –medical and surgical treatment
Inflammatory and crystal arthropathies
Neuromuscular disorders –assessment and management
Heterotopic ossification
Mechanisms and classification of failure of joint replacement
Mechanisms and classification of peri-‐prosthetic fractures
Tissue repair and the process of regeneration of skin, blood, bone, cartilage, arteries and veins
Grafting techniques of skin, bone, tendons and nerve.
Biomaterials, Implants, Prostheses and Orthoses
Bone grafts, bone banking and tissue transplantation
Biomechanics of bone and joints –hip, knee, ankle, foot, spine, shoulder, elbow and wrist
Biomechanics of fracture fixation
Tribology of joints
Design and rationale of implants
Factors associated with implant failure
Principles of design of prostheses and orthotics
Principles of orthotic bracing
Basics of Genetics, cell biology, gene structure and genetic disorders
Investigative modalities commonly used
Commonly used blood tests –indications and clinical applications
Musculoskeletal imaging modalities: radiographs, contrast studies, CT, MRI, ultrasound, radioisotope studies, SPECT and PET
Assessment of bone mass and fracture risk –DEXA and Quantitative CT (QCT)
Electrophysiological investigations

Operating theatre and equipment
Design of theatres –different types, laminar flow systems
Tourniquet use and complications
Diathermy use and precautions to be taken
Sterilisation methods commonly employed
Infection prevention and control
Patient warming methods and rationale for each
Skin preparation –principles and techniques

Principles of data management and clinical governance
Data analysis and statistics -‐ principles and applications
Principles of epidemiology
Design and conduct of clinical trials
Quality improvement projects
Clinical Audit -‐ principle's
Principles of research
Principles of evidence based practise
Multimodal and multidisciplinary management of pain in Orthopaedic practise
Normal gait and common gait deviations

Infection of bone, joint and soft tissue, including tuberculosis
Principles of diagnosis and management of tuberculosis of musculoskeletal system
Assessment, diagnosis and management of osteomyelitis both acute and chronic
Diagnosis and management of necrotizing fasciitis
Management of soft tissue infection of musculoskeletal system
Hospital acquired infection
Prosthetic joint infection –principles of management, especially total hip and knee arthroplasties
Surgery in high risk and immune -‐ compromised patients –precautions and management

The candidate must demonstrate adequate knowledge of the following
Common benign and malignant tumours -‐ presentation, investigation and management principles.
Metastatic bone disease –principles of management: prophylactic and definitive fixation of pathological
Management principles of soft tissue sarcomas
The candidate must be able to describe tumour classes and their behaviour:
Primary lesions
Metastatic lesions
The candidate must demonstrate adequate knowledge of most common primary benign and malignant bone tumour types: including presentation, radiologic characteristics and natural history, formulating appropriate investigation and management options
Osteoid lesions
Others, including but not limited to, unicameral bone cyst, hemangioma, histiocytosis, lipoma, eosinophilic granuloma,
giant cell tumour, aneurysmal bone cyst, Ewing’s sarcoma, adamantinoma, chordoma, hemangiopericytoma, osteoid
osteoma, osteoblastoma
The candidate must demonstrate adequate knowledge of different primary benign and malignant soft tissue tumours: including presentation, radiologic characteristics and natural history, formulating appropriate investigation and management options
Fibrous lesions
Lipoid lesions
Muscle lesions
Vascular lesions
Nerve lesions
Others, including but not restricted to, myxoma, fibrosarcoma, malignant fibrous histiocytoma, pigmented
villonodularsynovitis, giant cell tumour of tendon sheath, myositis ossificans, tumoralcalcinosis
The candidate must demonstrate a thorough knowledge of the principles of
Bone biopsy techniques –needle and open
Principles of management of metastatic disease including stabilisation
Treatment of common benign tumours
Treatment of common malignant tumours
Staging of bone tumour
Benign bone and soft tissue tumour excision
Surgical management of malignant bone and soft tissue tumours, principles of limb salvage
Chemotherapy for bone and soft tissue tumours
Radiotherapy for bone and soft tissue tumours
The candidate must demonstrate knowledge to be able to assess the following:
Size of the tumour and its relationship to fascia
Neurovascular and articular involvement
Lymphatic involvement
Sites of metastatic potential for primary musculoskeletal tumours
Organs systems likely to metastasise to the musculoskeletal system
Tumour characteristics including issues specific to age and gender


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Dr MARCOS BRITTO DA SILVA - Médico Ortopedista
Rio de Janeiro, Rio de Janeiro, Brazil
- Médico Ortopedista Especialista em Traumatologia e Medicina Esportiva - Chefe do Serviço de Ortopedia e Traumatologia do Hospital Pró-Cardíaco - ex Presidente da SBOT RJ - Professor Convidado da Faculdade de Medicina da Universidade Federal do Rio de Janeiro - Membro Sociedade Brasileira de Medicina do Exercício e do Esporte - Médico do HUCFF-UFRJ, - International Member American Academy of Orthopaedic Surgeons - Membro da Câmara Técnica de Ortopedia e Traumatologia do CREMERJ, - Especialista em Cirurgia do Membro Superior pela Clinique Juvenet - Paris, - Professor da pós Graduação em Medicina do Instituto Carlos Chagas, - Professor Coordenador da Liga de Ortopedia e Medicina Esportiva dos alunos de Medicina da UFRJ, - Membro Titular da SBOT - ( Sociedade Brasileira de Ortopedia e Traumatologia), - Membro Titular da SBTO - ( Sociedade Brasileira de Trauma Ortopédico), - Mestre em Medicina pela Faculdade de Medicina da UFRJ - Internacional Member AO ALUMNI - Internacional Member: The Fédération Internationale de Médecine du Sport,(FIMS) - Membro do Comitê de ètica em Pesquisa HUCFF-UFRJ.