COLLEGE OF MEDICINE AND HEALTH
Medicine, Nursing and Allied Health Professions

Musculoskeletal Pathology

Module titleMusculoskeletal Pathology
Module codePAMM101
Academic year2020/1
Credits15
Module staff

Dr Martin Benwell (Convenor)

Dr Christine Heales (Convenor)

Duration: Term123
Duration: Weeks

2

2

2

Number students taking module (anticipated)

20

Description - summary of the module content

Module description

This module will introduce you to a range of pathological conditions associated with the musculoskeletal system and develop your understanding and identification of the typical radiological appearances.  These will include degenerative and erosive arthritis, metabolic and inflammatory disease, benign and malignant tumours, congenital and genetic disease and other common miscellaneous diseases. It will consolidate your understanding of osteology and allow you to apply it to pathological processes. 

Students undertaking this module should be familiar with projection radiography images and have an understanding of anatomy and physiology.

Module aims - intentions of the module

This module will ensure that you have a comprehensive understanding of the pathogenesis and radiographic appearances of the various pathologies and conditions which can affect the musculoskeletal system.  You will consequently apply this knowledge of the underlying pathological processes in order to arrive at an accurate interpretation of the radiographic appearances. 

The module also aims to support you in developing your knowledge of osseous development through to skeletal maturity and apply this to your understanding of a range of pathological processes such as fracture healing and bone metabolism.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Recognise a range of typical radiographic appearances and common pathological processes on projection radiographs of the musculoskeletal system, linking to clinical presentation and risk factors.
  • 2. Working from the current evidence-base, identify radiographic appearances relative to normal osseous development and in relation to physiological processes.
  • 3. Apply advanced knowledge and undertake analysis of appropriate information in order to develop a deep understanding of the underlying physiological and pathological processes which result in differing radiological appearances as demonstrated on projection radiographs.
  • 4. Produce a written report which is clinically useful and relative to the clinical questions the radiographic examination is intended to answer.

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 5. Use medical vocabulary and accurate terminology to describe image findings precisely in all teaching and learning activities.
  • 6. Undertake analysis of complex image findings and cases and apply advanced theoretical knowledge in the evaluation of findings in the context of the most recent evidence-base.
  • 7. Evaluate the context of the radiological report in light of the clinical indications and how it may impact on the subsequent management of the patient.

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 8. Identify, evaluate and maintain qualities to support effective communication in a range of complex and specialised contexts
  • 9. Exercise initiative and personal responsibility for independent learning and continuing professional development.

Syllabus plan

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

This module will introduce students to a wide range of musculoskeletal pathologies and will enable the development of a comprehensive appreciation of the typical associated radiological appearances.

Normal osseous development of the skeleton; this will cover ossification, bone formation and normal skeletal development. The osteology of fracture healing will also be included.

Bone metabolism: exploring normal bone metabolism and how the various metabolic bone diseases impact on the skeleton and the common radiological appearances. Examples of the disorders would include osteoporosis, osteomalacia, hyperparathyroidism and renal disease.

Other pathologies covered in the module include:

Arthritis; degenerative joint disease, inflammatory arthritis such as Rheumatoid Arthritis and the seronegative arthropathies (i.e. ankylosing spondylitis). The pathogenesis of the various arthritis will be correlated with radiological appearances.

Neoplasms: both benign and aggressive bone tumours. Students will be equipped with the knowledge to be able to differentiate between the different types of bone tumours using clinical information and radiographic appearances. They will gain an appreciation of the pathological processes involved and potential complications that may be associated with tumours of bone.

Other skeletal pathologies in the syllabus include; common congenital dysplasia’s, osteomyelitis and peripheral neuropathy associated with diabetes and effects on the appendicular skeleton.

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
251250

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled Learning & Teaching activities15Lectures - to be delivered over five 2-day teaching blocks, with 2 hours of lectures or seminars each day
Scheduled Learning & Teaching activities10Image viewing/test banks
Guided independent study75Assessment preparation
Guided independent study50Guided reading

Assessment

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Image interpretation3 test banks1,2,4,5,6,8,9Verbal

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
10000

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Poster and presentation10015 minute individual presentation1-9Written

Re-assessment

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Poster and presentation15 minute individual presentation resubmission of the original work 1-9Typically within twelve weeks of the result

Re-assessment notes

 

 

Resources

Indicative learning resources - Basic reading

 

1.  Adam, A., Dixon, A. K., Gillard, J. H. and Schaefer-Prokop, C. M. eds., 2015.  Grainger And Allison’s Diagnostic Radiology: A Textbook Of Medical Imaging.  6th ed.  Churchill Livingstone Elsevier.  EHL (NHS): WN 100 GRA Vol 1 and WN 100 GRA Vol 2

2.  Blankenbaker, D. G., Davies, K. W., Sonin, A., Crim, J. R., Tuite, M. J. and Andrews, C. L., 2016.  Diagnostic Imaging: Musculoskeletal Trauma.  2nd ed.  Elsevier.  UL: electronic resource.

3.  Dähnert, W., 2017.  Radiology Review Manual.  8th ed.  Wolters Kluwer.  UL: 616.0757 DAH

4.  Davies, S. G. ed, 2014.  Chapman And Nakielny’s Aids To Radiological Differential Diagnosis.  6th ed.  Saunders.  UL: electronic resource.

5.  Fox, J C., ed., 2017.  Clinical Emergency Radiology.  2nd ed.  Cambridge University Press.  UL: electronic resource

6.  Grant, L. A. and Griffin. N., 2018.  Grainger And Allison’s Diagnostic Radiology Essentials.  2nd ed.  Elsevier.  UL: 616.0757 GRA

7.  Helms, C., 2014.  Fundamentals Of Skeletal Radiology.  4th ed.  Elsevier Saunders.  UL: electronic resource.

8.  Keats, T. E. and Anderson, M. W., 2013.  Atlas Of Normal Roentgen Variants That May Simulate Disease.  9th ed.  Elsevier Saunders.  UL: electronic resource.

9.  McConnell, J., Eyres, R. and Nightingale, J., 2005.  Interpreting Trauma Radiographs.  Blackwell.  UL: 616.0757 MAC

10.  Raby, N., Berman, L., Morley, S. and de Lacey, G., 2015.  Accident And Emergency Radiology: A Survival Guide.  3rd ed.  Saunders.  UL: 616.0757 RAB

11.  Renton, P., 1998.  Orthopaedic Radiology: Pattern Recognition And Differential Diagnosis.  2nd ed.  CRC Press.  UL: 616.0757 REN

12.  Resnick, D., 2002.  Diagnosis Of Bone And Joint Disorders.  4th ed.  WB Saunders.  UL: 616.71075 RES (Vol 1 through to Vol 5)

13.  Rogers, L. F. and Clark West, O., 2015.  Imaging Skeletal Trauma.  4th ed.  Elsevier Saunders.  UL: electronic resource.

 

ELE – http://vle.exeter.ac.uk/course/view.php?id=6299

Module has an active ELE page

Key words search

Pathology, osteology, arthritis, metabolic, disease, radiology

Credit value15
Module ECTS

7.5

Module pre-requisites

N/A

Module co-requisites

None

NQF level (module)

7

Available as distance learning?

No

Origin date

05/11/2015

Last revision date

17/12/2019