presented by Robert Boyles
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Robert Boyles, PT, DSc, OCS, FAAOMPT
Dr. Boyles is a clinical assistant professor of physical therapy at the University of Puget Sound in the Pacific Northwest. Dr. Boyles’ primary area of instruction is orthopedics, which includes evaluation and intervention, manual therapy treatment techniques for the spine and extremities, introduction to joint mobilization, spine manipulation, and clinical radiology. Currently, he serves as…Read full bio
1. Ankle and Foot
This chapter covers the Ottowa Ankle and Foot rules to determine if a fracture is present, specifically the sensitivity and specificity of the tests. Bob Boyles then discusses fracture classification using the Danis-Weber and the Lague-Hansen Classification systems. Participants will learn to apply the various rules and classification systems to injuries to determine the nature of the injury and appropriateness of imaging.
2. Hip and Pelvis
Imaging of the hip and pelvis can easily identify immature skeletal structures, and fractures, which can further cause hematomas, and possible urethral and bladder injuries. This chapter will describe the use of imaging in pelvic fractures, pelvic stress fractures, and osteitis pubis. The participant will be able to discuss methods for identifying high yield areas for hip trauma, such as hip dislocations, widening of joint space, femoral neck or intertrochanteric fractures, and pelvis or acetabular fractures. The chapter concludes with the discussion of a case study.
The knee can be imaged using both plain films and MRI scans. The MRI scan is used for identifying ligament, cartilage, and tendon injuries. In this chapter, the participant will learn to apply the Pittsburgh Knee Rule and Ottawa Knee Rule. Several diagnoses are covered, including loose bodies, fractures, ligamentous injuries and cartilage injuries.