Professional Documents
Culture Documents
Study Guide
Course Title
Musculoskeletal system
Page
No. Item
No.
1 List of Contents 2
2 Welcome Message 3
3 Course Identification
4 Course Objectives and Learning Outcomes
5 Course Learning Outcomes
6 Course Content
Specific Learning Outcomes of the Course in alignment to the SaudiMED
7
Framework
8 Time table
9 Activity details
13 Student responsibility
14 Intended Students
You are welcome to the course of the Musculoskeletal System, which is the first
course in semester 2, year 3. This is an 8-credit course and involves disciplines that
incorporate basic medical sciences and clinical sciences of Musculoskeletal System.
During the course, the students will learn about the different muscles and muscle
groups, the different parts of the skeleton. By the end of this course, you will be able
to describe and identify the different parts and structure of the Musculoskeletal
System and obtain a medical history and perform clinical examination of this system.
Moreover, you will be able to assess and interpret the radiographs of this system.
CLOs
1 Knowledge:
1.1 Describe the different muscles and muscle groups of the upper and lower limbs, head and neck
and trunk and their collective action and the neurovascular bundle in normal and pathological
situations and their outcomes.
1.2 Describe the bone types and the morphology of the different bones in the upper and lower
limbs, head and neck and trunk and their radiological appearances of the normal and common
bones injuries and fractures
1.3 Describe the common pathological conditions in the upper and lower limbs, head and neck and
trunk and their management.
2 Skills :
2.1 Interpret the radiological appearances of the normal and common bones injuries, fractures and
pathological conditions in the upper and lower limbs, head and neck and trunk.
2.2 Differentiate between the functional and morphological defects, injuries and pathological
conditions of muscles and the neurovascular bundle in the upper and lower limbs, head and
neck and trunk and their outcomes.
2.3 Formulate the differential diagnosis and plan of management of the common pathological
conditions in the upper and lower limbs, head and neck and trunk
2.4 Demonstrate the ability to work, Lead and collaborate with health team and health system.
2.5 Make appropriate clinical judgments and decisions, in partnership with patients and/or their
careers and other colleagues.
2.6 Demonstrate commitment to lifelong learning upholding principles that govern professional,
ethical decision-making.
2.7 Demonstrate the ability to search, retrieve and appraise relevant information.
3 Competence:
3.1 Obtain comprehensive focused medical history from patient with musculoskeletal system
complain and record it electronically.
3.2 Communicate effectively with patient, patient family, the members of the medical team and the
health system.
3.3 Perform clinical examination of the musculoskeletal system.
6. Course Content
Community-oriented practice
Specific Learning Outcomes
Patient care
should be able to:
TBL: Practical:
Tuesday SDL
Biochemical Components of bone & cartilage Shoulder region and axilla
14/03/2023
Dr. Vijaya Marakala Dr. Taura, Dr. Assad, Dr. Adel
PBL 1
IL: IL: Dr. Ammar Ibrahim (Leader), Prof.
Wednesday
Bone tumors Elbow joint Bappa Adamu, Dr. Ahmed Alameer, Mentoring and portfolio
15/03/2023
Dr. Abdulla Hashish Dr. Hani Dr. Emad Bahashwan, Dr. Reda
Abdelrazik
Lab: Histology
IL: Anterior IL: Post. Skeletal muscle, bone, and cartilage
Thursday compart compart (GB)
Panel Discussion and Weekend Feedback
16/03/2023 of the forearm of the forearm Dr. Alshimma
Dr. Elwathiq Dr. Adel Nerve conduction velocity (GA)
Dr. Nahid, Dr, Jelani, Dr. Isa, Dr. Sameer
Week 2
Times
PBL 2
IL Dr. Adamu imam Isa (Leader),
Sunday Practical:
IL: Calcium and phosphate Wrist joint and Dr. Ali Eragi, Dr. Sameer, Dr.
19/03/202 Arm & cubital fossa
Hanan Babiker hand
3 AbuBakar Jibo, Dr. Abdulelah Dr. Elwathiq, Dr. Hani Dr. Assad,
Dr. Taurra
Al-jarallah
Break
Tuesday Seminar:
SDL Surface marking and clinical anatomy of the
21/03/202 Radiological anatomy of the upper limb
upper limb
3 Dr. Bandar Elhendi
Dr. Hani
Wednesda PBL 2
y Dr. Adamu imam Isa (Leader),
Practical: Wrist & hand
Dr. Ali Eragi, Dr. Sameer, Dr. Mentoring and portfolio
22/03/202 Dr. Taura, Dr. Hani, Dr. Adel
AbuBakar Jibo, Dr. Abdulelah
3 Al-jarallah
IL: IL.
Thursday Nerves injuries of Osteoporosis
23/03/202 SDL the upper limb Prof: Nabih Panel Discussion and Weekend Feedback
3 Dr. Assad A. Dayem
(10:00-10:40) (11:20-12:00)
Week 3
Times
Period 1 Period 2 Period 3 Period 4 Period 4 Period 5 Period 6
Day
12:00 14:20-15:00
08:00-08:50 10:00-10:40 10:40-11:20 11:20-12:00 to 13:00-13:40 13:40-14:20
13:00
IL: PBL 3
The anterior and Dr. Ayman Alashkar (Leader), Dr. Skill lab:
medial
Break
Sunday Ashraf Salah, Dr. Tarik Elnahriry, Medical history MSK
SDL compartments of SDL
26/03/2023 Dr. Elhadi Miskeen, Dr. Tarik El- Dr. Waleed, Dr. Abdulaziz, Dr. Reda,
the thigh
Jack Dr Emad
Dr. Taura
PBL 3
Dr. Ayman Alashkar (Leader), Dr.
IL
Wednesday Ashraf Salah, Dr. Tarik Elnahriry,
Ant & Later. Leg Mentoring and portfolio
29/03/2023 Dr. Elhadi Miskeen, Dr. Tarik El-
Dr. Taura
Jack
Practical
IL: IL: Gluteal & Hip
Thursday Popliteal fossa and Foot and Ankle joint Panel Discussion and Weekend
30/03/2023 back of the leg joint Dr. Adel, Dr. Feedback
Dr. Assad D. Hani Elwathiq, Dr.
Assad
Week 4
Times
Day Period 1 Period 2 Period 3 Period 4 Period 5 Period 6
11:20- 14:20-15:00
10:00-10:40 10:40-11:20 12:00 to 13:00 13:00-13:40 13:40-14:20
12:00
PBL 4
Dr. Vijaya Marakala (Leader),
Practical: Thigh
Sunday Dr. Mutasim E. Ibrahi, Dr.
Mid-course exam Dr. Taura, Dr. Elwathiq , Dr. SDL
02/04/2023 Abdullah Dashen, Dr. Ahmed
(10:00-11:) Adel
Sonpol, Dr. Mohammed Ohaj
TBL: IL: IL
Break
IL:
Tuesday Rheumatoid arthritis Inflammatory Gout
SDL Osteoarthritis
04/04/2023 Prof. Nbih Dr. Osama Abass Bone Disease Dr. Osama
Dr. Ammar
Dr. Tariq
PBL 4
Practical: Dr. Vijaya Marakala (Leader),
Wednesday Mentoring and portfolio
Knee joint Dr. Mutasim E. Ibrahi, Dr.
05/04/2023 Abdullah Dashen, Dr. Ahmed
Dr. Assad, Dr. Adel, Dr. Elwathiq
Sonpol, Dr. Mohammed Ohaj
IL:
Myasthen Panel Discussion and Weekend
Thursday Practical: Foot and Ankle joint ia Gravis
SDL Feedback
06/04/2023 Dr. Assad Dr. hani Dr. Taurra Prof.
Nabih A.
Dayem
Week 5
Times
Perio
Period 1 Period 2 Period 3 Period 4 Period 5
Day d6
10:40- 12:00 to 14:20-
10:00-11:00 11:20-12:00 13:00-13:40 13:40-14:20 15:00
11:20 13:00
Practical: Bone and joint
pathologies (G B) PBL 5 Skill lab: online (Males and
Sunday
Dr. Shahzada Khalid Dr. Adamu imam Isa (Leader), Dr. Ali Eragi, Dr. Females)
09/04/202
Sameer, Dr. AbuBakar Jibo, Dr. Abdulelah Al- Surface and clinical anatomy of
3 jarallah
SDL for other Group the lower limb
Dr. Elwathiq
TBL IL:
Monday Practical:
Neurovascular bundle of the Face and
10/04/202 Vertebral column SDL
lower limb and scalp
3 Dr. Adel, Dr. Elwathiq, Dr. Hani
Dr. Elwathiq Dr. Assad
Break
Seminar
Tuesday
Major blood vessels of the
11/04/202 SDL CBL:
head and neck
3 Disc prolapse
Dr. Elwathiq
Wednesday PBL 5
Practical: Skull Dr. Adamu imam Isa (Leader), Dr. Ali Eragi, Dr.
12/04/202 Mentoring and portfolio
Dr. Hani, Dr. Taura, Dr. Assad Sameer, Dr. AbuBakar Jibo, Dr. Abdulelah Al-
3 jarallah
IL:
Thursday Nerves injury
IL: Arthritis Hospital visit Panel Discussion and Weekend
13/04/202 of the lower
Dr. Waad Orthopedic department Feedback
3 limb
Dr. Hani
Week 6
Times
Eid Alfitr holidays (13 - 25/04/2023) Eid Alfitr holidays (13 - 25/04/2023)
Wednesda
Break
Skill lab:
Practical:
y Clinical examination of the lower limb
Back and abdominal walls Mentoring and portfolio
26/04/202 Dr. Waleed, Dr. Ahmed Sonpol, Dr. Ali, Dr.
Adamu Dr. Assad, Dr. Hani, Dr. Elwathiq
3
IL: Ear (external IL: Muscles of Skill Lab
Thursday and middle) Back Cranial nerves examination (1) (III, IV, Panel Discussion and Weekend
27/04/202
V, VI, VII, IX, XII) Feedback
3 Dr. Hani Dr. Taura Dr. Reda, Prof. Bappa, Dr. Emad
Week 7
Times
Break
Sunday Neck
middle) Mohammad Muzaffar Mir, Prof. SDL
30/04/2023 viscera
2 Face and scalp Mohammed Nabih, Dr. Osama Abbas, Dr. Adel
Dr. Taura, Dr. Assad, Dr. Elwathiq
Dr. Abdullah Hashish/ Dr. Adel
IL.
IL: Temp &
Monday TBL: Triangles of the neck Pterygopalatine Radiological imaging of head and neck
Infratemporal
01/05/2023 Dr. Assad fossae Dr. Dr. Bandar Elhendi
Dr. Adel
Dr. Hani
Seminar Skill Lab
Tuesday
Back pain SDL Neck examination
02/05/2023
Dr. Abdullah Alshahrani Dr. Ahmed Alameer, Dr. Ahmed Sonpol, Dr. Sultan
PBL 6
Wednesday
Practical: Dr. Mohamed Jeelani (Leader), Prof.
Neck triangles and Viscera Mohammad Muzaffar Mir, Prof. Mentoring and portfolio
03/05/2023
Dr. Hani, Dr. Taura, Dr. Assad Mohammed Nabih, Dr. Osama Abbas, Dr.
Abdullah Hashish/ Dr. Adel
IL
Practical: IL: Muscle relaxants Tetanus
Thursday
Temporal and infratemporal fossa Prof. Nabih A. Dr. Ali M. Panel Discussion and Weekend Feedback
04/05/2023
Dr. Taura, Dr. Assad, Dr. Adel Dayem Eleragi
Week 8
Times
Abdulelah
Break
Tuesday
09/05/20
23
Wednesd
ay
10/05/20
23
Revision
Revision
Week 8
Times
Day Period 1 Period 2 Period 3 Period 4 Period 4 Period 5
08:00-08:50 09:00-09:50 10:00-10:50 11:00-11:50 12:00 to 13:00 13:00-13:50 14:00-14:50
Sunday
Theory exam
Break
14/05/2023
Monday
15/05/2023 Practical exam
1. Activity details
Sunday Date: 12/03/2023 Time: 08:00-09:00
Activity No.
Activity type Course Introduction
Tutor Course Committee
Title Introduction to Course of "Musculoskeletal System"
General outline of the course, rationale and goals
Specific Learning Outcomes
Release of the study guide
Resources
Page 40 of 82
Date: 13/03/2023 Time: 08:00-08: 50
Sunday
Activity No. 1
Activity type IL
Tutor Dr. Haney
Page 41 of 82
Sunday Date: 13/03/2023 10:00-10:50
Activity No. 5
Activity type IL
Tutor Dr. Adamu Isa Imam
Types of nerve fibers
1. Explain the various classification of nerve fibers based on their diameter, degree
of myelination and conduction velocity.
2. Explain the factors affecting nerve conduction velocity
Medical Physiology for under graduate Students. InduKhurana. (Elsevier)
Resources
Chapter 2.1, p.55-59
Page 42 of 82
4. Identify the histological structure of bone cells, matrix and types: compact
(lamellar and Haversian system) and spongy.
Junqueira’s. Basic Histology. T E X T AND AT LAS. Anthony L. Mescher 13th
Resources
ed. Pages: 130-158, 191-211.
Page 43 of 82
Activity type Practical
Tutor Dr. Taura, Dr. Assad, Dr. Adel
Shoulder region and axilla
1. Identify the basic features of the synovial, cartilaginous and fibrous joints.
2. Identify the structures forming the shoulder joint, and identify the parts of the joint
capsule and the ligaments associated with it.
3. Identify movement and that muscles acting on the shoulder joint.
4. Locate the muscles of the rotator cuff
5. Locate the structural compromise between freedom of movement and stability.
6. Describe what happens if the following muscles are paralyzed? Trapezius, serratus
anterior, latissimus dorsi, teres major, deltoid, subscapularis, their collective role and
the action of each
7. Identify the muscles of the shoulder region.
6. Identify the boundaries of the axilla.
7. Identify the contents of the axilla.
8. Identify the formation of the brachial plexus.
9. Identify the origin, course, branches and termination of the three parts of the
axillary artery
10. Locate the different groups of lymph nodes in the axilla and their drainage.
• Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages 429 – 434.
Resources
Page 44 of 82
Resources
Page 45 of 82
Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages 380-384, 391–
Resources 394.
Page 46 of 82
Sunday Date: 19/03/2023 13:00-14:50
Activity No. 14
Activity type Practical
Tutor Dr. Elwathiq, Dr. Taura Dr. Assad,
Title arm & cubital fossa
1. Locate the attachments, innervation and actions of the muscles of the arm.
2. Demonstrate the boundaries and contents of the cubital fossa.
3. Follow the brachial artery, musculocutaneous nerve, ulnar nerve, radial nerve and
medial nerve and their landmarks and functions.
Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages: 367 – 376, 380 -
Resources 394.
Page 47 of 82
4. Identify the common extensor origin.
5. Relate the superficial and deep extensor of the forearm.
6. Identify the parts of the elbow joint.
Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages: 367 –376, 380 -
Resources 394.
Page 48 of 82
4. Outline the different complications types of fractures that may occur in the upper
limb.
Page 49 of 82
Sunday Date: 22/03/2023 10:00-11:50
Activity No. 22
Activity type PBL
Tutor
Title
Page 50 of 82
Sunday Date: 26/03/2023 08:00-09:50
Activity No. 25
Activity type IL
Tutor Dr. Hani, Dr. Taura, Dr. Assad
Title Practical Bones of the lower limb
2. Identify the head, neck, greater trochanter, lesser trochanter, intertrochanteric
crest, intertrochanteric line, and the linea aspera of the femur.
3. Identify the boney parts, ligaments and capsule of the hip joint.
4. Identify the structures in the lower end of the femur.
5. Identify the structures in the upper end of tibia and fibula.
6. Identify the surfaces and borders of the tibia and fibula, indicating the medial and
lateral malleoli and the soleal line of the tibia.
7. Identify the bones and surfaces forming the ankle and small joints.
8. Locate the tarsal bones.
Resources Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition.
Page 51 of 82
Activity No. 27
Activity type PBL 3
Tutor
Title
Page 52 of 82
Activity No. 30
Activity type Skill lab
Tutor Dr. Waleed, Dr. Ahmed Sonpol, Dr. Adamu, Dr Abdulelah
13:00-13:50
Monday Date: 28/03/2023
Activity No. 32
Activity type IL
Tutor Dr. Mohammed O. Mohammed
Title IL: Biochemical structure of Sarcomere
1. List the main biochemical components of muscle fibre& list its organelles in
relation to their functions.
2. Explain the function of Dystrophin and related proteins.
Page 53 of 82
3. List muscular dystrophies.
4. List the main proteins composing the structure of sarcomere with a description of
the function of each.
5. List the main proteins composing thin & thick filaments & their relationships in
skeletal muscles.
Resources Harper’s illustrated biochemistry, 30th ed chapter 51, pages; 647-653
Page 54 of 82
Tuesday Date: 29/03/2023 08:00-08:50
Activity No. 34
Activity type IL
Tutor Dr. Taura
Title IL: Ant & Later. Leg
1. Name the muscles of the extensor (anterior) compartment of the leg.
2. Outline their insertion, innervation and actions.
3. Describe the neurovascular bundle in the anterior compartment of the leg.
4. Name muscles in the lateral (peroneal) compartment of the leg.
5. Mention the innervation and actions of muscles in the anterior compartment of
the leg.
Resources Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages 481 – 487.
Page 55 of 82
Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages 445 – 449, 465 –
Resources 467.
Page 56 of 82
Monday Date: 02/04/2023 10:00-11:50
Activity No. 40
Activity type Practical
Tutor Dr. Taura, Dr. Assad, Dr. Adel
Title Thigh
1. List the muscle in each compartment of the thigh.
2. Describe muscles of the anterior and posterior compartments of the thigh.
3. Describe the adductor group of muscles.
5. Describe the nerves and vessels passing between the pelvis and thigh on the
anterior, medial and posterior aspects of the thigh.
6. Review the origin and distribution of the lumbar and lumbosacral plexuses.
7. Describe the boundaries and contents of the femoral triangle
Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages: 436 – 449, 465 -
Resources 467.
2. Describe the radiological appearance of injured joints in the upper and lower
limbs.
5. Describe the common types of bone fractures in the upper and lower limbs.
Page 57 of 82
Tuesday Date: 03/04/2023 10:00-11:50
Activity No. 42
Activity type Practical
Tutor Dr. Elwathiq, Dr. Hani, Dr. Taura
Title Leg
1. Identify the muscles of the extensor (anterior) compartment of the leg
2. Identify insertion, innervation and actions of muscles in the compartments of the
leg.
3. Identify the muscles in the lateral (peroneal) compartment of the leg.
1. Identify insertion, innervation and actions of muscles in the compartments of the
leg.
2. Identify the muscles of the posterior (flexor) compartment of the leg.
Resources Snell’s Clinical Anatomy by Regions. Richard Snell. 9th. Edition. Pages 481 – 487.
Resources
Page 61 of 82
Sunday Date: 09/04/2023 10:00-11:50
Activity No. 7
Activity type PBL
Tutor
Title
Page 64 of 82
6. Outline the radiological techniques used to diagnose disc abnormalities and their
findings
7. Describe the pharmacology and mechanism by which NSAIDs and paracetamol act
to relieve in cases of disc injuries
8. Outline pain management in cases of back pain.
Page 67 of 82
Thursday Date: 27/04/2023 10:00-11:50
Activity No. 1
Activity type Skill Lab
Tutor Dr. Reda, Prof. Bappa, Dr. Emad
Title Cranial nerves examination (1) (III, IV, V, VI, VII, IX, XII)
Perform clinical examination of cranial nerves (III. IV. V, VI, VII, XI, XII).
Resources • Talley clinical method last edition.
• Hutchison's clinical methods 23rd ed. Section 3.
Page 68 of 82
6. Describe the subdivisions of the posterior triangle of the neck.
7. Describe the contents of the posterior triangle of the neck.
Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy.
Resources Lippincott Williams & Wilkins. 5th edition. Pages:1065-1075
Page 69 of 82
Moore, Keith L.; Dalley, Arthur F., Clinically Oriented Anatomy, 5th Edition. Pages: 976-
Resources 978, 1010-1011.
3. Identify the subdivisions of the anterior and posterior triangles of the neck.
4. Identify the contents of the anterior and posterior triangles of the neck.
Page 71 of 82
Thursday Date: 04/05/2023 08:00-09:50
Activity No. 1
Activity type Practical
Tutor Dr. Taurra, Dr. Elwathiq, Dr. Hani, Dr. Adel
Title Temporal and infratemporal fossa
1. Identify the temporal and infratemporal fossae
2. Identify the boundaries of temporal and infratemporal fossae.
3. Identify the contents of temporal and infratemporal fossae.
Moore, Keith L.; Dalley, Arthur F., Clinically Oriented Anatomy, 5th Edition. Pages: 976-
Resources 978, 1010-1011.
Page 73 of 82
Sunday Date: 07/05/2023 Time: 11:00-11: 50
Activity No. 1
Activity type IL
Tutor
Title Spine injury
1. Define Spine injury
2. list the causes spine injuries
Explain the clinical presentation of spine injury in relation to the level of the injuries
Outline the complication and management of spine injuries
Page 75 of 82
2. Assessment Tasks for Students
Percentage of Total
# Assessment task Week Due
Assessment Score
Page 76 of 82
a. The specified office hours of the course instructors, course coordinator & co-
coordinator are provided to the students before the start of the course for
academic supervision, guidance and advice.
b. The academic advice and mentoring is two hours weekly. In addition to this
mentors are accepting students inquiries and counsel them on daily basis
c. Tutors of the course are available during the working hours and accepting
student’s inquiries on daily basis
d. Department of medical education is accepting students inquiries counsel
them on daily basis
e. Program coordinator is accepting students inquiries and counsel them on
daily basis
f. Vice Dean for Academic Affairs is accepting students inquiries and counsel
them on daily basis
g. Specialist services and programs targeted for individual students
h. Programs that provide special resources to support students experiencing
difficulties in learning
i. Counseling and social networks
j. Financial aid advising and funding
k. Development of learning communities
Page 78 of 82
11. www.ota.org/res_slide/G07_Biology_of_Bone_Repair.ppt
12. www.calgaryhealthregion.ca/programs/orthopaedictrauma/pdf/pt_education/stage
s_of_bone_healing.pdf
13. http://www.clinchem.org/cgi/content/full/45/8/1347
14. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=1
6648882
15. http://www.wiserwiki.com/Metabolic_Bone_Disease
16. http://emedicine.medscape.com/article/985766-overview
17. http://www.oley.org/lifeline/Metabolicbonedisease.html
18. http://www.mayoclinic.com/health/pagets-disease-of-bone/DS00485
19. http://kidney.niddk.nih.gov/kudiseases/pubs/renalosteodystrophy/
20. http://www.fluoridealert.org/health/bone/fluorosis/renal-osteodystrophy.html
5. Physiology
1. http://www.nedbook.adam.com/pages/IPWeb/home/index2.html
6. Radiology
1. http://www.rad.washington.edu/anatomy/
2. http://www.radiologyeducation.com/
3. http://www.bartleby.com/107/
4. http://www.skeletalrad.org/resources/web_resources.aspx
7. Medicine
1. http://library.med.utah.edu/neurologicexam/html/gait_abnormal.html
8. Paediatric
1. www.emedicine.com; then go to pediatrics; then musculoskeletal disorders
9. Orthopedics:
www.medscape.com/emedicine/orthopedic surgery
Other
Learning Skill lab software
Materials
5. Student responsibility
Page 79 of 82
b. Focus group (by MEU and Quality & Development Committee)
Note: Any specific instruction relevant to the course should be added in the
section given above.
6. Intended Students
Students Names and TBL and PBL groups
Page 81 of 82
7. Study Guide Approval Date
Curriculum committee
Council / Committee
……….
Reference No.
28.12.2020
Date
Page 82 of 82