Professional Documents
Culture Documents
1 Trauma and orthopaedic surgeons diagnose and treat a wide range of conditions of the
musculoskeletal system. This includes bones and joints and their associated structures that
enable movement – ligaments, tendons, muscles and nerves. Trauma and orthopaedic
surgery is often abbreviated to T&O surgery.4
Why do you think some physicians find this field attractive and choose it as their specialty?
2 You are going to read a career story of Dr Edward Gee, a specialty registrar in T&O. 5 With your partner,
discuss the meaning of the following expressions and match them with their definitions.
English for Medics and Dentists © CJV LF MU 2020, Dvořáčková V., Klapilová J.
Intended solely for classroom use and teacher instruction
1
UNIT 5 TRAUMA AND ORTHOPAEDICS
3 Now use the words from the previous exercise in their correct form to complete the gaps in the text below.
We aim to carry out 6 _______________ (trauma) surgery - be 12 _______________ and keep your
during the day, but there are times when operations must 13 _______________ up to date
be done at night, in which case I always keep in touch with - stay humble and be gracious to your bosses, training
my consultant. I also have about four or five sessions of you is hard work
planned surgery each week (orthopaedics). One of these is a - think what you would like your
triple session where I operate for up to 12 hours a day. 14 _______________ to say – then be that person
Some operations are very quick, for example a spinal - you’ll need to be likeable with a capacity for hard work
English for Medics and Dentists © CJV LF MU 2020, Dvořáčková V., Klapilová J.
Intended solely for classroom use and teacher instruction
2
UNIT 5 TRAUMA AND ORTHOPAEDICS
1 Fractures
1 The table shows several basic types of fractures. Match them with their definitions.
1 complicated A when certain bones are likely to break from repeated minor injuries
3 spiral C a complex fracture which results in more than two bone fragments
7 impacted G one side of a bone is broken and the other is bent, most commonly seen in children
9 transverse I fracture of the skull in which (a) fragment(s) is/are pushed below the normal surface
11 depressed K the break is at a right angle to the long axis of the bone
2 Now look at the pictures and decide which type of fracture (listed in the table above) they represent.
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
3
UNIT 5 TRAUMA AND ORTHOPAEDICS
3 The following items play a role in the process of fracture healing or, conversely, in bone loss as we age.
What do they mean? Find out.
angiogenesis …………………………………………………………………………………………
callus …………………………………………………………………………………………
fragility fracture …………………………………………………………………………………………
cortical (lamellar) bone …………………………………………………………………………………………
osteoblasts …………………………………………………………………………………………
osteoclasts …………………………………………………………………………………………
trabecular bone …………………………………………………………………………………………
4 Are these statements true or false? Use your knowledge of the terms from the previous task and make an
educated guess. Then watch a video about fracture healing and fractures resulting from bone loss 10 to confirm
or correct your answers.
1 The formation of a cartilaginous bridge is the first process taking place after the fracturing
of bone. T/F
2 Angiogenesis is a bone healing process in which broken vessels are repaired and restored. T/F
3 The woven bone bridging the gap between the two pieces of the broken bone is formed
by osteoblasts and osteoclasts. T/F
4 Following the callus formation, osteoclasts take over from osteoblasts and remodel the callus
to normal lamellar bone. T/F
5 Vertebral collapse is an example of fragility fracture. T/F
6 Menopause is an aggravating factor of osteoporosis. T/F
7 Trabecular bone plays the key role in contributing to hip strength. T/F
5 Immobilisation, reduction and surgery are three basic ways to treat a fractured leg. Match each procedure
with two typical key aspects8.
external frame (external fixator) attached to the broken bones with metal pins
fix bones with metal wires, plates, screws and rods
fix a splint to the leg
local anaesthetic may be used to numb the site of the fracture
plaster cast may be needed
put misaligned bones back into place
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
4
UNIT 5 TRAUMA AND ORTHOPAEDICS
6 It is not easy to cope with the aftermath of a serious bicycle or motorcycle accident. Discuss these questions
with your colleague.
- What are the most common physical injuries which may result from a bicycle
or motorcycle accident?
- As a result of injury, people may suffer from post-traumatic stress disorder (PTSD).
What are its symptoms?
- Give tips for helping someone facing a trauma after an accident.
7 You will hear an occupational therapist, Anna Matthews, giving a presentation to a group of trainee
doctors about a patient Ted with compound (open) fractures.9 Based on your listening, summarise the
most important points under the following headings with your colleague.
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
5
UNIT 5 TRAUMA AND ORTHOPAEDICS
Match them with the following pictures. How would you explain these conditions in your own words?
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
6
UNIT 5 TRAUMA AND ORTHOPAEDICS
C EXAMINING A PATIENT
1 The words in the left part of the table are medical terms for joint movements. (These are also illustrated by the
pictures in the following exercise.) Match the terms with their definitions. 12, 13
2 abduction b act of turning the palms of the hands or soles of the feet upwards
3 retraction c movement in a circle around a fixed point away from the centre of the body
movement of a part of the body towards the middle of the body or towards
6 pronation f
another body part
9 inversion i movement in a circle around a fixed point towards the centre of the body
rotation of the palm of the hand or sole of the foot so the inner part faces
10 protraction j
down
movement of a part of the body away from the central part of the body or
11 external rotation k
from another body part
2 Match the illustrations of joint movements (1–9) with the correct medical terms (a–k). Then choose the
appropriate patient instruction (A–K).12, 13 Note that two of the illustrations are linked to two terms
(instructions).
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
7
UNIT 5 TRAUMA AND ORTHOPAEDICS
3 Listen to a consultation and complete the doctor's instructions. 12 What do you think the presenting
complaint was?
Why do you think doctors tend to use this type of language for instructions in English?
Do the doctors use direct or indirect language for giving instructions in Czech/Slovak?
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
8
UNIT 5 TRAUMA AND ORTHOPAEDICS
TERMINOLOGY BOX3
LANGUAGE PRACTICE
1 Complete the gaps with words derived from the words in brackets.
a. Symptoms of post-traumatic stress disorder include: changes of personality due to brain injury;
1 ____________________ (IMPAIR) of attention and decision-making; partial or total 2 __________________
(PARALYSE); 3 __________________ (DISFIGURE); 4 __________________ (HOPE); feeling
5 __________________ (EMOTION) numb; 6 self-__________________ (DESTROY) behaviour and
7 __________________ (SUICIDE) thoughts.
b. It’s all about 1 __________________ (RECONSTRUCT) rather than resection, and by giving back people their
2 __________________ (MOBILE) you help maintain their 3 __________________ (DEPEND) and quality of
life.
c. In a displaced fracture two parts of the broken bone have moved apart, i.e. they have been
__________________. (ALIGN)
d. As a registrar I see patients with 1 __________________ (DEGENERATE) spinal conditions, spinal cord
2 __________________ (COMPRESS), nerve 3 __________________ (TRAP), and those who have injured their
backs.
e. An operation to __________________ (STRAIGHT) a spine may take up to five hours.
f. Slow-twitch fibres are __________________ (ENDURE) cells.
g. Take a deep ____________________ (BREATHE).
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
9
UNIT 5 TRAUMA AND ORTHOPAEDICS
2 Complete the gaps in the sentences with the most suitable option (A–D).
1 The therapist worked on his patient's __________ motor skills, like writing.
A fine B delicate C subtle D light
2 The therapist always tried to come up with activities to compensate __________ the things the patient could
not do.
A to B from C for D into
4 Funnily enough, his disappointment became a real __________ point on his way to recovery.
A changing B twisting C turning D switching
9 The therapist is always happy to see that she can __________ a difference in the lives of her patients.
A cause B do C create D make
11 They can still agree to cooperate, in __________ the new hospital wing will be built.
A that case B which case C such a case D whose case
12 In orthopaedics, you can __________ the patient with multiple fractures to full function so that they are able
to lead a normal life again.
A revive B recuperate C recover D restore
15 This muscle allows the uterus to contract when a woman is __________ birth.
A giving B making C doing D pushing
16 Her boss taught her the basic principles and she __________ taught them her own team.
A in turn B in tandem C in fact D in force
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
10
UNIT 5 TRAUMA AND ORTHOPAEDICS
17 More and more American teenagers reportedly __________ cosmetic surgery to beat bullies.
A undertake B resort to C initiate D enter into
USEFUL EXPRESSIONS
sb – somebody, sth – something disc disk, ploténka
A&E (accident and emergency department) slipped ~ vyhřezlá ploténka
urgentní příjem disorder porucha
abduction abdukce, odtažení musculoskeletal ~ muskuloskeletální porucha;
adduction addukce, přitažení post-traumatic stress ~ (PTSD)
air ambulance letecká záchranná služba postraumatická stresová porucha;
angiogenesis angiogeneze, neokapilarizace skeletal ~ porucha kosterní soustavy
ankle kotník emotionally numb citově otupělý
arthritis artritida, zánět kloubů eversion everze, obrácení vnitřní stranou ven
to be on call být v pohotovosti (na telefonu) factor faktor
behaviour chování aggravating ~ přitěžující faktor
aggressive ~ agresivní chování fibre vlákno
to bend one’s leg ohnout nohu (v koleně) fast-twitching ~ vlákno s rychlým záškubem;
to blink mrkat, mrknout (neúmyslně) slow-twitching ~ vlákno s pomalým záškubem
blood clot krevní sraženina foot (sg.), feet (pl.) noha (chodidlo)
blood vessel céva sole of ~ chodidlo nohy
bone kost fracture zlomenina, fraktura
broken/fractured ~ zlomená kost; collar ~ klíční avulsion ~ avulzní zlomenina, zlomenina
kost; cortical ~ kortikální kost; lamellar ~ odtržením; closed ~ zavřená zlomenina;
lamelární, vrstevnatá kost; misaligned ~ kost v comminuted ~ roztříštěná zlomenina;
nesprávné poloze; trabecular ~ trabekulární kost complicated ~ komplikovaná zlomenina;
to fix a ~ napravit kost; to realign a broken ~ compound (open) ~ otevřená zlomenina; crush ~
srovnat zlomenou kost; to straighten a ~ narovnat kompresní zlomenina; depressed ~ impresivní
kost; to weaken a ~ oslabit kost; ~ fractures kost se zlomenina; fragility ~ „zlomenina křehkých
zlomí kostí“; greenstick ~ zlomenina vrbového proutku;
breath dech impacted ~ zaklíněná zlomenina;
to take a deep ~ zhluboka se nadechnout spiral ~ spirální zlomenina; stress ~ únavová
bundle uzlík, svazek zlomenina; transverse ~ příčná zlomenina
by-product vedlejší produkt ~ of the hip zlomenina kyčle
cartilage chrupavka risk of a ~ riziko zlomeniny
cartilaginous chrupavčitý to assess a ~ posoudit zlomeninu; to cause a ~
circumduction cirkumdukce, obloukovitý pohyb způsobit zlomeninu; to suffer a ~ utrpět
to clench one's fist zatnout pěst zlomeninu
to come to terms with smířit se s, vypořádat se s ~ seen in children zlomenina vyskytující se u dětí
concussion otřes mozku goal cíl
condition nemoc, onemocnění, zdravotní stav to reach a ~ dosáhnout cíle
degenerative spinal ~ degenerativní onemocnění to grip pevně svírat, pevně uchopit
páteře hip bok
(to) cough kašel, kašlat the injured (ten) zraněný, (ti) zranění
damage poškození injury zranění, poranění
muscle ~ poškození svalů; nerve ~ poškození brain ~ poranění mozku; minor ~ menší zranění;
nervů knee ~ poranění kolene; major ~ větší, vážnější
to prevent further ~ zabránit dalšímu poškození zranění; twisting ~ zranění „kroucením“
accompanied by ~ doprovázen poškozením ~ site místo poranění
dislocation dislokace, vykloubení, vymknutí to recover from ~ zotavovat se ze zranění; to
suffer ~ utrpět poranění
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
11
UNIT 5 TRAUMA AND ORTHOPAEDICS
inversion inverze, obrácení vnější strany dovnitř road ~ silniční vyrážka, silniční lišej
jaw čelist reference / referee zde: člověk poskytující reference o
joint kloub žadateli o pracovní místo
~ cavity kloubní dutina; ~ movement pohyb research výzkum
kloubu; ~ replacement náhrada kloubu to undertake ~ realizovat výzkum
inflammation of ~ zánět kloubu to resort to (doing) sth uchýlit se k
ligament ligamentum, vaz to rest one's arm pohodlně si položit ruku, opřít si
tear in a ~ natržení vazu ruku
menopause menopauza, trvalý zánik retraction retrakce, stažení
menstruačního cyklu rib žebro
onset of the ~ nástup menopauzy to roll up one's sleeve vyhrnout si rukáv
mobility pohyblivost, schopnost pohybu rotation rotace, otáčení
reduced ~ snížená pohyblivost external ~ externí rotace; internal ~ interní rotace
to lose ~ ztrácet pohyblivost; to regain full ~ site místo
znovu získat celkovou pohyblivost to numb the ~ of fracture umrtvit místo
morbidity morbidita, nemocnost zlomeniny
mortality mortalita, úmrtnost skill dovednost
movement pohyb fine motor ~s jemná motorika
range of ~ rozsah pohybu spina bifida zadní rozštěp páteře
neck krk, zde: krční páteř spinal cord mícha
to stabilise one's ~ stabilizovat krční páteř ~ compression komprese míchy
nerve nerv spine páteř
~ entrapment skřípnutí nervu (to) splint dlaha, dát do dlah
nurse sestra to stretch natáhnout (se)
specialist ~ specializovaná sestra study studie
orthopaedics ortopedie case ~ případová studie
osteoarthritis osteoartritida, zánět kostí a kloubů sub-specialty subspecializace
osteoblast osteoblast, buňka vytvářející kostní tkáň supination otočení ruky dlaní vzhůru
osteoclast osteoklast, mnohojaderná buňka surgeon chirurg
odbourávající kostní tkáň surgery chirurgie, chirurgický zákrok, operace
osteoporosis osteoporóza, prořídnutí kostí, orthopaedic ~ ortopedie (a chirurgie),
onemocnění kosti způsobené nadměrnou ortopedická operace
kalcifikací to carry out an emergency (trauma) ~ provést
to give rise to ~ zapříčinit osteoporózu traumatologickou operaci
placement zde: stáž, krátká pracovní zkušenost system soustava, systém
plaster cast sádra na zlomeninu autonomic nervous ~ autonomní nervový systém;
to remove a ~ sundat sádru digestive ~ trávicí soustava; muscular ~
plates, screws, rods and metal pins (related to pohybová (svalová) soustava; somatic nervous ~
orthopaedic surgery) destičky, šrouby, tyče a somatická nervová soustava (mozkomíšní nervy,
kovové kolíky (týká se ortopedické chirurgie) cerebrospinální nervová soustava)
posture držení těla team tým
to maintain one´s ~ udržet si (správné) držení těla nursing ~ ošetřující tým
progress pokrok, posun tendon šlacha
lack of ~ nedostatečný posun therapist terapeut
pronation pronace, stočení ruky s vnitřní polohou occupational ~ pracovní terapeut
palce, stočení končetiny dovnitř podél podélné trauma trauma, úraz, poranění
osy to turn over převrátit (se)
protraction protrakce, natažení, prodlužování uterus uterus, děloha
rash vyrážka vertebral column páteř
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
12
UNIT 5 TRAUMA AND ORTHOPAEDICS
SUPPLEMENT
Examining a patient
English for Medics and Dentists © CJV LF MU 2021, Dvořáčková V., Klapilová J.
Intended solely for CJV LF MU classroom use and teacher instruction
13
UNIT 5: TRAUMA AND ORTHOPAEDICS
REFERENCES
1 Gylys, B.A., Wedding, M.E. (2009). Medical Terminology Systems. A Body Systems Approach. F.A. Davis Company, pp. 278–282
2 https://prod-wp-content.occupationalenglishtest.org/resources/uploads/2018/06/19145654/Listening-Sample-Test-1-Audio-Script.pdf
3 https://www.askadamskutner.com/motorcycle-accident/common-injuries-and-how-to-avoid-them/
4 https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/trauma-and-orthopaedic-surgery
5 https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/trauma-and-orthopaedic-surgery/real-life-story-mr-
edward-gee
6 https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/trauma-and-orthopaedic-surgery/working-life
7 https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967
8 https://www.nhs.uk/conditions/broken-leg/
9 https://www.occupationalenglishtest.org/preparation-portal/free-sample-tests/listening-sample-test-1/ (part C)
10 https://www.youtube.com/watch?v=P5HwYWShBhw
11 https://www.youtube.com/watch?v=VVL-8zr2hk4
12 McCullagh, M., Wright, R. (2007). Good Practice. Communication Skills in English for the Medical Practitioner. Student´s Book. CUP, p. 56–57
13 McCullagh, M., Wright, R. (2007). Good Practice. Communication Skills in English for the Medical Practitioner. Teacher´s Book. CUP, p. 66–67
14 Pohl, A. (2002). Professional English – Medical. Harlow: Penguin English Guides, pp. 30–31
Pictures
Google Images
English for Medics and Dentists © CJV LF MU 2020, Dvořáčková V., Klapilová J.
Intended solely for classroom use and teacher instruction
14