USG guided teaching of musculoskeletal system in preclinical anatomy and its role in evaluation of musculoskeletal disorders of occupational associated injury.

Dr Fazal ur Rehman

Associate Professor

Dept of Anatomy, Jawahar Lal Nehru Medical College, AMU, Aligarh, India

The aim of this study is, to teach and present an interactive, practical way to understanding of the musculoskeletal anatomy through an imaging-based approach. Although most teaching of anatomy follows well-tried and traditional lines, radio-anatomy have a vital role to play in demonstrating anatomy in both pure and applied forms; indeed radiology may demonstrate many structures and organs more clearly than other methods. As medical imaging relies heavily on knowledge of anatomical structures, anatomy is considered to be an appropriate discipline to integrate the teaching of anatomy and radiology. Radiology has been an increasingly important component of preclinical anatomy instruction since the 1960s. Teaching radiographic anatomy to pre-clinical medical students is important as it relates anatomical studies to clinical conditions and also prepares them for the radiology they will encounter in their clinical years. In present time anatomy & medical imaging teaching were not taught to a level to prepare for future entry into specialist training programmes. However, the anatomical knowledge of students completing their MBBS is poor for safe clinical practice. Conventional anatomy courses seem to prepare students inadequately for their clinical tasks. Even students themselves do not feel properly trained. To solve these problems a new integrated anatomy and imaging curriculum was introduced, with the emphasis on recognition of key imaging anatomy structures, improving spatial & three-dimensional imaging anatomy comprehension, and the use of medical imaging in clinical practice. The synergistic effects have shown better understanding and learning of the subject as well as an increased interest in the subject. Students exposed to imaging also show improved understanding of relationships between anatomical structures, an ability to recognise anatomical structures on medical images and confidence in interpreting ultrasound images. Finally Students will be able to describe the basics of musculoskeletal anatomy on ultrasound. Long-term biomechanical problems such as cervical disk disease along with shoulder abnormalities, carpal tunnel syndrome and tendonitis could plague ultrasound practitioners, by not practicing good ergonomics. Approximately 38% of sonographers in India report musculoskeletal injuries (MSI) as a result of their employment, this incidence are less as compared to western data. The physical problems of MSI result from a combination of factors, like inefficient scanning postures, frequent repetitive motions, exertion of excess force while performing these motions, wrist flexion or deviation, unnatural posture by sonographers, and faulty work space & equipment design. MSI involve soft tissues such as muscles, tendons, ligaments, joints, blood vessels and nerves.

Biography

Dr Fazal-ur-Rehman did his M.B.B.S, D.Ortho & M.S (Anatomy) from JNMC, AMU Aligarh. He joined department of anatomy in June 2002 as Asstt Professor. With his broadened interest in interdisciplinary teaching (radioanatomy) and biomedical research, he is working on bioceramics & polymers for implant materials. He is member Editorial board of many journals; he has also been invited to review manuscripts in journals of international repute. He has supervised MD on radiological morphometry of distal radioulnar joint. He has contributed 01 book, 03 book chapters and several research papers in various national and international journals of impact. On invitation in various conferences/seminars, he has delivered valuable lectures and presented more than 15 papers.

Presenting Author details:

Full name: Dr Fazalur Rehman

Contact no: +919045545139