Medical Malpractice Insurance for orthopaedic surgeons

Rectus Capitus Anterior

origin: anterior surface of the lateral mass of the atlas and the root of its transverse process; insertion: the inferior surface of the occipital bone anterior to the foreamen magnum; action: aids in flexion of the head and the neck; nerve supply: C1, C2; synergists:  Sternocleidomastoid,  Longus Colli, Longus Capitis

Rectus Capitis Anterior

origin: anterior surface of the lateral mass of the atlas and the root of its transverse process; insertion: the inferior surface of the occipital bone anterior to the foreamen magnum; action: aids in flexion of the head and the neck; nerve supply: C1, C2; synergists:  Sternocleidomastoid, Longus Colli, Longus Capitis

Rectus Capitis Posterior Major

origin: from the lateral process of the axis; insertion: the lateral part of the inferior nuchal line of the occipital bone and the surface of the bone immediately inferior to the line; action: extends the head and rotates it to the same side; nerve supply: a branch of the dorsal ramus of the suboccipital nerve; synergists: Rectus Capitis … Read more

Rectus Capitis Lateralis

– origin: superior surfaces of the transverse processes of the atlas; – insertion: inferior surface of the jugular process of the occipital bone; – action: aids in lateral flexion of the head on the neck; – nerve supply: C1, C2; – synergists:  Longus Capitis, Longissimus Capitis, Semispinalis capitis

Rate of Ventilation

– Rates of 8-12 are appropriate for adults;  – 20-25 for newborns  – 15-20 for small children.  – w/ high pCO2: must increase @TechImPOxGna[Minute Vol; (always ensure that ventilator is functioning properly, esp check for a leak around the cuff of the endotracheal tube or in ventilatory tube, or connections, or if the endotracheal tube … Read more

Reconstruction Plates, 3.5 mm

– Discussion:     – these plates are used with 3.5 mm cortex screws;     – their main application is for use with pelvic and acetabular frx;     – they may be also used in fractures of the distal humerus (dorsolateral apect), the clavicle, and the calcaneus;     – reconstruction plates have notches … Read more

Reconstructive Surgery / Flaps / Grafts

– See:       – Arteriography, Microanastomosis, Pharmocological Agents in Vascular Surgery       – Vaccum Assisted Wound Closure Device – Discussion:     – w/ severe extremity wounds, early radical debridement combined with early soft tissue coverage (regional or free flap) will             decrease wound infection, flap loss, & delayed bone healing;     – early coverage … Read more

Reconstruction Plates, 4.5 mm

– Discussion:     – specially designed to be bent and twisted in two dimensions;     – hence they are useful for the pelvis;     – already low strength of the plate is further diminshed by three dimensinal bending;     – bending angles greater than 15 deg at any one site must be … Read more