Medical Malpractice Insurance for orthopaedic surgeons

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

Radiolucent Bone Lesions

  – Diff Dx: Peak Age  – Metastatic Wilm’s tumor infants and young children  – Osteomyelitis first decade and then levels off  – Eosinophilic granuloma children and young adolescents  – Osteofibrous dysplasia children and young adolescents  – Ewing’s sarcoma children to young adults  – Non-ossifying fibroma older children and adolescents  – Unicameral bone cyst older … Read more

Radiolucent Lines: Loose THR

– Discussion:     – progressive enlargment radiolucent line size on serial radiographs;     – radiolucencies between cement & femoral cortex in immediate postop period may be produced by cancellous bone that was not removed;           – however, it is impossible to tell whether cancellous bone was not curreted or … Read more

Radioulnar Synostosis

– Congenital Synostosis:     – discussion:            – occurs due to a defect in longitudinal segmentation at the 7th week of development;            – autosomal dominant inheritance in some cases but often occurs sporatically;            – bilateral in 60% (most common in … Read more

Ranitidine/Zantac

– See PUD – Discussion:     – for duodenal and gastric ulcers;     – may give with antacids, but must reduced with renal failure;     – adult ulcers:            – 150mg PO bid; or try 300mg PO qhs;            – 75 mg tab also … Read more

Raynaud’s Phenomenon and Disease

– See: vascular malformations of the upper extremity – Discussion:     – first described by Maurice Raynaud in 1862;     – involves vasoconstriction of the cutaneous arteriovenous shunts, digital arteries, and precapillary arterioles;     – pallor of the digits with or w/o cyanosis on exposure to cold;     – Raynaud’s disease … Read more

Radiology of the Hand and Wrist

– Findings:      – Carpal height & Carpal height ratio       – Distal Radius Fracture      – Radial Length & Width       – Scapholunate Dislocation      – Scaphoid Fracture – Types of Radiographs:      – Arthrography of the Wrist      – AP View      – Carpal Tunnel View      – Clenched Fist … Read more

Radiology of the Hip

  – AP view:     – patient is supine with the foot internally rotated 15 deg to obtain best views of the femoral neck;     – central beam is directed toward the femoral head;     – X-ray tube should be positioned 100 cm from focal plane of film cassette to yield an … Read more

Radiology of the Musculoskeletal System

 – Cervical Spine  – Pelvic Radiology  – MRI Discussion  – Ossification of Soft Tissue and Periosteum  – Pediatric Radiology  – Radioisotope Scanning Magnetic Resonance Imaging of the Musculoskeletal System–Symposium: Physical Principles of Magnetic Resonance Imaging. Longitudinal growth and growth-plate activity in the lower extremity. Imaging of the hip joint. Computed tomography versus magnetic resonance imaging.