Medical Malpractice Insurance for orthopaedic surgeons

Radiographs of the Lumbar Spine

– Discussion:     – correlation w/ back pain:          – traction spurs &/or severe disc space narrowing do correlate w/ pain;          – spondylosis, Spondylolisthesis, & adult Scoliosis may or may not be associated with back pain;           – there is little correlation between back … Read more

Radiographs: Hallux Valgus

– Determine Congruency – wt bearing AP & lateral radiographs: – IMA: (nl < 10 deg)     – note that this angle is highly dependent on the technique of measurement            – some authors measure from down the metatarsal shaft, where as, other authors measure from the center of the metatarsal … Read more

Radiographs for the Thumb Basal Joint

– Roberts View:     – true AP view described by Roberts:     – take AP view of thumb w/ forearm in maximal pronation & dorsum of thumb resting on the x-ray cassette; – True Lateral of CMC:     – obtained w/ forearm flat on table, hand pronated approx 20 deg w/thumb flat … Read more

Radiographs for Supracondylar Fractures

– See: Radiology of the Elbow – Discussion:     – note that accurate AP and Lateral views are essential to judge the reduction;     – slightly oblique views can lead to acceptance of malreduction; – AP View:     – comparison films are usually required to judge amount of relative varus;         … Read more

Radiographs for Posterior Shoulder Dislocation

– See:    – Radiographic Studies for the Shoulder    – Posterior Shoulder Dislocation – Findings Seen on Specific Radiographic Views:     – Axillary View:          – reverse hill sachs lesion     – AP of the Shoulder:          – because humerus is internally rotated, the greater tuberosity will not … Read more

Radiographic Work Up for Rheumatoid C-spine

– Discussion:     – flexion-extension laterals;           – prior to intubation for elective surgery, all patients at risk should have flexion extension laterals of cervical  spine r/o                 atlantoaxial instability; – Radiographs:     – atlantodens interval (ADI) needs to be evaluated;           – instability is … Read more

Radiographic Templating of Femoral Neck Length:

– See:     – Technique of Femoral Neck Resection     – Femoral Component Offset – Discussion:     – some pts have relative coxa vara and a very short distance between the lesser trochanter and the pelvis;     – others have a relative coxa valga and a large distance between the lesser … Read more