Medical Malpractice Insurance for orthopaedic surgeons

Radiographic Features: DDH

– See: DDH – Indications for Radiographs:       – for confirming position of hips getting treatment;       – for confirming a suspected teratologic dislocation; – Patient age:       – x-rays may not reveal a dislocation until infant is > 6 wks since so much of the pelvis is cartilaginous; … Read more

Radiographic Features of Bone Tumors

– See:     – Outside Links: Approaches To Differential Diagnosis In Musculoskeletal Imaging:                – Soft Tissue Calcifications                – Lucent Lesions of Bone                – Sclerotic Lesions – Discussion:     – note whether the … Read more

Radiographic Changes of Cervical Spine in JRA

– anterior erosion of the odontoid process – anterior posterior erosion of odontoid process (applecore odontoid) – subluxation of C1 on C2; – focal soft tissue calcification anterior to the ring of C1 – ankylosis of the apophyseal joints (often leading to ankylosis & fusion of the vertebrals bodies); – longitudinal and circumferential growth abnormalities … Read more

Radiographic Evaluation

– See:       – Ficat Classification       – Enneking’s Stages of Osteonecrosis – Discussion:     – combination of osteoclastic resorption and new bone formation in revascularized areas creates x-ray appearance of mottled density;     – when collapse of segment of necrotic bone occurs, the compression of more bone into smaller … Read more

Radiation Treatment for Metastastic Bone Carcinoma

– Discussion:     – useful for reducing bone pain and progression of tumor growth;     – adjuvant radiation may be indicated for all patients with surgically treated metastatic bone disease;     – external beam radiation is used perioperatively to assist in the local control of the disease in the majority of patients;  … Read more

Radiographic and Diagnostic studies: for Osteosarcoma

– Characteristics:     – permeative destructive lesion in which amorphous neoplastic bone is detected;     – lesion is predominately osteoblastic, but may have osteolytic component;     – cortical destruction, lack of containment;     – periosteal bone formation, & poorly defined margins;            – periosteal reaction may take … Read more

Radiographic Aspects

– Rosenburg View:  – used to evaluate for narrowing of the cartilage space in the wt. bearing, flexed knee position;  – this provides a film with the anterior margin of the tibial plateau superimposed on the posterior margin;  – technique:       – patient is standing with the knees flexed at 45 deg;       … Read more

Radiographic Aspects of Rheumatoid Arthritis

– Diagnosis:     – early changes are limited to the soft tissues w/ fusiform swelling and joint effusion;     – juxta-articular osteoporosis may become more generalized w/ dz progression;     – cartilage destruction produces narrowing of the joint;     – erosion of bone occurs characteristically in the metaphyseal region underlying collateral … Read more

Radiographic Assessment of Club Foot

– Discussion:     – helps to determine preoperative pathology;     – in infancy, ossification centers of the talus, calcaneus, and cuboid are present, whereas the navicular does not appear until 3-4 yr; – Method of Beatson and Pearson     – AP of Foot:           – taken in 30 deg … Read more

Radiographic Changes in Rickets and Osteomalacia

– Discussion:     – anatomical and pathological changes that occur with rickets or osteomalacia differ principallyaccording to the age of pt & severity of the              disorder.     – children:            – physeal cupping / widening            – bowing of long bones;       … Read more