Medical Malpractice Insurance for orthopaedic surgeons

Multiple Sclerosis

– See: EMG in Demyelinating Neuropathies: – Discussion:     – is a relapsing, and commonly progressive disorder of the white matter of the CNS;     – is the most common demyelinating disease to affect the spinal cord and brain;     – 80% of cases involve the cord, and 20-33% show symptoms referable … Read more

Multiple Epiphyseal Dysplasia

Discussion multiple epiphyseal dysplasia (a common type of osteochondrodysplasia) is characterized by disturbance of normal ossification w/ in epiphysis; pathologic abnormality is a disturbance in enchondral ossification of epiphyses and physes; is inherited as an autosomal dominant trait with variable expressivity; disorder is manifested as multiple areas of abnormal growth and ossification of the epiphysis; … Read more

Multiple Enchodromatosis (Ollier’s Disease)

– Discussion:     – originally was described by Ollier in late 1800s;     – characterized by multiple enchondroma lesions primarily located w/ in the metaphyseal regions of tubular bones;     – usually diagnosed in childhood;     – pts w/ Ollier’s dz have increased risk of a secondary chondrosarcoma developing later in … Read more

Multiple Cartilaginous Exostoses (Hereditary Exostosis)

– See: Bone Tumor Menu – Discussion:     – an osteochondroma that results from a dysplasia of peripheral growth plate;            – as its name implies, multiple hereditary exostosis is an inherited condition which produces multiple exostoses;     – occurs in 1 out of 50,000 people;     – … Read more

Multipartite Patella

– See: Bipartite Patellae: – Discussion:     – multipartite patella may present diagnostic dilemma in child with anterior knee symptoms;     – these often incidental radiographic findings have been classified into three types:          – type I–at inferior pole (5 % of all lesions)          – type II–at … Read more

Multifidus

– a series of pairs of muscles of small muscles extending the full length of the spine just superficial to the rotators and each spanning 2 or 3 intervertebral spaces before inserting; origin: posterior surface of the sacrum, the dorsal end of the iliac crest, the transverse processes of the lumbar and the thoracic vertebrae and the … Read more

Multidirectional Instability

– Discussion:     – multidirectional instability implies three-way subluxations or dislocations either anteriorly, posteriorly, or inferiorly;     – these patients usually have no true Bankart lesion and incontrast patients have a capacious axillary pouch;             – ref: The Effect of Variation in Definition on the Diagnosis of Multidirectional Instability of the Shoulder.      – … Read more

Mucous Cyst

– See: Hand Tumors – Discussion:     – cystic lesion (actually a ganglion) over dorsum of finger near DIP & fingernail;     – it is associated w/ degenerative lesions and spur formation (Heberden’s nodes) over DIP joint;     – ganglion may or may not be connected to DIP joint by a synovial stalk; … Read more

Mucopolysaccharidoses

– Discussion:     – are characterized by a defect in metabolism of one or more mucopolysaccharides, w/ resulting excessive accumulation of these             substances in the extracellular spaces of the connective tissues;     – this group of disorders is characterized by a deficiency of specific lysosomal enzymes required for degradation of glycosaminoglycans;         … Read more