Medical Malpractice Insurance for orthopaedic surgeons

MRI Shoulder: Coronal Oblique Imaging:

– Technique:     – protocols: fat suppressed T2 wt images and proton density weighted images     – older protocol: T1 & T2 coronal oblique spin-echo sequences with use of 14 cm field of view and a four-millimeter slice thickness; – Discussion:     – it is the most important view for identification of … Read more

MRI diagnosis of Spinal Osteomyelitis

– See: MRI of Spine – Discussion:     – MRI is sensitive for detecting infection & is specific in differentiating infection from tumor;     – infection:           – T1 weighted images:                 – decreased signal intensity in vertebral bodies & disk w/ … Read more

MRI findings in Osteomyelitis

– See: MRI of Spinal Osteomyelitis – Discussion:     – may help identify associated abscesses, sequestra, and sinus tracts;     – MRI may reveal specific changes in bone marrow;     – in bone marrow, inflammatory exudate has decreased signal on T1 as compared to normal marrow;     – infected marrow will have … Read more

MRI in Cervical Fractures

– See:   – MRI Spine: Discussion;   – Role of CT in C-spine Injuries: – Discussion:     – for visualizing soft tissue and neural elements, & unsuspected disc herniations in presence of cercial spine fractures;     – disc herniation may indicate disruption of anterior or posterior longitudinal ligament;          – MRI … Read more

MRI of AVN of Femoral Head

– See:      – MRI of Hip:      – Johns Hopkins – MRI Evaluation of AVN – Discussion:     – magnetic resonance imaging is probably the most accurate imaging modality for dx of AVN of femoral head;     – MRI imaging is also used to outline the area of involvement;   … Read more

MRI of Disc Herniation and Lumbar Stenosis

– Discussion:     – MRI findings in normal subjects (from Boden-SD)           – note that there is a 29% prevalence of disc herniation in asymtomatic individuals;           – patients less than 60 years of age:                  – 20 per … Read more

Mosaicplasty and Cartilage Transplants for Chondral Injuries of the Knee

– Mosaicplasty: – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled; – typically the grafts are harvested from the periphery of the supero-lateral trochlea, but often, the … Read more

Mosely Straight Line

– See: Growth Deformities of the Limbs: – Discussion:     – straight-line graph based on a logarithmic scale of relative rates of limb growth along w/ expected discrepancy at maturity;     – straight line graph also allows estimation of how epiphysiodesis will affect the long lower limb at different ages;     – graph requires … Read more

Motor Branch of Median Nerve

– Discussion:     – most common pattern of motor branch of median nerve is extraligamentous take off from main branch of median nerve (distal to TCL in 50% pts)     – in 30% of pts motor branch exits proximal to TLC;     – in 20% of pts motor branch exits distal to TLC; … Read more