Medical Malpractice Insurance for orthopaedic surgeons

Data Trace Editor

Malignant Fibrous Histiocytoma

– See: Bone Tumor Menu: – Osseous Sarcoma:     – occur less often in bone than in soft tissue;     – occurs in older patient population & may arise out of Pagets Dz or from a bone infarct (such as sickle cell);     – it usually presents as an aggressive stage IIb … Read more

Malignant Hyperthermia

– Discussion:     – malignant hyperthermia of anesthesia is autosomal dominant condition;     – it is rare disorder that appears to involve excessive release of calcium from sarcoplasmic reticulum in response to anesthetic agents;     – neuromuscular pts (eg DMD), esp those with  are more susceptible to malignant hyperthermia, a chemically induced genetic myopathy; … Read more

Luque Instrumentation

– Discussion:      – Luque instrumentation involves sublaminar wiring connected to rods;      – for most part, this has been abandoned for idiopathic scoliosis because of the potential morbidity that is associated w/ introduction of            sublaminar wires Luque rod instrumentation in the treatment of adolescent idiopathic scoliosis. A comparative … Read more

Lyme Disease: Erythema chronicum migrans

Discussion deer tick (Ixodes) borne spirochetal infection leading to widespread symptoms; in U.S. Lyme disease is most prevalent in areas with heavy deer population (North East); life cycle includes larval, nymph, and adult (with the nymphal stage transmitting bacteria); infection is due to Borrelia burgdorferi spirochetes; contains several outer surface proteins that allow organism to … Read more

Macrodactyly

– Discussion:     – a hamartomatous enlargement of soft tissue & underlying bone;     – can be static, growing commensurately w/ hand, or progressive, growing faster than the rest of the hand;     – involvement in the hand is more common than involvement in the foot;     – “nerve territory-oriented macrodactyly”: … Read more

Madelung’s Deformity

  – Discussion:     – known as carpus curves, is result of epiphyseal arrest on ulnar & volar half of the distal radius, which causes articular surface to be            directed ulnarward and volarward;     – genetics: it is inhertited as autosomal dominant trait w/ variable expressivity;     – females are affected four … Read more

MAGALDRATE/RIOPAN/ LOWSIUM

– Discussion:  – for hyperacidity associatted with peptic ulcer; gastritis, hiatial hernia;  – is low sodium antacid; – is low Sodium Antacid: <.3mg sodium per tablet or teaspoon;  – do not use with tetracycline or in renal insufficiency;  – Adult: 1-2 tabs PO or 5-10cc PO between meals and HS

Lunate Implant

– Discussion:     – lunate shaped spacer implant made of silicone, vitallium, acrylic, or rolled-tendon is inserted into theresulting space to prevent migration of             other carpal bones;     – due to the high rate of synovitis, most surgeons are now reluctant to use lunate implants; – Technical Considerations:     – dorsal approach is … Read more

Lunotriquetral Dissociation

– See: Triquetrium – Lunotriquetral Dissociation:     – ulnar side carpal instability;     – involves disruption of lunotriquetral & volar radiolunotriquetral ligaments & attentuation or rupture of dorsal radiotriquetral attachments;     – w/ a isolated tear of the LT interosseous ligament, there will be only a small amount of increased motion, however, … Read more