Medical Malpractice Insurance for orthopaedic surgeons

Hip Joint in CP

                            – See: cerebral palsy – Discussion:     – may occur in upto 30% of patients w/ spastic CP, and may occur in upto 50% of patients w/ spastic quadriparetic CP;           – more severe contractures with … Read more

Hip Joint in Rheumatoid Arthritis

– See: rheumatoid arthritis – Discussion:     – rheumatoid cervical spine:            – ensure that anesthesia is prepared for possible need for bronchoscopic intubation;     – total hip arthroplasty in rheumatoid arthritis: (see total hip replacement);            – protrusio acetabuli is common and is often … Read more

Hip Joint Menu

See:              Acetabular Frx              Femoral Neck Frx              Radiology of the Hip Antibiotic Prophylaxis Anterolateral Approach Anterior Approach Anteversion of Hip Arthrodesis  Arthroscopy of the Hip  Aspiration  Avascular Necrosis of the Femoral Head Blood Supply to the femoral head and neck; Capsule  Child’s Hip – Pathologic disorders  CDH Coxa Vara Dislocations of the Hip Effusion Embryology: … Read more

Hip Joint Index

(see also: Acetabular Frx; Femoral Neck Frx; Radiology of the Hip) Antibiotic Prophylaxis Anterolateral Approach Anterior Approach Anteversion of Hip Arthrodesis Arthroscopy of the Hip Aspiration Avascular Necrosis of the Femoral Head Blood Supply to the femoral head and neck; Capsule Child’s Hip – Pathologic disorders CDH Coxa Vara Dislocations of the Hip Effusion Embryology … Read more

Hip Fractures in Children

– Timing:     – references:              – Decompression and stable internal fixation of femoral neck fractures in children can affect the outcome.              – Femoral Neck Fractures in Pediatric Patients: 30 Years Experience at a Level 1 Trauma Center.               – Fractures of the hip in children and adolescents.               – Earlier Time to … Read more

Hip Frx: Angle of Guide Pin Insertion

– Considerations:     – select point on lateral side of shaft of femur midway between anterior & posterior cortices at the midpoint of the lesser trochanter;           – if pins are inserted below the level of the lesser trochanter, a stress riser will be created in cortical bone;     … Read more

Hip Frx: Screw Length

– Discussion:     – screw should be placed in the central third of the femoral head between 5-12 mm from subchondral bone;     – consider short barrel dynamic hip screw side plate when screw < 80 mm or shorter is inserted to maximize sliding capacity;     – whether compression screw should be left in place … Read more

Hip in Myelomeningocele

– Dislocation of Hip:     – hip dislocation in children w/ myelomeningocele may either teratological or paralytic (which is due to muscle imbalance);     – paralytic dislocation:            – hip dislocation occurs because of paralysis of the hip abductors and extensors w/ unopposed hip flexors and adductors;     … Read more

Hip in Osteoporosis

– See: Idiopathic Transient Osteoporosis of the Hip – Radiographs:     – radiographs of hip may show prominence of the trabeculae that constitute Ward triangle. (Singh index)     – radiographic studies of other bone show decrease in numbers of trabeculae, particularly the horizontal ones;     – bone scans usually show no increase … Read more

Hip Joint Arthroscopy

Hip Arthroscopy (see also hip joint and hip capsule) Indications evaluation of hip pain – candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. gadolinium enhanced MRI demonstrated a … Read more