Medical Malpractice Insurance for orthopaedic surgeons

Hemi-resection Arthroplasty of R-U Joint

    – See:   – Bower’s Procedure – Discussion:     – invovles resection of ulnar articular head, leaving shaft and styloid relationship intact;     – interpositional anchovy of tendon is placed in cavity to limit contact of radial & ulnar shafts which may migrate to each other after this procedure;     … Read more

Hemi-vertebrae & Segmented Vertebrae

– Discussion:      – open disk usually has an active growth plate;      – double hemivertebrae:            – those that are ipsilateral and adjacent to one another are more likely toproduce a progressive scoliosis and require                    arthrodesis;            – two or more hemivertebrae on the … Read more

Hemiarthroplasty of the Hip

 – See: Bipolar Arthroplasty: – Discussion: – indications: indicated for patients w/ a femoral neck frx who meet the following criteria: – poor general health thay would prevent a second operation; – pathologic hip fractures: – parkinson’s disease, hemiplegia, or other neurological disease; – physiologic age > 70 yrs; – severe osteoporosis w/ loss of primary … Read more

Heel Off Phase of Gait

– Discussion:     – at heel off the resultant force passes in front of the knee and acts to extend the joint (hyper-extension moment);     – as resultant forces passes in front of metatarsal heads, knee joint flexes & mechanical forces act in direction of flexion once again;     – knee has extended … Read more

Heel Pain

– Diff Dx:      – distal tibial tarsal tunnel syndrome;            – expect tenderness superior to the origin of the plantar fascia (medial tubercle of os calcis);      – plantar fascitis            – expect tenderness at the origin of the plantar fascia (medial tubercle of … Read more

Hemangioma of Bone

– See: Hemangioma of Soft Tissue – Discussion:     – typically seen in asymptomatic patients;     – symptomatic patients over 40 years old may present following small spine fractures;     – hemangiomas affect bone are rare;     – these tumors may be located on the periosteal surface, within the cortex, or … Read more

Hemangioma of Soft Tissue

– See:      – Calcinosis:      – Hemangioma of bone – Discussion:     – a benign, vascular tumor that occurs in children, usually in limbs or trunk;     – hemangioma may be congenital, appearing as solitary tumor that infiltrates local tissue & adjacent neurovascular structures;     – most common form … Read more

Hematocrit

– See: – pRBCs – Transfusion Therapy Male 40-54%; Female 37-47%;  Decreased: – Megaloblastic Anemia, – Fe Deficient Anemia, – HbS Anemia, Acute or Chronic Blood Loss – Hemolysis, – Dilutional, ETOH, Meds;   Increased: Polycythemia Vera, Secondary Polycythemia: Reduced Fluid Intake or Excess Fluid Loss, Congenital and Aquired Heart dz, Lung dz, High Altitudes, Heavy … Read more

Heart Rate

– Discussion:     – every effort should be made to maintain sinus rhythm, the sinus mechanism being responsible for approx 25% of cardiac f(x);     – this is effected predominately thru synchronized end dialstolic Preload augmentation

Heat Stroke

– Discussion:    – heat exhaustion:          – dizzniness, fatigue, nause vomiting and mild temp elevation    – heat stroke – core temp greater than 104 with mental status changes          – brain loses ability to regulate heat (cooling system fails)          – organ failure          – strikes suddenly with little warning       … Read more