Medical Malpractice Insurance for orthopaedic surgeons

Greater Sciatic Foramen

      – 7 nerves:      – Sciatic Nerve:      – Superior Gluteal Nerve:      – Inferior Gluteal Nerve:      – Internal Pudendal Nerve:      – Posterior Femoral Cutaneous Nerve      – Nerve to Quadratus Femoris      – Nerve to Obturator Externus – 3 Vessel Sets:   … Read more

Grayson’s Ligament

  – Discussion:     – Grayson’s & Cleland’s ligament hold skin in position during flexion and extension of the finger;     – Grayson’s ligaments are thin and go from tendon sheath to the skin, and to some extent protect the nervovascular bundle (prevent bow stringing of the N/V bundle during flexion);     – … Read more

Gravity Method of Stimson

– See:  – Bigelow’s Maneuver: for Posterior Hip Dislocation  – Closed Reduction  – Discussion: – described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method;  – believed to be least traumatic;  – pt is in prone position w/ lower limbs hanging from end of table;  – assistant immobilizes the … Read more

Gram Positive Cocci

– Staph aureus – Staph epidermidis – Streptococcus – Enterococci – Characteristics of Gram Positive Bacteria: – gram positive bacteria retain crystal violet after alcohol decolorization    

Gram Positive Bacilli

  Listeria         Bacillus anthracis     Clostridium tetani   Clostridium perfringens   Clostridium difficile   Cornybacterium diphthiae     Actinomyces israeli         Nocardia asteroides         Gram Positive Bacilli

Gram Negative Bacilli

– Characteristics of Gm Neg Bacteria: – cell membrane does not retain crystal-violet indium dye after an alcohol rinse but does retain safrinin O counterstain; – lipopolysaccharide is a cell membrane endotoxin which is associated w/ the clinical effects of gm negative sepsis; – Enteric Gm Neg Bacilli: – Bacteroides fragilis – Citrobacter diversus – Enterobacteriaceae – … Read more

Grade IIIB Open Tibial Frx

– See: Tibia Fracture Menu and Gustilo Classification – Discussion:     – is frx in which there has been extensive stripping of soft tissues and periosteum from bone & where devitalization or loss of soft tissues usually            requires plastic reconstructive procedures for closure;            – extensive soft tissue loss with periosteal … Read more

Grade III and IV Spondylolisthesis

– Exam: – Radiographs:     – Treatment:     – these pts have a high deg of lumbosacral kyphosis have sig deformity;     – prophylactic fusion in children & adolescents w/ slippage > 50% is recommended;     – w/ a L-5 to S-1 spondylolisthesis, treatment consists of bilateral posterolateral arthrodesis in situfrom … Read more

Grade III A

– See: Gustilo Classification – Discussion:     – wound less than 10 cm w/ crushed tissue and contamination;      – soft tissue coverage of bone is usually possible;      – w/ IM nailing, average time to union is 30-35 weeks;      – is frx in which there is limited stripping of the periosteum and soft tissues from bone, and bone … Read more