Medical Malpractice Insurance for orthopaedic surgeons

Antibiotic Bead Pouch

– Discussion:     – discussion of addition of antibiotics to cement and osteomyelitis / vancomycin in ca sulfate     – after fracture stabilization has been completed, osseous defects may be filled w/ antibiotic-PMMA beads;                – these beads provide local depot administration of antibiotic and maintain space for subsequent bone graft;      – as noted by Keating, et … Read more

Becker Muscular Dystrophy

– Discussion:     – is X-linked recessive dystrophy that shares many of the features of DMD, including pseudohypertrophy of muscles;     – main clinical difference is that the course is more protracted;     – patients are usually able to walk as late as early adulthood and often live into their 30s and … Read more

Bankart Lesion

    – Discussion: – is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex; – lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability; – when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation … Read more

Barlow’s Test

– See:       – Congenital Hip Dislocation       – Ortolani’s test – Discussion:     – Barlow’s test identifies unstable hip that lies in the reduced position but can be passively dislocated (and hence unstable);     – less than 2% of infants will have a positive Barlow test;           … Read more

Basal Cell Carcinoma

– Discussion:     – Rare in upper extremity     – Ulcerated skin lesion          – cyst formation          – pigmentation          – elevated edge may appear pearly          – may be subungual     – Location:          – … Read more

Base of Proximal Phalanx

– See: Complex MP Joint Dislocations; – Discussion:     – marginal fractures of the base of the base of the proximal phalanx involving MP joint usually represent avulsion fractures of collateral             ligament;     – often there is a significant sized palmar-ulnar or palmar radial fragment; – Non Operative Treatment:     – nondisplaced … Read more

Bacteroides

– usually will be reistant to penicillin – try Cefoxitin or clindamycin or Flaggyl; ——————————-        Percent Susceptible Anaerobic Gram Negative Bacilli Antimicrobial      MIC     B.fragilis   other Bacteroides   Fusobacterium                              ug/ml Flaggyl       … Read more

Baker’s Cyst / Popliteal Cysts

– Discussion:     – a type of cyst which results from egress of fluid through a normal communication of a bursa (semimembranosus or medial             gastrocnemius bursa) or may be caused by herniation of the synovial membrane through the joint capsule;     – symptoms develope most often in bursa beneath the medial head of gastrocnemius … Read more