Medical Malpractice Insurance for orthopaedic surgeons

Transverse Metacarpal Fractures

    – Discussion:     – usually result from direct blow;     – presents w/ dorsal angulation & increased palmar displacement of metacarpal heads because of deforming force of interosseous muscles and long flexor muscles, which are volar to the fracture plane;     – more proximal frxs (ie, shaft frx) are more likely to … Read more

Transverse Tarsal Joint

– See: Midfoot/Forefoot Fractures – Discussion:     – transverse tarsal joint (talus-navicular, calcaneal-cuboid)     – motion is based on foot position with 2 axises of rotation (talo-navicular and calcaneocuboid)           – w/ eversion of foot (as in early stance phase), two joints are parallel and ROM is permitted;   … Read more

Tranylcypromine/Parnate

Tranylcypromine is a non-hydrazine MAOI. – usual effective dose of tranylcypromine is 30 mg/day, usually given in divided doses.  maximum dose of 60 mg/day, in divided doses. – effects of tranylcypromine are observed after 10 days of treatment; – monoamine oxidase inhibitory effects may be observed for 3 to 10 days after administration is discontinued; … Read more

Trapezium

– See:       – Blood Supply to the Wrist       – Thumb Deformities in Rheumatoid Arthritis       – Thumb Fractures – Discussion:     – articulates w/ thumb;     – move distal to snuff box to snuffbox to palpate trapezium-thumb articulation;     – trapezium-thumb articulation is saddle … Read more

Transient Regional Osteoporosis

– Discussion:      – patient presents with pain and possibly a limp;      – x-rays show severe osteoporosis, and bone scans show increased signal;      – MRI shows decreased Bone Marrow signal on T1 images and             increased signal on T2             … Read more

Transient Synovitis

– Discussion:     – relatively short lived acute inflammatory process;     – usually seen in boys aged 2 to 10 years;     – frequently follows an upper respiratory tract infection;     – most common cause of painful hips in childhood;     – is a diagnosis of exclusion;     – … Read more

Transmetatarsal Amputation

– Discussion:     – popularized by McKittrick et al. (1949) and by Pedersen and Day (1954)     – indicated for trauma, tissue loss, infection, and gangrene (limited to toes and not the web space in diabetics);     – TMA requires shoe modifications & inserts w/ forefoot space replacement.     – indicated for … Read more

Transverse Carpal Ligament

– Discussion:     – transverse carpal ligament, is a heavy band of fibers which runs between hamate & pisiform medially to scaphoid and trapezium laterally, and forms fibrous sheath which contains carpal tunnel anteriorly within fibro-osseous tunnel;     – posteriorly, tunnel is bordered by carpal bones, and transports median nerve & finger flexor … Read more