Medical Malpractice Insurance for orthopaedic surgeons

Conservative Treatment of Patellar Frx

– Indications:     – for undisplaced vertical, peripheral, comminuted, or even transverse frxs associated with 2 mm or less of step-off incongruity in          articular surface, and/or less than 3 mm of fragment separation;          – usually, the extensor mechanism is not totally disrupted at the time of such fractures; … Read more

Considerations in Selection of Treatment

    – Anterior Posterior Compression Injuries     – Iliac Wing: Fractures     – Lateral Compression Injuries     – Malgaigne Fracture     – Posterior Pelvic Injury     – Sacral Fractures     – Sacroiliac Fracture Dislocations     – Symphysis Pubis Injuries

THR: Constrained Acetabular Liners

Discussion:  – is especially indicated when other treament methods are not effective;    – specific indications include significant extremity shortening, significant extremity shortening, multidirectional instability, recurrent instability following revision, neurologic disorder;    – constrained acetabular component:  – complications:       – fatigue fracture of the constraining ring (due to chronic impingement of constraining ring against the neck of  femoral … Read more

Categories Hip

Congenital Scoliosis and Vertebral Defects

– See:        – Crankshaft Phenomenon:        – Epiphysiodesis        – Hemivertebrae:        – Pathogenesis        – Spine Development        – Segmented Vertebrae:        – Spina Bifida        – Spondylosis        – Unilateral Bar – Associated Malformations: … Read more

Congenital Trigger Thumb

– Discussion:     – stenosing tenosynovitis of the flexor pollicis longus in childhood is relatively uncommon condition which causes triggering, IP joint flexion contracture, and a flexor tendon nodule over the metacarpal head level (Notta’s nodule);     – although present at birth, dx often not made until 4-6 months of age     – … Read more

Congenital Vertical Talus

– Discussion:     – irreducible dorsal dislocation of the navicular on the talus w/ fixed talo-navicular complex;     – CVT is a common cause of rigid flat foot, which can be isolated, or can occur with chromosomal abnormalities,            myeloarthropathies (myelomeningocele), & neurologic disorders;     – pathoanatomy:           … Read more

Congential Pseudoarthrosis of the Clavicle

– Discussion:     – occurs due to failure of union between medial & lateral ossification centers of clavicle;     – involve the right clavicle most often (when left side is involved, look for dextrocardia);     – birth trauma plays no role in this condition, and this condition is not associated w/ neurofibromatosis; … Read more