Medical Malpractice Insurance for orthopaedic surgeons

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

Transverse Fractures

– See:       – Avulsion Fracture       – Comminuted Fractures       – Fracture Dislocations       – Oblique Fractures       – Surgical Approach: – Discussion:     – transverse frx enters semilunar notch, & amount of separation of is influenced by the pull of triceps muscle … Read more

Transection of the Subscapularis

– Evaluation of Muscle:     – about 5% of shoulders that have had an anterior dislocation will sustain a irrepairable injury to the subscapularis, which will contribute to             further instability;            – in this case, a pectoralis transfer would be indicated; – Preparation:     – identify the anterior humeral circumflex … Read more

Transfusion Related Transmission of Infectious Disease

– See: Blood Prod Menu – Discussion:     – septic reaction: considered when high fever and hypotension accompany a transfusion reaction;     – transmission of disease:             – HIV: risk is estimated to be about 1 in 200,000-800,000;             – hepatitis B: estimated … Read more

Transfusion Therapy

      – Blood Product Menu:       – pRBC’s / Fresh Frozen Plasma / Platlets / Cryoprecipitate / Transfusion Therapy / Coag Pathway – Indications for Blood Transfusion: – Methods to Decrease Transfusion:     – erythropoietin             – The effects of recombinant human erythropoietin on perioperative transfusion requirements in patients having a major orthopaedic operation.             … Read more

Transfusion Therapy – Aprotinin

               – Aprotinin: – hemostatic agent which regulates the following: – regulates fibrinolysis – intrinsic coagulation pathway – stabilizes platelet function – exhibits anti-inflammatory properties through inhibition of serine proteases; – in the report by JM Murkin MD et al (JBJS May 2000, Vol 82-A, No 5 Page 675), the … Read more

Transient Phalangeal Osteolysis (Microgeodic Disease)

– Discussion:     – condition which is associated with swelling, erythema, and pain in fingers;           – the middle phalanx is affect most often (distal phalanx rarely involved);     – most often affects children but can affect adults;     – condition may be more common during the winter … Read more

Transaxial View of the Shoulder

– Discussion:     – used to evaluate capsule of shoulder, & glenoid labrum, subscapularis  & long head of the biceps, and the humeral head;     – glenoid labrum produces low signal intensity since it is made of fibrous tissue;     – Hill-Sachs lesion, seen as a notched defect of flattening of humeral … Read more