Medical Malpractice Insurance for orthopaedic surgeons

Codeine

– for mild to moderate pain; symptomatic relief of cough; mild narcotic analgesic, antitussive; – Adult:Anagesic: 15-60mg PO,SQ or IM qid prn; – Peds: 0.5-1.0 mg/kg/dose IV/IM/PO; – Antitussive 5-15mg PO or SQ q4hr prn; Onset 20-30min; – Has less sedative properties than other narcotics; – Do not use when there is known allergy, undiagnosed pain, … Read more

Clubfoot: Posteromedial Release – Greenville Method

                                                           assistance provided by:  B.L. Allen M.D.                                                                          R. Feurgeson M.D.                                                                           J.R. Davids M.D.            – See:         – Medial Release       – Posterior Release – Discussion:     – one-stage soft-tissue posteromedial release;     – as a prerequisite, the forefoot adductus deformity should be passively correctable to neutral, in order to avoid wound healing problems  … Read more

Clunk Test

– See:       – Pivot shift       – Anterior Cruciate Ligament       – Anterolateral Rotatory Instability       – Clunk Test       – Diagram       – Lachman       – Losee Test       – reverse pivot shift Test – Discussion:   … Read more

CMC arthritis: Resection Arthroplasty

– Discussion: – historically has yeilded good results in relieving pain; – disadvantages: – thumb shortening and subsidence, weakness of pinch, and decreased ability to adduct the thumb; – Operative Technique: – dorsal longitudinal incision centered over CMC joint; – incision is curved volarly at the base of thenar eminence; – superficial branches of the … Read more

CMC Joint / CMC Arthritis

– See: – CMC Joint Instability – Trapezium – Ligament Reconstruction Tendon Interposition – Anatomy of CMC – Arthritis of CMC Joint: – most commonly involved arthritic joint in the hand; – more common in women (upto 1/3 of women over age 40, will have x-ray changes); – may exist in a localized form or … Read more

CMT Type I

– See: CMT Menu: – Discussion:     – autosomal dominant inheritance;     – type-I and III disorders are due to demyelination of peripheral nerves;     – clinical presentation is most common during the second decade of life;     – due to defect in the gene coding for peripheral myelin protein-22 on chromosome … Read more

CMT Type II

– See: CMT Menu: – Discussion:     – autosomal dominant inheritance;     – type II is the neuronal form of CMT disease and is seen infrequently;     – onset is delayed until the second or third decade of life;     – sensory and motor nerve-conduction times that are only mildly abnormal, and … Read more

CMT Type III

– See: CMT Menu: – Discussion:     – includes the hypertrophic neuropathy of infancy (Dejerine-Scottas);     – autosomal recessive trait;     – begins in infancy;     – EMG in demyelinating neuropathies:            – marked slowing in nerve conduction velocity which is more extensive than those seen in … Read more

CLOZAPINE/CLOZARIL

– antipyschotic med, for chronic pyschotic patients who are resistant to usual medications; Both active and passive symptoms may improve with this medication; – Side effects include Agranulocytosis in 1-2% of patients; – WBC < 3000 or ANC < 1500 calls for interuption of treatment; – Also note dose related increase risk of seizures; – … Read more