Medical Malpractice Insurance for orthopaedic surgeons

Classification of Proximal Humeral Fractures

– See: – Two Part Fractures – Three Part Fractures – Four Part Fracture – Definition of Displaced: – segment displaced more than 10 mm or angulated more than 45 deg; – Minimal Displacement: – results from low energy forces & has preserved soft tissue hinges; – pts w/ these frxs tend to have more … Read more

Classification of Seizures

– See: Anticonvulsants:  – Partial Seizures:     – seizures beginning locally w/ specific sensory, motor or psychic aberration that reflects the affected part;     – partial seizures w/ elementary symptomatology (generally w/o impairment of consciousness);     – w/ motor symptoms (includes Jacksonian seizures)     – special sensory or somatosensory symtoms;     – w/ autonomic symptoms  … Read more

Clavicle Fracture: Implants

– Fracture: Mid Shaft:      – Implants:          – 3.5 mm reconstruction plate;          – 3.5 mm DCP or LC-DCP; – Fractures: Neer type II (lateral)      – Implants:            – small T plate:            – tension band figure … Read more

Clavicle Fractures

– See:  – Clavicular Frx in Children /  Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture – Discussion and Classification – Exam Findings:     – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology:  – Serendipity View – best visualized sitting up … Read more

Discussion of Clavicle Frx and Classification:

Discussion:     – serves as protector of  brachial plexus     – acts as a strut which provides th only bony connection between upper limb and the thorax.      – embryology:            – first bone to ossify            – undergoes intra-membranous ossification w/o going thru prior enchondral stage;            – later in adolescence, secondary enchondral … Read more

Classification of Intertrochanteric Fractures

– See: Unstable Intertrochanteric Fractures:     – Type I:   non displaced, stable intertrochanteric s comminution;     – Type II:  stable, minimally comminuted, but displaced frx             – 36% of intertroch frx     – Type III: has a large posteromedial comminuted area and are unstable;           … Read more

Classification of Osteogenesis Imperfecta

– Type I:       – most common type       – autosomal dominant;       – blue sclerae;       – frx during childhood;       – hearing loss; – Type II:       – very rare       – autosomal recessive;       – blue … Read more

Classification of Cerebral Palsy

– Spastic Syndrome:     – are the most common (70% of cases) and most ammenable to surgery;     – due to upper motor neuron involvment     – mild to severe motor impairment     – characterized by increased muscle tone and hyperreflexia, with slow, restricted movements (because of co contraction of agonist … Read more