Medical Malpractice Insurance for orthopaedic surgeons

Chronic Capitolunate Instability

– Discussion: (see: dynamic instability);     – capitolunate joint has high potential for instability, since it is mainly stabilized only by the radiocapitate ligament (and captiotriquetral ligament, to a lesser degree); (see wrist ligaments);     – may result from malreduced radial styloid frx, or any condition which shortens or reduces tension in the … Read more

Chronic Heel Pain

– Diff Dx:  – stress fractures (identified on 45 deg medial oblique view)   – inflammatory arthritides (RA or Reiter’s Syndrome)  – plantar fasciitis  – distal tibial tarsal syndrome   – heel pad atrophy;  – after the age of 40, the adipose tissue begins to atrophy, w/ resulting loss of absorbency

Chondroectodermal Dysplasia

– Discussion:     – rare disorder characterized by short limb dwarfism, polydactyly, dysplasia of the fingernails and toenails, dental deficiencies, & congenital           heart disease;     – common in the Amish;     – short limb disproportionate dwarves are characterized by acromesomelia, w/ the forearms, hands, legs, and feet involved to a greater            extent than … Read more

Chondroitin and Keratin Sulfate

– Discussion:     – two major glycosaminoglycans w/ in cartilage ground substance consist of chondroitin sulfate and keratan sulfate;     – both of these substances are covalently attached to the core protein of proteoglycan;     – their concentration and distribution w/ in matrix vary considerably according to age, type of cartilage, & … Read more

Chondrolysis

– Discussion:     – pins penetration of joint is a leading cause of chondrolysis;           – penetration by a single screw (which is immediately removed) has a low incidence of chondrolysis;     – if chondrolysis or AVN develops, early osteoarthritis is more likely;     – some pts w/ chondrolysis … Read more

Chondrolysis Following SCFE

– Discussion:     – rapid, progressive loss of joint space on radiographs and associated loss of clinical hip motion;     – pins penetration of joint is a leading cause of chondrolysis;             – penetration by a single screw (which is immediately removed) has a low incidence of chondrolysis;     – if chondrolysis or AVN … Read more

Chondromalacia of the Patella

– See: Patella and Patellofemoral Function – Discussion:      – chondromalacia describes softening & fissuring of articular hyaline cartilage;      – chondromalacia may result from an excessive load on patellofemoral joint, but disuse may be a contributing factor;      – most common in yound women;      – relationship between chondrosis & … Read more

Chondromyxoid Fibroma

– Discussion:     – locally painfull benign cartilaginous lesion of bone;     – it occurrs in adolescents;     – located in metaphyses of major long bones;     – this lesion most often presents as an active stage 2 lesion which is locally destructive & has a high recurrance rate (up to … Read more

Chondrocyte

– Discussion: (see cartilage menu)    – chondrocytes occupy lacunae distributed through the matrix;    – chondrocytes are spherical in deep portion, but are flattened toward the periphery of cartilage;            – peripheral lacuna may house a single chondrocyte;            – deeper lacunae may contain two or more … Read more