Medical Malpractice Insurance for orthopaedic surgeons

Chordoma

Discussion rare, slow growing tumor arising from remnants of the notochord in axial skeleton of middle aged adults; most occur in midline at base of skull and in the sacrococcygeal area (it is the most common primary bone tumor of the sacrum); classically a slow growing lytic, anterior scaral (50%), or cervical lesion in 35%; … Read more

Chopart Amputation

– See:       – Syme’s Amputation       – Transmetatarsal Amputation – Discussion:     – Francis Chopart first described disarticulation thru midtarsal joint;     – Chopart amputation removes the forefoot and midfoot, saving talus and calcaneus;     – Chopart amptutations should not performed for ischemia;     – this … Read more

Chondrosarcoma

– See: Bone Tumor Menu – Discussion:     – malignant cartilaginous tumor of bone (3rd most common malignant bone tumor / comprises 20% of malignant bone lesions);     – it is less common and less aggressive than osteosarcoma;     – staging:             – histologic grading is best predictor of stage;             – most often presents as … 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

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

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

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

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

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

Chondrodysplasia Punctata

– Discussion:     – comprises a group of disorders characterized by multiple punctate calcifications in infancy;     – skeletal manifestations include: skin, facial, ocular, and cardiac abnormalities;     – characteristic punctate calcifications are seen on x-ray at birth and usually disappear by one year of age; – Orthopaedic Manifestations:     – … Read more