Medical Malpractice Insurance for orthopaedic surgeons

Tibial, Ankle, and Foot Procedures

   27705     OSTEOTOMY TIBIA    27707     OSTEOTOMY FIBULA    27709     OSTEOTOMY TIBIA/FIBULA    27712     MULT OSTEOTOMIES LEG/ANKL    27715     LENGTHENING TIBIA/FIBULA    27720     REPAIR NONUNION TIBIA    27722     SLIDING BONE GRAFT TIBIA    27722     TRIMALLE FX W/OR W/OUT FI   … Read more

Thumb Swan Neck Deformity

– See:     – Phalangeal Injury     – Finger Swan Neck Deformity – Discussion:     – this deformity is more common in OA than in RA;     – deformity results from CMC joint dz (where as boutonniere deformity is mainly at MCP joint);     – result is erosion of articular … Read more

THYROID STIMULATING HORMONE (TSH)

Adult <10 uU/mL; Male >60yr 2-7.3 uU/mL Female >60yr 2-16.8 uU/mL Note: Serves as a Screening Test for Hypothyroidism; Increased: Primary Hypothyroidsim Decreased: Primary Hyperthyroidism, rarely Secondary Hypothyroidism (Pituitary Insufficiency)

Total Shoulder Replacement vs Hemiarthroplasty

– Operative Considerations: hemiarthroplasty vs total shoulder arthroplasty:      – preoperative planning must take the following in consideration: status of rotator cuff, bone stock, asymmetric wear, and type and                extent of soft tissue contractures;      – expectations:             – patients should not generally expect to achieve elevation … Read more

Thromboxane

– Discussion:  – principal metabolite of arachidonic acid in platelets;  – stimulates platelet activation, and assists in intravascular aggregation of platelets;  – ASA irreversibly inhibits cyclooxygenase by acetylation of serine residue at its active site;     – cyclooxygenase must be continuously produced in endothelial cells, since they recover their ability to synthesize Prostacyclin within a           few hours; … Read more