Medical Malpractice Insurance for orthopaedic surgeons

Spinal Shock

– See:       – Fluids and Electrolytes in the Head/Spine Injured Pt:       – Incomplete Spinal Injury: – Discussion:     – spinal shock involves a spinal cord concussion which usually invovles 24-72 hour period of paralysis, hypotonia, & areflexia, and            at its conclusion there may be hyperreflexia, hypertonicity, and clonus; … Read more

Spinalis Cervicis

origin: the lower portion of the ligamentum nuchae, spinous process of the 7th cervical and sometimes the 1st and 2nd thoracic         vertebrae spinous process; insertion: the spinous process of axis and sometimes the 3rd and 4th cervical spinous process; action: acting unilaterally, lateral flexion of the spine; acting bilaterally, extension and hyperextension … Read more

Spasticity

– Discussion:     – spasticity is defined as “a velocity-dependent increase in tonic stretch reflexes;”     – muscle contractions, which can be violent, may also occur, initiated by even slight stimulation;     – severity of spasticity is difficult to measure and can vary from moment to moment; – Medications:     – diazepam … Read more

Spherical Acetabular Osteotomy for DDH

– See: DDH – Discussion:     – provides excellent congruity at site of osteotomy, rapid healing, & intrinsic stability with only minimum internal fixation;     – performed through anterior approach;     – specially curved gouges are used to divide acetabulum from surrounding pelvis through osteotomy site 15 mm from articular surface;     … Read more

Spina Bifida

                      – See:       – Vertebral Defects:       – Myelodysplasia: – Discussion:     – Spina Bifida refers to a local failure of primordia of the two laminae to unite leaves vertebral canal open dorsally (spinal rachischisis, or             spina bifida);   … Read more

Spinal Anomalies in Marfan’s Syndrome

– See:     – scoliosis menu     – scoliosis menu – Discussion:     – scoliosis occurs in the majority of patients w/ Marfan’s syndrome, (over 60%) but curvatures significant enough to require treatment            occur in only 20% of pts;     – risk of progression:           – scoliosis … Read more

Spinal Cord and Meninges

– See: Neuro Exam: – Discussion:     – vertebral canal houses the spinal cord and its meningeal coverings;     – medulla oblongata is continuous w/ spinal cord at foramen magnum, &spinal cord usually ends inferiorly at level of 1st or 2nd            lumbar vertebra;     – filum terminale:         … Read more

Soft Tissue Coverage for the Leg

 – See:          – Arteriography           – Foot Reconstuctive Surgery           – Microanastomosis           – Pharmocological Agents in Vascular Surgery  – Initial Wound Care of Open Tibia Fractures – Soft Tissue Coverage Following Tibial Frx: (Tibia Frx)     – STSG;           – split thickness skin grafts require a … Read more