Medical Malpractice Insurance for orthopaedic surgeons

Shin Splints / Medial Tibial Stress Syndrome

– Discussion:     – a complex syndrome characterized by exercise induced pain in mid leg;     – contributing factors include varus hindfoot, excessive forefoot pronation, genu valgum, excessive femoral anteversion, & external tibial torsion;     – may encompasses a wide spectrum of disorders including periostitis near origin of soleus & FDL muscle … Read more

Shoulder Arthrography

– Discussion:     – normally no communication exists between the shoulder joint and the subacromial bursae;     – when radiopaque dye is injected into the shoulder and is subsequently demonstrated in the subacromial bursa, a rotator cuff tear is present; – Indications:     – for dx of complete rotator cuff tears, adhesive capsulitis, … Read more

Shoulder Arthroplasty: Aequalis System

– Discussion: – Component Characteristics:     – cylindrical reamers: 6.5, 9, 12, 15 mm;     – angle of inclination:           – 125, 130, 135, 140 deg options;           – if inclination is between sizes choose the smaller size;     – humeral retroversion:     … Read more

Sertraline / Zoloft

– Discussion:     – type of serotonin uptake inhibitor;     – initial dose is 25 mg PO qd, but this is generally increased up to 50 mg PO qd;     – maximum dose is 200 mg PO qd;     – dose reductions should be carried out in patients with renal or … Read more

Sesamoid Bones of the Foot

– Discussion:     – anatomy:           – there is no direct connection between sesamoids & flexor hallucis longus tendon that runs between them;           – tibial and fibular sesamoids are located within tendons of FHB and forms portion of the plantar plate;         … Read more

Sesamoid Fractures

– See: Sesamoid Bones of Foot – Discussion:     – type of fatigue frx which usually involves tibial sesamoid;     – tibial sesamoid is more likely to fracture because normally it receives most of the wt transmitted by the first metatarsal;             – fracture is usually transverse or … Read more

Treatment of Septic Joint Based on Location

     – open joint injuries – septic knee – septic hip: – pediatric septic hip – adult hip: – references: – Sepsis of the hip in paraplegic patients. – Hematogenous septic arthritis of the adult hip. – Ruptured aneurysm of the common iliac artery as a cause of unilateral hip pain – SI Joint: – … Read more