Medical Malpractice Insurance for orthopaedic surgeons

Arthroscopy of the Knee Joint:

 – See: Knee Joint Menu – Discussion: – arthroscopy of the arthritic knee – Arthroscopy following TKR – chondral and osteochondral injuries of the knee – meniscal tears: – prevalence of wrong pre-operative diagnosis or additional pathology: – always consider an alternative diagnosis especially in younger patients (in whom bone tumors should be considered); – ” … Read more

Kanavel’s Four Cardinal Signs

– Discussion:     – for diagnosing infectious tenosynovitis;     – intense pain accompanies any attempt to extend partly flexed finger;           – this is absent in local involvement;           – pain will be noted along the course of tendon with extension;         … Read more

Insidious Onset of Joint Disorders in the Child

     – Synovial F. Exam:      – Pauciarticular JRA      – Polyarticular JRA      – seronegative Arthritides      – Osteochondroses (LCP, Osgood-Schlatter dz)      – Slipped Capital Femoral Epiphysis      – Lyme Disease      – Oseoid Osteoma      – Foreign body synovitis

Inflammatory Bowel Disease

– See: Spondyloarthropathies – Discussion:     – associated with a peripheral arthritis, which reflects activity of bowel disease;     – frequently associated with erythema nodosum;     – large joint oligoarthritis occurs in 10 to 20 % of pts, usually during flares of the bowel disease;     – fevers, synovitis, & vesiculopustular … Read more

Risk Factors for Infection in TKR:

– Discussion:           – methods to prevent infection           – report by by Peersman G, et al .                   – comorbidities that were statistically significant in increasing the risk of infection were prior open surgical                               procedures, immunosuppressive therapy, poor nutrition, hypokalemia, diabetes mellitus, obesity, and                               a history of smoking.           – prevalence of infection after … Read more

Infections of the Hand

– See: Work Up and Treatment:      – Bacteriology of Hand infections      – Bite Wounds      – Clenched Fist Injury      – Collar Button Abscess      – Felon      – High Pressure Injection Injuries      – Infectious Flexor Tenosynovitis      – Lumbrical Muscle Sheaths      – Mid palmar space      – Kanavel’s signs   … Read more

Infectious Tenosynovitis: Closed Drainage

  – Technique:  – goal is to establish closed continuous drainage thru flexor sheath;  – tourniquet should be used;  – incision & drainage of flexor tendon sheaths are performed from both proximal and distal ends;  – palmar incision:  – transverse incision is made just proximal to distal palmar crease, over the infected tendon;  – spread … Read more

Index: P, Q, R, S

Index P:  Pagets Disease  Panner’s Disease Parsonage-Turner Syndrome  Parosteal Osteosarcoma Patella Infera  Pathologic Fracture: Diff dx Pauciarticular JRA  Pediatric Spine  Peripheral Neuropathies Perthes Disease  Periosteal Osteosarcoma  Peripheral Neuropathies PeriLunate Instability  Periosteal Chondroma  Pes anserinus  Pes Cavus Pigmented Villonodular synovitis  Planovalgus Plates Poliomyelitis  Polyarticular JRA Polydactyly of Hand  Polydactyly of Foot  Polyethylene  Polymyalgia Rhematica  Polymyositis and Dermatomyositis  … Read more