Medical Malpractice Insurance for orthopaedic surgeons

Ankle Arthrodesis

(see also: Sub-Talar Fusion, Tibial-Talar-Calcaneal Fusion Discussion and Outcomes: optimal position for fusion see gait and role of ankle joint in gait ref: Ankle arthrodesis. Long-term follow-up with gait analysis. Exam: perform an Allen test for the foot vasculature; note function of posterior tibial pulse while the dorsalis pedis pulse is occluded and vice versa; … Read more

Adhesive Capsulitis of the Shoulder

– Discussion: – refers to a condition in which the shoulder capsule becomes contracted and thickened; – patients note a dramatic decrease in shoulder ROM; – in many cases there is spontaneous resolution after 1-3 years and motion is re-gained; – associated disorders: – cervical spondylosis – hypothyroidism – ref: Prevalence of hypothyroidism in patients … Read more

ACL Graft Fixation

 – Discussion:     – see Arthrex, Mitek, Linvatec, Smith-Nephew     – in choosing a fixation technqiue consider the need for the following:              – circumferential (360 deg) healing of graft against tunnel wall (interference screws do not permit this);              – bioabsorbable material … Read more

Acromioclavicular Joint

Discussion AC joint is situated between the clavicle and acromion; acromion has two ossification centers which fuse at age 22 yrs; it permits motion in three planes: AP gliding of acromion during protraction & retraction of scapula; tilting of acromion during abduction & adduction of arm; rotation of the clavicle; rotation occurs during abduction & … Read more

Childhood Arthritic Conditions

Considerations for the Child with Joint Swelling, Limited Motion, and Pain synovial fluid exam polyarthralgia: polyarticular JRA (symmetric polyarthralgia); pauciarticular leukemia hemophilia lyme disease acute rheumatic fever septic arthritis incidious / chronic presentation of joint arthralgias: periarticular tumor oseoid osteoma pauciarticular JRA polyarticular JRA seronegative arthritides osteochondroses (LCP, osgood-schlatter dz) slipped capital femoral epiphysis lyme … Read more

Adult: Differential Diagnosis

Acromegaly: Ankylosing Spondylitis: Avascular Necrosis: Gaucher’s Disease: Hemochromatosis: Hemophilia Hypermobility Syndrome: this is an arthropathy associated with joint laxity; it is autosomal dominant associated with joint laxity; some of these are associated w/ DDH, but others present no particular surgical problems other than the fact that the surgical scar tends to spread and become broad; associated … Read more