Medical Malpractice Insurance for orthopaedic surgeons

Ulnar Artery

    – See:       – Vascular Problems of the Wrist and Hand: – Ulnar Artery in Forearm:     – about 1 inch below the antecubital fossa, brachial artery divides into radial & ulnar arteries, w/ latter being larger;     – paired venae comitantes accompany both radial & ulnar arteries;   … Read more

Ulna / Ulnar Shaft Fracture

(see also: Both Bone Forearm Fracture: / Ulnar Styloid Process) Anatomy radius & ulna lie parallel to each other when forearm is supinated; during pronation radius crosses ulna, rotating on axis that passes from capitulum through the distal end of ulna; ular side of wrist is supported by TFCC, which articulates w/ both lunate and triquetrium; … Read more

Type III Supracondylar Frx

– Discussion:     – posterior cortex is disrupted w/ no cortical contact;     – distal fragment is displaced posteriorly and proximally (by pull of triceps);     – w/ medial displacement, the medial periosteal hinge is intact;     – w/ lateral displacement, the lateral periosteal hinge is intact; – Physical Exam:   … Read more

Type IV (Medial) Tibial Plateau Fractures

– See:         – Tibial Plateau Frx Menu:    Bicondylar Fractures and Type V Frx, Type IV Fractures, Total Depression Fracture – Discussion:     – frx of medial tibial plateau (see total depression frx):     – carries worst prognosis of all tibial plateau fractures;     – 2 subsets of injury:   … Read more

Type II Supracondylar Frx

– Discussion:     – if the frx needs a reduction, then the frx is not a type I but a type II;     – posterior cortex remains intact, making it a greenstick frx;     – technically a type II frx implies posterior displacement, but frequently there will also be medial impaction w/ … Read more

Type III Olecranon Frx

– Discussion:         – frx is displaced & forearm is unstable in relation to humerus;         – this injury is really a fracture-dislocation;         – Avulsion Fracture         – Comminuted Fractures         – Distal Olecranon Fracture:         … Read more

Type II Olecranon Frx

– Discussion:     – displaced, stable frx;     – frx fragments are displaced > 2-3 mm, but collateral ligaments are intact;     – frx may be non-comminuted (Type IIA) or comminuted (Type IIB).     – no sign of subluxation; – Non Operative Treatment:     – immobilized in mid flexion, these … Read more