Medical Malpractice Insurance for orthopaedic surgeons

Vascularity of the Lunate

– See:        – Blood Supply to the Wrist        – Kienbock’s Disease – Discussion:     – majority of lunates have both dorsal & palmar vessels & are thus as well vascularized as the other carpal bones;            – neither single intraosseous nor extraosseous disruption alone will cause avascular necrosis … Read more

Vascular Anatomy of Scaphoid

    – See: Blood Supply to the Wrist: – Discussion:     – scaphoid receives majority of its blood supply via dorsal vessels at or just distal to waist area;           – these vessels perfuse the proximal pole in a retrograde fashion;     – most important vascular branches of … Read more

V-Y Local Advancement Flaps

– See:       – Nail Bed Injuries       – Finger Tip Injuries: – Discussion:     – may be used for finger tip amputations which have more dorsal soft tissue loss than palmar loss);     – advancement flaps from same finger provide advantage of rapid healing, limited morbidity, and critical sensibility … Read more

Upper Extremity Touniquet

– Forearm:     – in the report by Edwards et al, the authors performed a prospective study was undertaken to compare            the use of forearm and upper arm tourniquets for local anaesthetic procedures on the hand;            – 100 consecutive patients with an upper arm … Read more

Upper Extremity Arteriogram

– Discussion:     – it is important that the injection site be at distance proximal to site of injury;          – if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized;     – insertion of needle into brachial artery is facilitated by immobilizing artery against humerus;     … Read more