Medical Malpractice Insurance for orthopaedic surgeons

Avulsion Fracture

– See:       – Surgical Approach:       – Transverse Fractures – Discussion:     – transverse frx line divides small proximal fragment of olecranon process from rest of ulna;     – this frx is most common in elderly patients; – Resection of Olecranon:    – Surgical Approach:    – resection … Read more

Axilla view of the Knee

– Discussion:     – profiles the the patellofemoral joint;     – points of consideration:          – patellar tilt:            – patellar subluxation:            – sulcus angle:                  – for assessment of femoral dysplasia;       … Read more

Cubitus Varus

– See: Baumann’s Angle – Discussion:     – cubitus varus is the most common complication following supracondylar frx,     – orginally, etilogy of cubitus varus was thought to occur because of growth disturbance of distal humeral epiphysis;             – this may be true but is uncommon;     … Read more

Coracobrachialis

Origin: tip of coracoid process on scapula; Insertion: middle of medial border of humerus, opposite deltoid tuberosity; action: horizontal flexion and adduction of the humerus at the shoulder; synergists: pectoralis major, biceps brachi, and anterior deltoid; nerve supply: musculocutaneous, C6, C7; – Surgical Hazards:     – profunda gives off muscular branches, usually gives rise to … Read more

Coracoid Process / CA Ligament

Anatomy: coracoid process can be palpated thru anterior deltoid muscle one to two finger breadths below outer portion of clavicle; one finger breadth lateral to coracoid is the GHJ; provides a palpable guide to deltopectoral groove; serves as an anchor for coracoid muscles (coracobrachialis & short head of biceps) that separate lateral safe side from medial … Read more

Complex Elbow Dislocations

 – Discussion:     – dislocations of the elbow associated with fracture are termed complex;     – comprimise 49% of elbow dislocations;     – most of these fractures are inherently unstable and require surgery;     – prolonged elbow immobilization produces poor results.     – surgery must achieve sufficient stability to allow … Read more

Compartment Syndromes of Hand and Forearm

– Antebrachial Compartment Syndrome: (see compartment syndrome menu)     – causes:           – may follow supracondylar fr(x) of humerus, or both bone forearm fractures;           – compartment syndromes in the forearm after wrist fractures usually involve the volar compartment;      – compartment syndrome monitoring     – technique of forearm fasciotomy: (see … Read more

Classification of Proximal Humeral Fractures

[ooo id=”64112″] – See: – Two Part Fractures – Three Part Fractures – Four Part Fracture – Definition of Displaced: – segment displaced more than 10 mm or angulated more than 45 deg; – Minimal Displacement: – results from low energy forces & has preserved soft tissue hinges; – pts w/ these frxs tend to … Read more

Clavicle Fractures

– See:  – Clavicular Frx in Children /  Congential Pseudoarthrosis of Clavicle – AC joint / Sternoclavicular Joint Injury / Scapula Fracture [ooo id=”33556″] – Discussion and Classification – Exam Findings:     – brachial plexus – ref: Injury to the brachial plexus by a fragment of bone after fracture of the clavicle – Radiology:  – Serendipity View – best visualized … Read more