Medical Malpractice Insurance for orthopaedic surgeons

Longitudinal Meniscal Tear

  – longitudinal tears, which usually involve the posterior portion of the meniscus, are the most common meniscal lesions;   – in many cases, gross inspection reveals only slight irregularities in inner border of the meniscus;   – probing is necessary to establish the presence of a tear;   – the meniscus should be probed from its … Read more

Longus Capitis

origin: anterior tubercles of transverse processes of the 3rd to 6th cervical vertebrae; insertion: inferior surfaces of the basilar portion of the occipital. action:    – acting bilaterally, flexes cervical vertebrae and head;    – acting unilaterally, rotates and flexes cervical vertebrae and head to the same side; nerve supply: muscular branches of C1, C2, … Read more

Longissimus Capitis

origin: transverse processes of the 1st to 5th thoracic vertebrae and the articular processes of the 4th to 7th cervical vertebrae; insertion: the posterior margin of the mastoid process; action: acting bilaterally, extends and hyperextends head; acting unilaterally, flexes and rotates the head the same side; synergists:    Semispinalis capitis , spinalis capitis,  Longissimus Cervicis

Longissimus Thoracis

origin: the common broad thich tendon with Iliocostalis Lumborum, fibers from the transverse and mamillary processes of the lumbar         vertebrae and lumbrosacral aponeurosis; insertion: the tips of transverse process of all thoracic vertebrae and the lower 9 or 10 ribs between the tubercles and angles; action: acting unilaterally, extension of vertebral column … Read more

Long Thoracic Nerve

– Discussion: – long thoracic nerve is derived from ventral rami of C5, C6, & C7 – close to their emergence from intervertebral foramina; – it runs downward & pases either in front of or behind middle scalene muscle; – it reaches upper slip of serratius anterior muscle & descends on outer surface of this … Read more

Lister’s Tubercle

– Discussion:     – at wrist, Lister’s tubercle is palpable on dorsum of radius;     – it serves as a pulley for the EPL;     – radial and ulnar styloid processes are also palpable, w/ tip of radial styloid process projecting 1 cm distal to that of ulna;     – on … Read more

Lisfranc’s Fracture / TarsoMetatarsal Injuries

– See: Midfoot/Forefoot Fractures – Discussion: – anatomy of the midfoot – mechanism: – because 2nd metatarsal is the longest metatarsal proximally, it will often be frxed at its base, with the other metatarsals dislocated; – dorsal capsule of Lisfranc’s joint, lacking sufficienct reenforcement, will to support the load and will collapse, resulting in dorsal … Read more

Limb Lengthening of the Femur

– Discussion:     – PFFD     – its impotant to distinguish between lengthening down the anatomic axis and lengthening down  the mechanical axis;           – lengthening along the anatomic axis will displace the knee medially (displacing the mechanical axis);           – lengthening along the mechanical axis does not … Read more