Medical Malpractice Insurance for orthopaedic surgeons

Cardiac Enzymes

– See: Laboratory Menu – CPK:     – normal values:             – men: less than 174 Units/liter             – women: less than 140 Units/liter             – isoenzymes: MM 100%, MB (cardiac) and BB (brain) normally comprise 0%;     … Read more

Caput Ulnae Syndrome

– See:     – Radial Ulnar Joints     – Rheumatoid Arthritis – Discussion:     – ulnar caput syndrome results from synovitis stretching ulnar carpal ligaments;     – there is dorsal dislocation of distal ulna, supination of carpus on hand, volar subluxation of the ECU;     – left untreated, ulnar translocation … Read more

Cannulated Screws for Femoral Neck Fracture

– Indications for Closed Reduction and Fixation: – indications for closed reduction and fixation: – physiologically young patient: age < 65, working patient, good bone stock; – demented elderly patient that requires total care; – adequate closed reduction w/ no frx comminution or femoral neck defects; – patient should be aware that with an inadequate … Read more

Camptodactyly

– Discussion:     – camptodactyly involves a PIP flexion deformity which usually involves the little finger;     – deformity is likely due to imbalance caused by extensor hood insufficiency, a tight FDS, and/or abnormal intrinsic insertion volarward;            – cases which involve contracture of the FDS, may show a dynamic … Read more

Calcium Regulation of Muscle Contraction

– Discussion:     – muscle contraction is regulated by calcium ions, which will change thin filament into an activated state by binding to troponin;          – release of calcium actives the myosin-ATP complex, which motors the sliding action between actin and myosin;     – in absence of calcium, troponin & tropomyosin interfere … Read more

Calcium Supplements

– See Vit D Discussion: – Discussion:     – calcium requirements:          – age  1 – 10:  800-1000 mg per day;          – age 11 – 35: 1200 mg per day;          – premenopausal:  1000 mg per day;          – postmenopausal: 1500 mg per day;   … Read more

Calcaneovalgus Foot

– Discussion:     – calcaneovalgus (congenital calcaneovalgus) refers to flexible flatfoot in infants and young children;     – frequently seen infant foot disorder w/ forefoot abducted and the ankle severely dorsiflexed;           – mild form may be seen in upto 30% of infants but a more severe form is … Read more

Calcar Femorale

– Discussion:     – dense vertically oriented bone that originates in posteromedial portion of femoral shaft under lesser trochanter;            – it radiates laterally toward posterior aspect of greater trochanter;     – it reinforces the femoral neck posteroinferiorly;     – calcar femorale fuses w/ posterior aspect of femoral … Read more