Medical Malpractice Insurance for orthopaedic surgeons

Becker Muscular Dystrophy

– Discussion:     – is X-linked recessive dystrophy that shares many of the features of DMD, including pseudohypertrophy of muscles;     – main clinical difference is that the course is more protracted;     – patients are usually able to walk as late as early adulthood and often live into their 30s and … Read more

Bankart Lesion

    – Discussion: – is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex; – lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability; – when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation … Read more

Base of Proximal Phalanx

– See: Complex MP Joint Dislocations; – Discussion:     – marginal fractures of the base of the base of the proximal phalanx involving MP joint usually represent avulsion fractures of collateral             ligament;     – often there is a significant sized palmar-ulnar or palmar radial fragment; – Non Operative Treatment:     – nondisplaced … Read more

Baker’s Cyst / Popliteal Cysts

– Discussion:     – a type of cyst which results from egress of fluid through a normal communication of a bursa (semimembranosus or medial             gastrocnemius bursa) or may be caused by herniation of the synovial membrane through the joint capsule;     – symptoms develope most often in bursa beneath the medial head of gastrocnemius … Read more

Ballottement test (shuck test): Lunotriquetral instability

– Discussion:    – triquetrum is displaced dorsally and palmarly on the lunate, demonstrating increase excursion over the normal side and often a painful crepitus;    – compression test: displacement of the triquetrum ulnarly during radioulnar deviation, which is also painful; Shear test:      – for triquetrolunate strain;      – shear force applied … Read more

Baclofen

– Discussion:     – is the drug of choice for spasticity;     – it potentiates the inhibitory effect of gamma-aminobutyric acid on reflex arcs;     – adult dosing:            – typical regimen begins with a dose of 5 mg given orally twice a day, which is increased to … Read more

Axillary Approach to the Shoulder

– Indications:     – most often used for anterior shoulder reconstructions – Positioning:     – beach chair w/ full access to posterior aspect of shoulder;     – holding shoulder in flexion, will relax shoulder & facilitate exposure;     – consider the Mconnel Shoulder Positioner;     – references:       … Read more