Medical Malpractice Insurance for orthopaedic surgeons

Adductor Longus

Origin: anterior of pubis in angle between crest and symphysis; Insertion: middle 1/3 of medial lip of linea aspera; Action: addducts thigh at the hip, lateral rotation as it adducts the thigh. Some assistance in hip flexion; Nerve Supply: Obturator, L3, L2, L4;  (See Innervation) Synergists: Gracilis, Adductor Magnus, Pectineus,  Adductor Brevis Surgical Management of Sportsman’s Hernia in Professional … Read more

Adductor Magnus

– origin:       – posterior fibers: ischial tuberosity;       – anterior fibers: ramus of ischium and pubis; – insertion:       – from a line extending from the greater trochanter along linea aspera, medial suprcondylar line and adductor tubercle on medial condyle of femur; – action:         – … Read more

Adductor Pollicis

    – Discussion:     – adductor pollicis consists of 2 parts, one of which is transverse & other oblique;     – transverse head attaches to the volar crest of the 3rd metacarpal;     – oblique head attaches to ligaments around capitate, trapezium, and covering of the FCR;     – heads … Read more

Adhesive Capsulitis of the Shoulder

– Discussion: – refers to a condition in which the shoulder capsule becomes contracted and thickened; – patients note a dramatic decrease in shoulder ROM; – in many cases there is spontaneous resolution after 1-3 years and motion is re-gained; – associated disorders: – cervical spondylosis – hypothyroidism – ref: Prevalence of hypothyroidism in patients … Read more

Adamantinoma

– See: Bone Tumor Menu                                                                                                                                                                        – Discussion:     – rare tumor of unknown origin;     – occurs primarily in young males between 10 – 30 years of age (most common after skeletal maturity);     – pts present w/ firm, slowly enlarging mass that produces minimal disability;           … Read more

Adductor Brevis

Origin: outer surface of inferior ramus of pubis; Insertion: on a line extending from lesser trochaner to linea aspera and proximal 1/4 of linea aspera; Action: adduction of the femur at the hip; lateral rotation as it adducts the thigh.  some assistance to femur flexion at the hip; Nerve Supply:  Obturator,  L2, L3, L4;  (See Innervation) Synergists: Gracilis, Pectineus

Acute Ligament Repair for SLD

by William Mallon MD  – Skin Incision:     – Identification of Radial Nerve:   – Identification of 3-4 Interval:   – Longitudinal Arthrotomy:   – arthrotomy performed just distal to Lister’s tubercle over scapholunate interval;  – this should provide clear exposure of scaphoid and lunate;  – alternatively, a distally based capsular flap can be … Read more

ACL Graft Fixation

 – Discussion:     – see Arthrex, Mitek, Linvatec, Smith-Nephew     – in choosing a fixation technqiue consider the need for the following:              – circumferential (360 deg) healing of graft against tunnel wall (interference screws do not permit this);              – bioabsorbable material … Read more

ACL Graft Placement Theory

Discussion femoral tunnel tibial tunnel: isometric placement of ACL refers to the concept that a full range of knee can be achieved w/o causing long-term ligament deformation; isometry can not exist because, during ROM, there is no one point on femur that maintains a fixed distance from a single point on tibia; elongation always will … Read more