Medical Malpractice Insurance for orthopaedic surgeons

SROM Hip System

– See: – PreOperative Planning:     – preoperative leg length:     – acetabulum:          – evaluation of cup position:          – acetablar component loosening          – use a wax pen to mark the tear drop and the superior aspect of the acetabulum, and overlie … Read more

Spondylolisthesis w/ Scoliosis

– Discussion:     – scoliosis is present in > 20% pts who have symptomatic spondylolisthesis but in only 13 per cent of those who have spondylolysis;     – incidence of scoliosis is higher in pts w/ dysplastic spondylolisthesis than in those who have isthmic spondylolisthesis; – Olisthetic scoliosis:     – scoliosis usually is not … Read more

Split Thickness Skin Grafts

– Surgical Technique:      – STSG for hand defects      – STSG Donor Site – Discussion:     – a STSG includes of the epidermis and various amounts of the dermis;     – skin that has been transplanted from one area to another maintains most of its original characteristics, w/ exception that sensation & sweating … Read more

Spondyloarthropathies / Related Chronic Seronegative Arthritides

Discussion conditions include: AS Reiter’s Syndrome Psoriatic Arthritis Inflammatory Bowel Disease typically involves the axial skeleton; affected areas heal w/ fibroblastic proliferation followed by new bone formation; pathogenesis of these disorders is unknown except for Reiter’s syndrome, which is generally believed to result from aberrant host response to a pathogenic microorganism; Labs RF is negative; HLA-B27 phenotype: … Read more

Splenius Cervicis

origin: spinous processes of 3rd to 6th thoracic vertebrae; insertion: 1st, 2nd, 3rd and sometimes the 4th cervical vertebrae transverse processes on the posterior aspect; action: acting bilaterally, extends and hyperextends the head and neck; Acting unilaterally flexes and rotates neck to the same side; nerve supply: posterior rami of the lower cervical spinal nerves; synergists: … Read more

Split Compression Frx (Type II Frx)

– Discussion: Split Compression /  Type II Fractures:     – split fragment from articular surface along w/ depressed area similar to that of local compression frx;     – lateral wedge frx is combined w/ varying deg of depression of adjacent remaining wt bearing portion of lateral tibial plateau;     – depression is usually located anteriorly or centrally; … Read more

Split Fractures

– Discussion: Tibial Plateau Frx Menu     – in most split frxs, large articular frag has separated in coronal plane from posterior portion of medial tibial plateau;     – fragment rarely separates from lateral plateau or from anterior aspect of either plateau;     – 22% of these frxs will also have assoc intercondylar eminence … Read more

Splenius Capitis

origin: spinous process of C7 to T3, inferior half of ligamentum nuchae; insertion: mastoid process and lateral portion of superior nuchal line; action: acting bilaterally, extends and hyperextends the head and neck;acing unilateally, laterally flexes and rotates head and neck to         the same side; nerve supply: lateral branches of the posterior … Read more

Spiral Blade

– Discussion:     – permits the guided insertion of a cannulated blade thru the nail and into the femoral head,at one of three angles to accommodate anatomic or fracture variations;     – angle options:            – key onto proximal nail end, adapting the nail slot to accept the spiral blade … Read more

Spiral Cords

– Discussion:     – arises from thickening, contracture, and coalescence of the spiral band, Grayson’s liagment, and the lateral digital sheet;     – it extends disatlly past the natatory ligament, first lying along lateral margin of the digit, but then courses toward the midline to insert into the central cord at the level of the … Read more