Medical Malpractice Insurance for orthopaedic surgeons

Obturator Internus

  – See: External Hip Rotators; – Anatomy:     – origin: inferior medial surface of the obturator foramen and the quadrilateral surface;     – insertion: after passing thru the lesser sciatic notch, it inserts on the superior posterior aspect of the greater trochanter of the femur;      – action: outward rotation of the … Read more

Obturator Nerve

– Anatomy:     – formed from anterior branches of L2, L3, L4 (see innervation of muscles of the lower limb)     – largest nerve formed from anterior divisons of  lumbar plexus ;     – roots unite within the posterior part of psoas, & then descends thru psoas & runs downward over sacral … Read more

Obliquus Capitis Inferior

– origin: the apex of the spine process of the axis; – insertion: the inferior and dorsal part of the transverse process of the atlas; – action: rotates the atlas, turning the face toward the same side; – nerve supply: a branch of the dorsal primary division of the suboccipital nerve; – synergists: Longissimus Capitis, Rectus Capitis Posterior … Read more

Obliquus capitis superior

– origin: the superior surface of the transverse process of the atlas; – insertion: the occipital bone, between the superior and inferior nuchal lines, lateral of the    Semispinalis capitis ; – action: extension and lateral flexion of the head at the neck; – nerve supply: branch of the dorsal primary division of the suboccipital nerve; … Read more

Oblique Fractures

– Avulsion Fracture – Comminuted Fractures – Distal Olecranon Fracture: – Fracture Dislocations – Oblique Fractures – Surgical Approach: – Transverse Fractures – Discussion:     – results from indirect forces (hyperextension)     – frx begins at midpoint of trochlear notch and extends distally to enter semilunar notch;     – amount of frx … Read more

Oblique Metacarpal Shaft Fractures

– Frx Malrotation:     – tend to shorten & rotate rather than angulate;     – may telescope because of proximal pull of extrinsic muscles;     – effect of malrotation:          – if 5 deg of malrotation is accepted, then displacement will  override 10 mm; – Frx Shortening:     … Read more

Oblique Popliteal Ligament

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>strong>- Discussion: /strong>(see a href=”/muscles-tendons/posterior-oblique-ligament/”>posterior oblique ligament/a>)br/>     – passes from insertion of the a href=”/muscles-tendons/semimembranous/”>semimembranous/a> on posteromedial aspect of tibia obliquely & laterally upward to insertion of br/>            semimembranosus on the posteromedial aspect of the tibia obliquely & laterally upward toward insertion of the lateral gastroc head;br/>      – it acts as … Read more

Notchplasty

– Discussion: – abnormally narrow intercondylar notches have been shown to correlate directly with an increased incidence of ACL tears; – w/ excessive internal rotation of the femur, the ACL may be ruptured as it impinges on the edge of the intercondylar notch; – notchplasty is used to widen the anterior portion and recess of the … Read more