Medical Malpractice Insurance for orthopaedic surgeons

Miss A Nail Technique: (Special Aiming Arm)

– Discussion:     – Miss A Nail Aiming Jig permits single or dual, 7.0 mm cannulated screw or 6.5 mm cancellous screw fixation of the femoral neck frx before nail insertion, for a sound surgical approach to a demanding clinical situation;      – may be placed anterior (or anterior and posterior) to path of nail;   … Read more

Milch Technique of Shoulder Reduction

  – Discussion of Treatment of Recent Dislocations and Fracture-Dislocations of the Shoulder     – maintains that biceps and subscapularis muscle offers the chief resistance to reduction;     – in anatomic position, w/ humerus at side, direction of various muscles around shoulder girdle seems to completely haphazard;     – constancy of this effect must be attributed … Read more

Minoxidil/Loniten

– Discussion:  – for severe HTN associated with end organ damage;  – is a direct smooth muscle dilator;  – Adult:  – 5mg PO qd, increase as needed to 40 mg/day in 1-2 doses; – maximum daily dose is 100 mg/day

Middle Column: the posterior half of the vertebral body

– See: Ligamentous Instability: – Discussion:     – compressive forces are transmitted thru the posterior vertebral body wall onto the two Uncovertebral joints;          – there is no significant disk material in this middle column;     – tensile forces are w/ stood by posterior longitudinal ligament and the posterior Annulus fibrosus;   … Read more

Middle Phalanx Frx

    – See:       – Characteristics of Phalangeal and Metacarpal Fracture:       – Injury to the Phalanges: – Discussion:     – important deforming force is the insertion of central slip into the dorsum of the base of the middle phalanx & insertion of flexor digitorum           superficialis volarly;     – … Read more

Midfoot / Forefoot Fractures

– See: – Cuboid Fracture – Jones Fracture – Lisfranc’s Fracture – Midtarsal Injuries – Navicular – Stress Fractures of the Forefoot and Midfoot – Transverse Tarsal Joint – Discussion: – fifth metatarsal fracture patterns; – Avulsion frx of base of 5th metatarsal from pull of peroneus brevis; – Jones frx – transverse fracture thru … Read more

Midtarsal Fracture

(see also: Midfoot/Forefoot Fractures; Navicular Frx; Cuboid Frx; Longitudinal Stress Injuries of Midtarsal Joint) Medial Stress Injury type of sprain of the midtarsal joint; caused by inversion of the foot, inaddition, fracture subluxation of joint may be found; Lateral Stress Injury this injury is frequently misdiagnosed as an ankle sprain; characteristic feature of these injuries … Read more

Mid-Carpal Instability

– Discussion: (see: dynamic instability);     – type of non dissociative carpal instability;     – capitolunate joint has high potential for instability, since it is mainly stabilized only by radiocapitate ligament (and captiotriquetral ligament, to a lesser degree); (see wrist ligaments);     – may result from malreduced radial styloid frx, or any … Read more

Mid Palmar Space

– Discussion:     – extends lateromedially from mid-palmar septum to hypothenar eminence;     – extends proximodistally to level of superficial palmar arch;     – dorsally the bursa is bordered by the middle, ring, (and ? little) finger metacarpals and palmarly by the flexor tenons and lumbricals;     – bursa functions to … Read more