Medical Malpractice Insurance for orthopaedic surgeons

Waddel Criteria

– Discussion:     – Waddel determined 5 findings on PE which correlated w/ non organic LBP known as the 5 Waddell criteria;     – he noted that most patients w/ documented organic LBP had one or none of Waddell criteria, and that patients who had 3/5 Waddell           criteria were much more likely have non organic LBP; … Read more

Vastus Medialis

    – See quadriceps muscle; Origin: Lower 1/2 of the intertrochanteric lines, medial lip of linea aspera, upper part of medial supracondylar line, medial intermuscular septum          tendons of adductor magnus and adductor longus; Insertion: Medial border of the patella by the ligamentum patella into the tibia tuberosity; Action: Extends the leg at the knee … Read more

Vastus Intermedius

– See Quads Origin: Proximal 2/3 of the anterolateral surface of the femur, lower 1/2 of the linea aspera, upper part of the lateral supracondylar line;          Lateral intermuscular septum; Insertion: By tendons of the rectus and vastus muscles into the superior border of the patella and by the ligamentum patella into the       … Read more

Vastus Lateralis

– See Quads Origin: upper part of intertrochanteric line, anterior and lower borders of greater trochanter, lateral lip of gluteal tuberosity, upper         half of linea aspera, lateral intermuscular septum, and tendon of the gluteus maximus; Insertion: lateral border of the patella by the ligamentum patella into tibia tubercle; Action: extends the … Read more

V-Y Local Advancement Flaps

– See:       – Nail Bed Injuries       – Finger Tip Injuries: – Discussion:     – may be used for finger tip amputations which have more dorsal soft tissue loss than palmar loss);     – advancement flaps from same finger provide advantage of rapid healing, limited morbidity, and critical sensibility … Read more

Upper Extremity Tendon Transfers

– Tendon Transfers for Specific Palsies:     – Brachial Plexus Palsy     – High Ulnar Nerve Palsy     – Low Ulnar Nerve Palsy     – High Median Nerve Palsy     – Low Median Nerve Palsy     – Radial Nerve Palsy – Prerequisites:     – full passive joint mobility; … Read more

Upper Extremity Arteriogram

– Discussion:     – it is important that the injection site be at distance proximal to site of injury;          – if this cannot be performed w/ ease, retrograde axillosubclavian technique should be utilized;     – insertion of needle into brachial artery is facilitated by immobilizing artery against humerus;     … Read more

Unstable Distal Radius Fracture

– See: Radiographic Findings – Unstable Frx Patterns:     – Barton’s frx, Radial-styloid frx, and Smith’s frx, will often be unstable;     – dorsal angulation: > initial 20 deg implies instability;     – radial shortening of 5 mm or more;     – articular frxs that involve radiocarpal joint;       … Read more