Medical Malpractice Insurance for orthopaedic surgeons

Exam: Spondylolithesis

– See: Back Pain in Children – Discussion:     – results of exam may be normal in child w/ spondylolysis or mild (Grade-I or Grade-II) spondylolisthesis. – Back:     – tenderness to palpation in the low back;     – splinting as well as guarding & restriction of side-to-side motion of low back, particularly … Read more

Epineural Nerve Repair

    Images kindly provided by Donald Serafin M.D., Duke University Medical Center   – Discussion:           – epineural repair is currently the gold standard for repair, as no prospective studies have indicated than fasicular repair is superior;     – it is probably most indicated w/ pure sensory or pure motor nerves; – Technique:     … Read more

EMG in Cubital Tunnel Syndrome

– EMG – General Discussion:     – conduction velocity in the ulnar nerve across the elbow is slowed compared with the velocity in the forearm segment;     – as noted by Kaempffe and Farbach (1998), abnormal EMG results are associated w/ poor surgical outcome;     – position of elbow during EMG/NCS:   … Read more

Electrodiagnosis for CTS

– See:       – Electromyography       – Nerve Entrapment – Discussion:     – it is difficult to determine which patients require preoperative EMG/NCS prior to carpal tunnel release;             – consider applying this study in any patient involved in litigation, who falls under worker’s compensation, … Read more