Medical Malpractice Insurance for orthopaedic surgeons

Total Shoulder Replacement

– Discussion:     – see shoulder replacement discussion (total shoulder vs hemiarthroplasty vs reverse arthroplasty)     – the indications for total shoulder arthroplasty (versus hemiarthroplasty) are controversial;            – there is some controversy regarding pain relief and component survivorship;            – Gartsman GM, et al (2000), the authors compared hemiarthroplasty (24 … Read more

Triangular Space of Shoulder

– See:       – see quadrangular space  – Formed by Borders of:      -Teres Major      -Teres Minor      – Long Head of triceps – scapular circumflex artery travels posteriorly thru trinagular space

Trapezius

                        – Discussion:     – trapezius and serratius anterior  stabilize scapular base from which the arm operates;     – trapezius, which arises from spinous processes of  cervical and thoracic vertebrae  & inserts on spine of scapula            and acromion, is innervated by spinal accessory nerve and branches from third … Read more

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more

Trauma Management:

– Advanced Cardiac Life Support (ACLS)     – ACLS     – Iowa Family Practice Handbook     – AHCPR Guidelines     – eMedicine Online Text – Advanced Trauma Life Support (ATLS)       – Assessment of Perfusion/Shock: damage control orthopaedics               – blood pressure (systolic), heart rate, urine output (30 mL/hr) body temperature;               – labs: … Read more

Trauma Workup

I. Combat/Disaster Injuries II. Battlefield/Austere Environment Trauma Systems III. Extremity Soft Tissue Care and Amputation in an Austere Environment – ATLS Assessment:  (General Approach to Trauma) – ref: Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective – airway protection: – anesthesia menu:  virtual anesthesia textbook / intubation menu – anesthesia consideration for … Read more

Transection of the Subscapularis

– Evaluation of Muscle:     – about 5% of shoulders that have had an anterior dislocation will sustain a irrepairable injury to the subscapularis, which will contribute to             further instability;            – in this case, a pectoralis transfer would be indicated; – Preparation:     – identify the anterior humeral circumflex … Read more