Medical Malpractice Insurance for orthopaedic surgeons

Osteogenesis Imperfecta

(see also: Pyknodyostosis) Discussion disease characterized by failure of maturation and organization of collagen fibers; defect in collagen (procollagen to type I collagen sequence and abnormal cross linking) leading to decreased collagen secretion, bone fragility; there may be an inability to form normal bone due to a defect in osteoblastic function; with the formation of … Read more

Osteogenic Proteins

– Discussion:     – see: homeobox genes database     – history: discovered by Marshall Urist in the early 1960s;     – currently sixteen different proteins (BMP-1 through BMP-16) have been identified;     – these proteins can now be produced by recombinant DNA technology and are further purified by column chromatography;   … Read more

Osteoid Osteoma

– See: Bone Tumor Menu – Discussion:     – benign osseous tumor usually less than 1.5 cm in diameter, comprising 11% of all benign bone tumors;            – no cases of malignant transformation has been reported;     – occurs primarily in adolescents and less often in children;      … Read more

Osteochondroma / Osteocartilaginous Exostosis

    – Discussion:     – a developmental dysplasia of peripheral growth plate which forms a cartilage capped projection of bone found near metaphyses of long bones;           – peripheral chondroblast grows outward from the metaphysis, acting as an ectopic growth plate, which ceases growth at skeletal maturation;     … Read more

Osteoblastoma

– Bone Tumor Menu – Discussion:     – unusual benign osseous tumor;     – it resembles osteoid osteoma in some respects buts is larger ( >2 cm);     – unlike osteoid osteoma:            – occurs in older adolescents and young adults;            – osteoblastoma … Read more

Osteoblasts

– Discussion:     – see: osteocytes and osteoclasts     – arise from marrow stroma cells, and are found on the surfaces where bone is being formed;     – may require bone morphogenic proteins for induction into osteoblasts;     – generally regarded as bone forming cells;            – … Read more

Ossification of Soft Tissue and Periosteum

– See:   – Diff Dx: Hypercalcemia   – Diff Dx: HyperPhosphatemia   – Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications – Discussion:     – calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints;     – in either event the disease may be monoarticular or polyarticular;   … Read more

Os Acromiale

  – Discussion:     – results from failure of an anterior acromial ossification center to fuse to the acromial process;     – caused by failure of one of three ossification centers;            – ossification centers appear at age 15 and should fuse by age 22-25;     – subtypes: (from … Read more