Medical Malpractice Insurance for orthopaedic surgeons

Anatomy of Distal Femoral Physis

Discussion distal epiphysis includes entire articular surface of distal end of femur & serves as origin of part of gastrocnemius muscle; epiphyseal center of distal aspect of femur is present at birth in newborns, & it expands rapidly to fill both condylar regions. collateral ligaments originate from distal femoral epiphysis & insert on proximal tibial … Read more

Anatomy of Femur

– See: Arterial supply to Femur – Embryology of Proximal Femur: – upper end consists of head, neck, & greater & lesser trochanters at junction of the neck with the body; – develops from 4 separate ossification centers; – head forms roughly two-thirds of sphere whose surface is articular  except for fovea capitis femoris where … Read more

Anatomy of Olecranon

Discussion together w/ proximal portion of the coronoid process, olecranon forms greater sigmoid notch of the ulna, a deep depression that serves as articulation w/ trochlea that serves as the articulation w/ trochlea which allows motion only in anteroposterior plane and provides stability to the elbow joint; articular cartilage surface is interrupted by a transverse line of bone, “bare … Read more

Anatomy of Patella

– Discussion:     – sesamoid bone w/ in quadriceps tendon;     – cartilaginous posterior surface is divided by a rounded vertical ridge into a larger, lateral portion for articulation w/ lateral condyle of femur and smaller            medial portion for articulation w/ medial condyle of femur;     – w/ increasing knee flexion, contact … Read more

Anatomy of Proximal Humeral Physis

Discussion proximal humerus ossifies from four centers: head, shaft, and both tubercles, which unite at age 19 to 20; frx in adult life tend to occur along old epiphyseal lines; depression between tubercles, bicipital groove, contains long head of biceps; tubercles also serve as points of insertion for rotator cuff, w/ subscapularis inserting on lesser … Read more

Anatomy and Function of the Triangular Fibrocartilage Complex

– See: Ligaments of the Wrist – Anatomy of TFCC:     – consists of articular disc (triangulyar fibrocartilage), meniscus homologue (lunocarpal), ulnocarpal ligament, dorsal & volar radioulnar ligament, and ECU sheath;     – it originates from firm attachments on medial border of distal radius and inserts into the base of the ulnar styloid;   … Read more

Anatomy and Radiographs of the Midfoot

– See: Lisfranc’s Frx – Anatomy: – proximal end of the second metatarsal is tightly recessed between first and third cuneiforms; – this mortise configuration effectively locks entire tarsometarsal complex, preventing medial or lateral translation; – no significant dislocation of metatarsals or cuneiforms can occur unless this bone is disrupted; – for this reason, pure transmetatarsaltarsal … Read more