Medical Malpractice Insurance for orthopaedic surgeons

Elbow

PreOp Evaluation

– Frx – Menu (See: Post Op Orders)  – Axial Skeleton  – C-spine  – Spine  – Pelvis  – Upper Extremity  – Shoulder  – Humerus  – Elbow  – Wrist  – Hand  – Lower Extremity  – Hip  – Femur  – Knee  – Tibia  – Ankle  – Foot  – Systems  – Neuro  – Cranio-Maxillo-Facial  – Spine  – Cardiac  … Read more

Preganglionic Brachial Plexus Injury

– Discussion:     – preganglionic lesions represent root avulsions from the spinal cord;     – 2 catagories:          – central avulsions: nervs are avulsed directly from the spinal cord;          – intradural ruptures: rootlets are ruptured proximal to the dorsal root ganglion;     – preganglionic injuries … Read more

Posterolateral Elbow Instability

– Discussion:     – arises from disruption of the lateral collateral and annular ligaments;     – associated conditions: elbow dislocation, radial head excision, coronoid fracture;      – diff dx: lateral epicondylitis     – LCL anatomy:            –  lateral collateral ligament consists of a ligamentous expansion proceding down from lateral                   … Read more

Posterolateral Approach to Elbow (Kocher)

– See: Lateral Approach – Discussion:     – allows exposure of the entire distal humerus as well as radial head, radial neck, and biceps tuberosity;     – indications for this approach include frxs of distal humerus, old posterior elbow dislocations, radial head frx, radial head excisions, arthroplasties, fixation of distal biceps tendon rupture, and … Read more

Posterior Impingement

Discussion:      – the hyperextension phase of throwing may be the most important component of internal impingement; – in the late cocking position (abduction, external rotation, extension) may cause the postero-superior edge of the glenoid labrum to become caught between the humeral head and rotator cuff (surface of the infraspinatus and posterior fibers of supraspinatus tendon); –  … Read more