Medical Malpractice Insurance for orthopaedic surgeons

External Rotators of Shoulder

– See:       – Infraspinatus: primary external rotator of humerus;       – Posteior Deltoid       – Teres Minor – Discussion:     – the posterior rotator cuff is important for maintenance of necessary force couples in axial (transverse) and coronal planes.     – preoperative muscle testing of the … Read more

External Fixators

      – General Fixator Considerations:    – fracture healing:            – references:                   – Comparison of osteotomy healing under external fixation devices with different stiffness characteristics.                   – External skeletal fixation of canine tibial osteotomies. Compression compared with no compression.                   – Comparison of the effects of compression plates and external fixators on … Read more

Excision of Olecranon

– Discussion:     – in elderly pts w/ comminuted frx, excision of up to 50% of olecranon can be well tolerated (no instability)             – if distal surface of semilunar notch of ulna & coronoid are not injured upto 80% of olecranon may be excised w/o producing instability; – … Read more

Examination of the Patellofemoral Joint

– See:       – Knee Exam       – Patellar Malalignment – Exam:     – hemarthrosis     – ligamentous laxity:          – persons at risk for patellar instability may exhibit generalized ligamentous laxity & poorly developed vastus medialis;          – if hyperlaxity is present, consider collagen disorder … Read more

Ewing’s Sarcoma

– See: Bone Tumor Menu – Discussion:     – prevalence:          – it represents approx 7% of all primary bone malignancies;           – second most common primary malignant bone tumor (behind osteosarcoma) (2.1 per 1 million children)          – Ewing’s sarcoma is more common in males and is rare in blacks;     – … Read more