Medical Malpractice Insurance for orthopaedic surgeons

Radiographs for Supracondylar Fractures

– See: Radiology of the Elbow – Discussion:     – note that accurate AP and Lateral views are essential to judge the reduction;     – slightly oblique views can lead to acceptance of malreduction; – AP View:     – comparison films are usually required to judge amount of relative varus;         … Read more

Proximal Phalanx Fracture

    – See: Phalangeal Injury Menu: – Discussion: – fractures of the proximal phalanx are potentially the most disabling fractures in the hand; – direct blows tend to cause transverse or comminuted frx, where as twisting injury may cause oblique or spiral fracture; – proximal fragments are usually flexed by intrinsics while distal fragments … Read more

Proximal Humeral Physeal Injuries

– See: – Humeral Shaft Fractures in Children – Throwing Shoulder – Discussion: – most of these injuries are either Salter I or II fractures; – frx separations of proximal humeral epiphysis occur most often between ages of 11 and 15 years; – 80% of longitudinal growth of humerus occurs in proximal physis; – large … Read more

Proximal Humeral Fracture

– See: Proximal Humeral Physeal Injuries – Discussion: – classification of proximal humeral fractures: – anatomic neck fracture: – one part fracture – two part fractures – two part surgical neck fracture – two part tuberosity fractures: – lesser tuberosity frx; – greater tuberosity frx; – three part fractures – four part fracture: – fracture … Read more