Medical Malpractice Insurance for orthopaedic surgeons

Radiographic Changes in Rickets and Osteomalacia

– Discussion:     – anatomical and pathological changes that occur with rickets or osteomalacia differ principallyaccording to the age of pt & severity of the              disorder.     – children:            – physeal cupping / widening            – bowing of long bones;       … Read more

Quadrilateral Socket

– Discussion:     – traditional quadrilateral socket has narrow anteroposterior diameter to keep the ischium positioned back and up on top of the posterior             brim of the socket for wt bearing;     – anterior wall of the socket is 5 to 7 cm higher than the posterior wall to hold the leg back … Read more

Quadratus Femoris

– See: external rotators of the hip: Origin: superior aspect of external border of the tuberosity at ischium; Insertion: superior aspect of the linea quadrata, the line which extends downward from the intertrochanteric crest of femur; Synergists: piriformis, obturator externus, obturator internus, gemellus superior, gemellus inferior; Action: external rotation of the femur at the hip; … Read more

Psoas Muscle

– Anatomy:       – origin: anterior surface of transverse process, lateral border of vertebral bodies and corresponding                intervertebral discs of T12-L5;        – at the 3 o’clock position, the iliopsoas is composed of 45% tendon and 55% muscle;       – tendon is located directly anterior to the anterior superior capsulolabral complex at the 2-3 … Read more

PreOp Planning for THR

– Surgical Considerations for Specific Diseases and Conditions: – Medical Assesment:      – surgical risk assessment             – risk factors for infection: are taken into consideration;             – anesthesia consult and posting                      – anesthesia, medical consderations, and timing for … Read more

PreOp THR X-Rays: Limb Length

– See: Radiology of the Hip: – Discussion:      – obtain view w/ 15 deg of internal rotation;      – draw a line at level of, & parallel to, ischial tuberosities and intersecting the lesser trochanter on each side;      – compare 2 points of intersection & measure difference to determine the amount of … Read more

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