Medical Malpractice Insurance for orthopaedic surgeons

Palmaris Longus Tendon Graft Harvest

– Discussion:     – most commonly used tendon graft for the hand;     – palmaris longus tendon is extrasynovial and does not have synovial membrane;     – instead of synovial membrane, the tendon has a paratenon which does not promote gluiding as well as intrasynovial tendons; – PreOp Planning:      – determine … Read more

Osteomyelitis in the Diabetic Patient

– See: diabetic foot menu – Discussion:     – see osteomyelitis     – dx of osteomyelitis can be a difficult problem in diabetic pts w/ foot infections;     – some physicians will make the dianosis of osteomyelitis if they can palpate bone thru the skin lesion;             – … Read more

Osteoarthritis: Predisposing Causes

  SCFE   Trauma   Inflammatory arthritis   Calcium Pyrophosphate Dihydrate Crystal Arthritis      – these pts may have symptomatology at atypical sites of the hand such as the second and third MP joints;   Osteonecrosis   Intra-articular Steroids   Hyperparathyroidism      – it can cause subchondral bony erosions and collapse of the articular … Read more

Ossification of Soft Tissue and Periosteum

– See:   – Diff Dx: Hypercalcemia   – Diff Dx: HyperPhosphatemia   – Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications – Discussion:     – calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints;     – in either event the disease may be monoarticular or polyarticular;   … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more

Orthopaedic Aspects of Leprosy

– Discussion:     – causative organism of leprosy is M. leprae;           – acid-fast, obligate, intracellular gram-positive bacillus that reproduces maximally at 27°C to 30°C;     – frequent subacute polyarthritis involving the small joints of the hands and feet;     – organism infects the skin and cutaneous nerves, … Read more