Medical Malpractice Insurance for orthopaedic surgeons

Hand & Wrist in Arthrogryposis

– Discussion:     – hands of wrists in arthrogryposis are marked by weak muscles, stiff MP & IP joints, adducted thumb, and flexed and ulnar-deviated wrist;     – hand that has pinch and grasp is best left untreated;     – sublimis release>           – for flexion of proximal … Read more

Hanging Cast

– See:  – Forces Displacing the Fracture – Cast Brace – Caldwell (1933)  – for displace frx of the humeral shaft with shortening, and also for oblique and spiral fractures;  – Indications:  – used for comminuted humeral frx  – disatl humeral shaft frx;  – cast must be light wt. and must extend from at least … Read more

Hand and Metacarpal Fractures

– See: – Metacarpal Neck Frx: (See 5th MCP Frx) – Unstable Metacarpal Shaft Frx – Extra-articular Base Frx – X-Rays: – isolated metacarpal views are not possible; – 30 deg pronated lateral: for index and long metacarpals; – 30 supinated lateral: for ring and little metacarpals; – Non Operative Treatment:   – wrist is … Read more

Hand and Wrist Ref

Current Concepts Review.  Carpal Instability. Problem Disorders of the *Wrist–Symposium:* On Resection of the Proximal Carpal Row. Problem Disorders of the *Wrist–Symposium:* Radiography of the *Wrist.* Trends in Subspecialties–Symposium: Adhesive Capsulitis of the *Wrist:* Diagnosis and Treatment. Problem Disorders of the Wrist–Symposium: The Vascularity of the Wrist: Identification of *Arterial* Patterns at Risk. Symposium–Progress in Sports Medicine: Athletic … Read more

Upper Extremity in Cerebral Palsy

– See: Cerebral Palsy Menu: – Discussion: – most pts w/ hemiplegic cerebral palsy have functionless hand marked by: – flexion of the elbow with pronation of the forearm; – flexion of the wrist and fingers: spasticity, weakness, flexion deformity of the wrist & fingers – thumb in palm deformity; – loss of sensation and … Read more

Hamate

– See: Blood Supply to the Wrist – Discussion:     – anatomy of hook of hamate:           – is situated slightly distal and radial to the pisform;           – forms lateral (radial) border of tunnel of guyon, which transports ulnar nerve and artery to hand;   … Read more

Ganglionic Cysts of the Wrist

– Discussion:     – type of muscinous filled cyst whch is found adjacent to joint capsule or tendon sheath;     – it consist of an outer fibrous coat and an inner synovial lining and contains a clear, colorless, gelatinous fluid;     – ganglions usually occurs singly but may be multilocular;     … Read more

Gait

 – See:       – Ankle and Subtalar Joint in Gait:       – Hip and Pelvis in Gait       – Knee Joint in Locomotion       – Muscle Activity During Gait       – Stance Phase              – Weight Acceptance       … Read more