Medical Malpractice Insurance for orthopaedic surgeons

Differential Diagnosis of Carpal Tunnel Syndrome

– see carpal tunnel syndrome – Overuse Syndromes:        – include muscle pain, tendinitis, fibrositis, epicondylitis, & psychological conditions that may contribute to disability; – Vascular Pathology – Anatomic Diff Dx:     – Cervical Root Impingement           – combination of nerve entrapment & radiculopathy (C6-C7) is not uncommon … Read more

Dictation for LRTI

 DESCRIPTION OF PROCEDURE: After induction of satisfactory axillary  block anesthesia, patient’s left upper extremity was prepped and  draped in the usual sterile fashion.  After exsanguination of the draped in the usual sterile fashion.  After exsanguination of the  left upper extremity with Esmarch, pneumatic tourniquet was placed at 300 mmHg.  Longitudinal incision was made over the volar radial aspect of the … Read more

Delta Phalanx (longitudinally bracketed epiphysis)

– Discussion:     – classic delta phalanx is characterized by a triangular or trapezoidal shaped bone w/ C shaped epiphyseal plate;            – proximal epiphysis curves around from its transverse orientation to a longitudinal one from proximal to distal along one side of the                   phalanx, thus forming a “C”‘     … Read more

Curly Toes and Overlapping Toes

– Overlapping Toes: – involves an dorsal-adduction deformity of the 5th toe; – other components of the deformity include external rotation of the digit, contracture of the EDL tendon; – in some cases there may be dislocation of the MTP joint; – often the deformity is familial and bilateral; – clinical findings: – the deformity … Read more

Casting of Scaphoid Fractures

(See also: Work Up for Scaphoid Frx) Discussion w/ proper casting nearly 100% of tubercle & distal third frxs will heal; in addition to healing considerations, the surgeon should note the position of healing (malunion); approximately 80-90% of scaphoid frx at the waist will heal, but only 60-70% of proximal pole frxs will heal; even … Read more