Ortho Preferred Malpractice Insurance

Month: July 2020

Adductor Longus

Origin: anterior of pubis in angle between crest and symphysis; Insertion: middle 1/3 of medial lip of linea aspera; Action: addducts thigh at the hip, lateral rotation as it adducts the thigh. Some assistance in hip flexion; Nerve Supply: Obturator, L3, L2, L4;  (See Innervation) Synergists: Gracilis, Adductor Magnus, Pectineus,  Adductor Brevis Surgical Management of Sportsman’s Hernia in Professional … Read more

Adductor Magnus

– origin:       – posterior fibers: ischial tuberosity;       – anterior fibers: ramus of ischium and pubis; – insertion:       – from a line extending from the greater trochanter along linea aspera, medial suprcondylar line and adductor tubercle on medial condyle of femur; – action:         – … Read more

Adductor Pollicis

    – Discussion:     – adductor pollicis consists of 2 parts, one of which is transverse & other oblique;     – transverse head attaches to the volar crest of the 3rd metacarpal;     – oblique head attaches to ligaments around capitate, trapezium, and covering of the FCR;     – heads … Read more

Acute Rheumatic Fever

– Discussion:     – autoimmune reaction ocurring 2-4 weeks after streptococcal infection (URI or tonsillitis);     – ages 5-15 yrs are most susectible; (younger pts are rarely affected)     – diagnosis:             – its rapid response to ASA is almost diagnostic;             … Read more

Acute Slip

– Discussion:     – 11% of cases     – occurs following significant trauma, produces sudden onset of pain severe enough to prevent weight bearing;     – pts usually report minimal or no previous symtoms; – Treatment:     – reduction vs. traction:           – gentle repositioning can reduce … Read more

Acyclovir/Zoviraz

– See: Herpes Simplex Finger Infection – Discussion:     – adult w/ initial Herpes simplex infecction infection:             – 200mg PO q4h while awake (5 caps/day) for 10 days;             – or 5mg/kg IV over 1hr q8hr x 5days, or 1gm/day in 5 divided … Read more

Adamantinoma

– See: Bone Tumor Menu                                                                                                                                                                        – Discussion:     – rare tumor of unknown origin;     – occurs primarily in young males between 10 – 30 years of age (most common after skeletal maturity);     – pts present w/ firm, slowly enlarging mass that produces minimal disability;           … Read more

Addition of Antibiotics to Cement

 – See: Infection Menu and Wound Management: and Local Antibiotic Delivery for Septic Joints – Discussion:   – basic science:        – useful in treating biofilm;        – references:              – In vitro characteristics of tobramycin-PMMA beads: compressive strength and leaching.                 – Antibiotic bone cement in THA. An in vivo comparison of the elution properties of … Read more