Ortho Preferred Malpractice Insurance

Infraspinatus

  – See Rotator cuff; – origin: infraspinatus fossa of scapula – insertion: posterior aspect of greater tuberosity of humerus, capsule of shoulder joint;  – demensions: infraspinatus has been shown to average 29 mm wide, with a mean medial-to-lateral width of 19 mm – action: extension, horizontal extension and lateral rotation of humerus at the shoulder … Read more

1. Wound Dressing/Splinting in Preparation for Transport

Dr. Brandon Horne Dr. Benjamin Kam   I. Stabilize Patient II. Critical Components of Safe Transport of Extremity Wounds             A. Cessation of bleeding             B. Prevention of further injury                         1. stabilization of fractures                         2. removal of noxious substances and gross contamination             C. Monitoring for limb threatening conditions                         1. further blood … Read more

Palmaris Longus

– See: technique of tendon graft harvest: – origin:    medial epicondyle of humerus; – insertion: transverse carpal ligament  and palmer aponeurosis; – action: flexes hand at the wrist; – synerygists:     flexor carpi radialis,  flexor carpi ulnaris, FDS; – nerve supply: median, C6, C7; – Discussion:   – most commonly used tendon graft … Read more

Hintermann Series H2™ Literature: 2013-2014

2013-2014 HINTEGRA revision arthroplasty for failed total ankle prostheses J Bone Joint Surg Am. 2013 HINTEGRA total ankle replacement: survivorship analysis in 684 patients J Bone Joint Surg Am. 2013 Patient-reported outcomes, function, and gait mechanics after fixed and mobile-bearing total ankle replacement J Bone Joint Surg Am. 2014 Primary stability and stiffness in ankle … Read more

Adult Humeral Inter-condylar Fractures: Plate Application

– Technique Considerations: – following restoration of fracture anatomy, contour 1/3 tubular, 3.5 pelvic reconstruction, or 3.5 DCPs, to fit medial and lateral aspect of distal humerus; – the strongest bone lies along medial and lateral columns and therefore the plate screws should be placed here rather than central portion of distal end of the … Read more

Achilles Tendinitis / Tendinosis

(see also: Achilles Tendon Rupture) Discussion while there are many causes of posterior ankle pain, there are two distinct conditions which may affect the Achilles tendon: tendinitis and tendinosis, each having a distinct prognosis; Tendinitis / Tendinosis peritendinous inflammation which does not generally progress to degenerative tendinosis (nor rupture); in other situations, there will be … Read more

Aceytlcysteine

Mucolytic agent as adjuvant therapy of chronic broncho pulmonary dz and CF; as antidote to Acetaminophren hepatotoxicity within 24 hrs of ingestion; Dose: Nebulizer: 3-5 ml of 20% solution diluted with equal volume of water or normal saline administered tid or qid