Ortho Preferred Malpractice Insurance

Partial ACL injury

– See: Natural History of ACL Deficient Knee: – Discussion:     – because failure of ACL occurs first by plastic deformation w/ loss of collagen cross-linking, rupture usually occurs as single fiber-mass             failure rather than sequential fiber failure;     – this probably explains why partial ACL injury is less common than complete rupture; … Read more

Pediatric Acetabular Fractures

– See: Pediatric Pelvic Fractures – Discussion:     – disruption of acetabular triradiate cartilage in patient > age 12 will result in minimal subsequent growth disturbance;     – in younger pts acetabular growth abnormality is frequent complication;           – may result in shallow acetabulum & progressive subluxation of hip; … Read more

Pectineus

Origin: Superior surface of the pubis, the pectineal line between iliopectineal eminence and tubercle of pubis; Insertion: Pectineal line of femur, from lesser trochanter to linea aspera; Action: Adduction of thigh at hip; Assistance in thigh flexion and controversial as to lateral or medial rotation at the hip; Nerve Supply: Femoral and Obturator nerves, L2, … Read more

Orthopaedic Menu Index: F

  Fracture Menu: Facioscapulohumeral Muscular Dystrophy Failure Fasciotomy Fat Embolism Syndrome Femoral Skeletal Traction Femoral Anteversion: Femur Felon Fibroma Fibrocartilage Fibrous Cortical Defect Fibula Fibular hemimelia Fibromatosis Fibrous Dysplasia Fibrodysplasia Ossificans Fibromyalgia Syndrome Fibrous Histiocytoma Fibrosarcoma Fibrosarcoma of Bone Finger Tip Injuries Flaps, Reconstructive Surgery: Flat Foot Flexor Tendon Injuries of the Hand Flourosis Fluid … Read more

Oxacillin

– See Penicillin Family * Adult: 4-12 gm q4-6hr; Peds ( > 4 yr): 150 mg/kg/24 hr; * For Staphlococcus; (Penicillinase Res. Penicillin); * Poorly absorbed orally, cloxacillin or dicloxacillin better for PO use; * Intersitial nephritis can occur with high doses; * Reduce dose in Renal failure;   – Dosing Regimens for Patients with … Read more

Open Laparotomy to Control Hemorrhage in Pelvic Frx

– Disadvantages of Laparotomy: – ligation of specific bleeding vessels in pelvic hematomas may not be technically feasible – extensive collateral flow of hypogastric system with in pelvis prevents hypogastric artery ligation from being effective; – ligation of both hypogastric arteries reduces mean arterial pressure in distal arteries by < 25%; – laparotomy breaches peritoneum, which … Read more

Norfloxacin/Noroxin

  – for treatment of complicated and uncomplicated UTI due to a wide variety of pathogens including E. coli Actinomyces israeli Amp, PenG Tetracycline clindamycin Aeromonas hydrophilia FQ Norflox TMP/SMX Bacteroides fragilis Metronidazole clindamycin cefoxitin Borrelia burgdorferi Ceftriaxone Pen G Erythromycin Tetracycline Enterobacter sp. cloacae, Proteus mirabilis, indole positive Proteus sp, P. aeruginosa, Staph aureus, … Read more