Ortho Preferred Malpractice Insurance

Gamekeeper’s Thumb

– See:       – Pediatric Game Keeper’s Thumb       – Thumb Deformities in RA       – Rheumatoid Gamekeeper’s Thumb       – Thumb MP Joint Dislocation – Discussion:     – involves injury to ulnar collateral ligament of thumb MCP joint, causing instability at that joint;     – the orignal description refered to … 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

FVFG: Clinical Hours and Operative Scheduling

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”> b>- Clinic Hours:/b> Duke South Hospital Orthopaedic Surgery Private Diagnostic Clinic First floor, yellow zone Appointments: (919)684-4007 or 684-3328 8:30 a.m. – 5:00 p.m. M-F Dr. Urbaniak is in the clinic on Tuesday Dr. Nunley is in the clinic on Wednesday & Thursday b>- The Telephone/b> The telephone is … Read more

Frx thru Waist of the Scaphoid

– Discussion:      – 70% of carpal frx occur at waist of scaphoid (narrow part of bone);      – 90% heal after w/ immobilization, but there is 5-10% complication rate;      – blood supply to the proximal portion is usually intact and healing will take place if adequately reduced;       … Read more

Full Thickness Burns

– See:       – Burn Management:       – Chemical Burns:       – Electrical Burns:       – Frost Bite: – Discussion:     – full thickness injury which extends thru the entire dermis, and therefore spontaneous re-epithelialization will not occur;     – clinical features: wound is insensate, … Read more

Full Thickness Skin Grafts

– See: STSG – Discussion:     – full thickness grafts transfer all organs contained in the dermis in addition to some Pacinian corpuscles (when the graft is taken from the             palm or sole);     – these grafts allow more durable coverage and more sensation than STSG;     – donor site:       … Read more