Ortho Preferred Malpractice Insurance

Type 2 Dens Frx

– Discussion:     – most common;     – occur thru base of odontoid process & may be caused by either hyper-flexion or hyperextension forces;     – blood supply is often comprimised in a type 2 frx     – type II frx occurs at base of dens, typically, frx plane is transverse; … Read more

Type I Collagen

– See: Collagen Discussion: – Discussion:     – type I is the major collagen of tendon and bone, but it is also the predominant in lung, skin, dentin, heart valves, fascia, scar tissue, cornea,             and liver;           – type I collagen is essential for the tensile strength of bone; … Read more

Tumors of Foot and Ankle

– Bone Lesions:     – enchondroma: (relatively common)     – osteoid osteoma:  (talus, navicular, or calcaneus)     – fibrous dysplasia     – adamantinoma (foot)     – metastatic lung cancer (? GI or GU)     – osteochondroma            – subungual exostosis, may develop on a distal … Read more

Tumors of Soft Tissue

       – Bone Tumors      – Biopsy      – European Cancer Institute – Soft Tissue Sarcomas      – Metastatic Tumors      – MRI      – Stage Classification Tissue type: – Osseous      – Myositis ossificans      – Extraosseous osteosarcoma – Carilaginous:      – Chondroma      – Extraosseous chondrosarcoma      – Synovial Chondromatosis – Fibrous:      – Fibroma      – Fibrosarcoma      – Desmoplastic Fibroma      – … Read more

Total Shoulder Replacement

– Discussion:     – see shoulder replacement discussion (total shoulder vs hemiarthroplasty vs reverse arthroplasty)     – the indications for total shoulder arthroplasty (versus hemiarthroplasty) are controversial;            – there is some controversy regarding pain relief and component survivorship;            – Gartsman GM, et al (2000), the authors compared hemiarthroplasty (24 … Read more

Trochanteric Osteotomy Technique

– Discussion:  – indicated for increased exposure requirements or unacceptable laxity of the abductors; – Technique:  – release the origin of the vastus lateralis from vastus tubercle;  – osteotomy is performed 1 cm below vastus tubercle