Ortho Preferred Malpractice Insurance

Osteopetrosis

– Discussion: – osteopetrosis is failure of osteoclastic and chondroclastic resorption; – bones become exceedingly dense; – marrow space is filled w/ unresorbed dense bone; – disease results from lack of osteoclastic resorption, leading to thickened bones & exclusion of marrow cavity; – there is absence of marrow elements & these patients are susceptible to … Read more

Osteomyelitis in the Child

– Pathogenesis:     – osteomyelitis occurs most frequently in the long bones of lower extremities, & to a lesser extent the upper extremities;     – hematogenous osteomyelitis     – pediatric bone circulation: tortuous course of nutrient vessels in bone causes bacteria to be trapped in the metaphysis;     – epiphyseal plate prevents infection from entering the … Read more

Ossification of Soft Tissue and Periosteum

– See:   – Diff Dx: Hypercalcemia   – Diff Dx: HyperPhosphatemia   – Approaches To Differential Diagnosis In Musculoskeletal Imaging: Soft Tissue Calcifications – Discussion:     – calcium hydroxyapatite can be deposited in periarticular soft tissues or within joints;     – in either event the disease may be monoarticular or polyarticular;   … Read more

Orthopaedic Anesthesia

– See:         – Anesthesia and Timing for Femoral Neck Fractures:         – Anesthesia in the Spinal Cord Injured Patient:         – Cardiac Orders / Meds:         – Malignant Hyperthermia:         – Risk Assessment:          – Anesthetic Agents:                – Lidocaine:               … Read more

Orthopaedic Aspects of Leprosy

– Discussion:     – causative organism of leprosy is M. leprae;           – acid-fast, obligate, intracellular gram-positive bacillus that reproduces maximally at 27°C to 30°C;     – frequent subacute polyarthritis involving the small joints of the hands and feet;     – organism infects the skin and cutaneous nerves, … Read more