Ortho Preferred Malpractice Insurance

Isthmic Spondylolisthesis

– Discussion:     – most common type seen in children & young adults;     – occurs in about 5% of the population;            – more common in Eskimos;            – more common in yound white males involved in  hyperextension activities;     – most common … Read more

Intrinsic Muscles of the Hand

– See:       – Dorsal Interossei       – Lumbricals:       – Palmar Interossei – Hypothenar Eminence:     – muscles of hypothenar eminence are  abductor, flexor, opponens digiti minimi, & palmaris brevis;     – muscles of hypothenar eminence are innervated by ulnar nerve; – Thenar Eminence:     … Read more

Intrinsic Weakness and Claw Hand

– Discussion:     – claw hand deformity is manifested by flattening of the transverse metacarpal arch and longitudinal arches,            with hyperextension of MCP joints and flexion of the PIP and DIP joints;     – deformity is produced by imbalance of the intrinsic & extrinsics;         … Read more

Interspinales

– origin and insertion: pairs of small muscles joining the spinous process of adjacent vertebrae, one on each side of the interspinalis ligament;         continuous in the cervical region extending from the axis to the 2nd thoracic vertebrae and in the lumbar region from the first lumbar         vertebrae to the sacrum; – action: extension and hyperextension … Read more

Internal Rotators of the Shoulder

– Discussion:     – major internal rotators are teres major, latissimus, pect major;     – latissimus dorsi & teres major insert along medial lip of bicipital groove & pectoralis major along lateral lip and also serve as internal rotators;     – these muscles comprise larger mass than those that externally rotate the humerus … Read more

Intercondylar fractures

– Discussion:     – condyles will frx apart w/ variable amount of displacement, & comminution; – Approach:     – use posterior approach w/ olecranon osteotomy;     – articular surface is restored using interfragmentary lag screw fixation;     – coronoid and olecranon fossa must not be violated with fixation, nor should width … Read more

Insertional Activity

– Discussion:     – when needle is inserted into muscle or moved w/in muscle, there is a single burst of activity that usually lasts 300 to 500 ms;     – activity is related to movement of electrode and is thought to result from mechanical stimulation or injury of the muscle fibers; – Increased Insertional Activity: … Read more

Insertion of Cemented Femoral Stem

– See:        – characteristics of cemented femoral stems        – loosening cemented femoral component:        – collar: in THR        – optimal cementing technique        – removal of cemented femoral stems: – Preparation for Insertion:     – calcar planer:         … Read more