Ortho Preferred Malpractice Insurance

Hypercalcemia

– Discussion:     – physical properties     – state in body fluids          – calcium is a necessary & important addition to cell membranes, giving strength to these structures and regulating permeability;          – physiologic roles of calcium are well established;          – abnormally … Read more

Humeral Shaft Fractures in Children

– See:           – Proximal Humeral Physeal Injuries           – Condylar Fractures – Discussion:     – while radial nerve paralysis occurs in adults, its rare in children;     – most represent neuorpraxias, & are expected to return w/ in 3-4 months;     – acceptable … Read more

Hoffman’s Sign

– Discussion:     – positive Hoffmann’s reflex reflects presence of an upper motor neuron lesion from spinal cord compression;    – is elicited by flipping either the volar or dorsal surfaces of the middle finger and observing the reflexcontration of the thumb and index            finger;    – this sign is evidence by upper motor … Read more

Hip Joint Arthroscopy

– Hip Arthroscopy: (see hip joint and hip capsule) – indications: – evaluation of hip pain- candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; – false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. – gadolinium enhanced MRI demonstrated … Read more

High Ulnar Nerve Lesions

– See:     – Tendon transfers:     – Nerve Repair:     – Combined Injuries of the Median and Ulnar Nerves: – Discussion:     – ulnar innervated intrinsic muscles of hand, FCU, & FDP units to ring & little fingers & part of long finger;     – functional deficit:     … Read more

Hip Adductors

– See: Innervation – Discussion:     – adductors of the thigh take origin from body & inferior ramus of pubis & from ramus of ischium & insert on medial side of femur;     – innervated obturator nerve; – Adductors Include:     – adductor bevis     – longus     – magnus     – … Read more

High Median Nerve Lesions

– See:       – Entrapment of Median nerve  at the Elbow and Forearm:       – Combined Injuries of the Median and Ulnar Nerves:       – Median Nerve       – Nerve Repair – Deficit:     – loss of pronation of forearm, wrist flexors, index & long finger … Read more