Ortho Preferred Malpractice Insurance

Active Abduction View

– Discussion:      – may allow use of plain x-rays for dectection of pts with complete Rotator cuff tears;      – this view showed narrowing of acromiohumeral space to 2 mm or less;      – view is obtained by having pt actively abduct shoulder to 90 deg and repeating an anteroposterior radiograph

AC Joint Separation

Discussion tears of AC & CC ligaments (from fall on tip of shoulder) allows upper limb to drop away from clavicle, producing separation of AC joint; diff dx distal clavicular physeal separation childhood equivolent of AC separation; atraumatic AC joint laxity (from ligamentous laxity) Classification Rockwood Classification type I sprain of joint with out a … Read more

AC Joint Arthrosis / Open Distal Clavicle Excision

Discussion general discussion: clinical and radiographic findings Surgical Technique Subacromial Decrompression Arthroscopic Distal Clavicle Excision: Open Clavicle Excision: Surgical Technique: Modified Weaver Dunn Procedure: Complications lateral elevation of the clavicle: lateral elevation is often associated w/ pain; ref: Sequential Resection of the Distal Clavicle and Its Effects on Horizontal Acromioclavicular Joint Translation references: Complications after … Read more

Absent Thumb

Discussion total absence of the thumb may be an isolated anomaly, but it is often associated with some other congenital malformation; absent thumb may be inherited as autosomal dominant or may be sporadic; absent thumb is frequently observed in Holt-Oram syndrome, Fanconi’s anemia, and ring D chromosome abnormalities; absent radius is almost always associated with … Read more

About WRIGHTLOCK and the OCS Instrumentation

Development of the design of the WRIGHTLOCK Spinal Fixation System began over eight years ago in conjunction with Dr. Ben Allen, Jr., Chief of Staff at the Shriners Hospital for Crippled Children in Greenville, SC. Its design was based on the need for a spinal system that was both low profile and high strength for … Read more

Abductors of the Shoulder

Discussion (see also: rotator cuff) abduction of shoulder is a smooth, integrated motion which has been termed scapulohumeral rhythm by Codman; disruption of this smooth motion is important since asymmetrical movement usually indicates a chronic pathological disorder of the shoulder; there is a 2:1 ratio of movement in GHJ & scapulothoracic joints; clavicle also plays … Read more

Septic Arthritis

Discussion » orthopaedic infection menu general orders and treatment differential diagnosis » (also consider Brucella melitensis, Borrelia burgdorferi and Treponema pallidum) Painful knee–an unusual cause secondary to pseudomonas septic arthritis of the hip. Septic until proven otherwise: approach to and treatment of the septic joint in adult patients. Indicators for detection of septic arthritis in … Read more