Ortho Preferred Malpractice Insurance

Articular Cartilage

– See:        – Chondral and Osteochondral Injuries of the Knee / Articular Cartilage: Injury and Potential for Repair: / Osteoarthritis         – Enchondral Ossification  – Discussion:     – hyaline cartilage caps ends of bones that form synovial joints;      – in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the cells that become … Read more

Articular Reconstruction of Calcaneal Frx

– Technique:     – disimpaction of posterior facet:           – if the posterior facet is impacted down into the cancellous bone, it should be elevated en mass w/ use of an osteotome;                  – it is important to elevated the posterior facet along … Read more

Joint Arthroscopy:

    ankle arthroscopy elbow arthroscopy hip arthroscopy arthroscopy of the knee joint shoulder arthroscopy – arthroscopic rotator cuff repair wrist arthroscopy Additional Informaton The Effect of Irrigation Solution at Different Temperatures on Articular Cartilage Metabolism Supraphysiologic Temperature Enhances Cytotoxic Effects of Bupivacaine on Bovine Articular Chondrocytes in an In Vitro Study Effect of Different … Read more

Arthroscopic Acromioplasty

– Discussion, Indications and Outcomes:       – impingement syndrome        – open acromioplasty       – what exactly does an acromioplasty do?                  – [Subacromial denervation as a treatment modality for patients with subacromial pathology] – Radiographs – Initial Set Up:        – prior to inserting instruments into subacromial space it is helpful to prevent subacromial bleeding                 … Read more

Arthroplasty of the Shoulder

– Discussion: – Total Shoulder Arthroplasty:    (considerations: hemiarthroplasty vs TSA) – Reverse arthroplasty – Indications: – indicated for end stage DJD or RA shoulder involvement; – contra-indications to shoulder arthroplasty include combined rotator cuff / deltoid paralysis and recent joint infection; – in these rare circumstances, arthrodesis may be considered; – may occur as a … Read more

Arcuate Ligament

– Discussion:     – it is not a separate ligament but is condensation of fibers of origin of popliteus and helps form the arcuate complex:     – arcuate ligament is a Y shaped condensation of fibers that courses from the fibular head, over the popliteus, to            insert on the posterior capsule;     … Read more

APC III

– Discusison:     – w/ application of severe AP force, hemipelvis rotates externally until posterior iliac wing contacts posteior sacrum;     – continued force rips posterior SI ligaments, completely dissconecting hemipelvis from the sacrum;     – APC III have highest rate of assoc injury, including retroperitoneal bleeding;     – by definition then, an … Read more

Approach to Distal 1/3 of Radius through an Anterolateral Incision

– See:     – Plating Techniques – Technique:     – incision begins in front of radial styloid process, extending proximally in straight line along anteromedial border of the brachioradialis;     – brachioradialis is reflected laterally to expose superficial radial nerve in proximal portion;            – avoid injury this nerve as … Read more

Approach to Thoracolumbar Spine

– Positioning:  – foley and appropriate IV access established;  – place patient into left lateral decubitus position (L side up)  – break table in the middle;  – Incision and Exposure:  – incision is made along 10th rib which then curves along anterior abdomen as appropriate (based on size of patient);  – 10th rib is identified, … Read more