5) Pes Planus Flashcards

1
Q

6 types of pes planus

A
  1. CV new born flexible
  2. CCPPV new born rigid
  3. FFF adolescent flexible
  4. TC adolescent rigid
  5. PTTD adult flexible
  6. PTTDDJD adult rigid
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2
Q

Pes planus abbreviations

A
  • CV calcaneal valgus
  • CCPPV vertical talus
  • FFF flexible flat foot
  • TC Tarsal Coalition
  • PTTD Posteriot tibial tendon dysfunction
  • PTTDDJD PTTD with DJD
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3
Q

Rigid vs. flexible tests

A
  • Hubscher Maneuver = extend first mpj
  • Jack’s Test = stand on forefoot
  • Trunk Twist = supinate/pronate
  • Stress supination x-ray for pes planus
    (opposite of stress pronation x-ray for pes cavus)
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4
Q

Over 50 y/o unilateral flatfoot

A
  • Tibialis posterior dysfunction
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5
Q

Hubscher maneuver

A
  • Supinates STJ
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6
Q

Compensation of ankle equinus

A
  • Midtarsal joint dorsiflexion
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7
Q

Calcaneo Navicular Coalition

A
  • Rigid flatfoot
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8
Q

Uncompensated vs. compensated equinus

A
  • Uncompensated = calcaneus does not reach the ground

- Compensated Equinus = STJ pronation and Midtarsal joint dorsiflexion

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9
Q

Pes planus surgical options

A
  • Posterior = Gastronemius Recession or TAL.
  • Medial = Tibialis Posterior, Tibialis Anterior, TN, NCun, Cunfirst
  • Lateral = arthroeresis, calcaneal, cuboid, arthrodesis
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10
Q

Medial column procedures

A
  • Kidner
  • Lowman
  • Young
  • Miller
  • Hoke
  • TaloNavicular, Nav Cun, Cun First.
  • Osteotomies
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11
Q

Calcaneal osteotomies

A
  • Chambers
  • Baker and Hill
  • Selakovich
  • Evans
  • Dwyer
  • Silver
  • Koutsogiannis
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12
Q

Extra-articular calcaneal osteotomies

A
  • Chambers = elevate lateral Floor Sinus Tarsi
  • Baker and Hill = elevate lateral Posterior Facet
  • Selakovich = medial elevate Sustentaculum Tali
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13
Q

Evans = anterior

A
  • Lengthen anterior calcaneus
  • Bone graft
  • Staple
  • Add Gastrocnemius recession or TAL
  • Add Medial column
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14
Q

Dwyer = posterior

A
  • Varus producing osteotomy
  • Remove medial wedge
  • Maintain lateral hinge
  • “posterior pillar supporting the head of the talus”
  • Staple
  • Add Gastrocnemius recession or TAL
  • Add Medial column
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15
Q

Silver = posterior

A
  • Varus producing osteotomy
  • Open lateral wedge with graft
  • Maintain medial hinge
  • Staple
  • Add Gastrocnemius recession or TAL
  • Add Medial column
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16
Q

Koutsogiannis

A
  • Through and through slide
  • Move posterior calcaneus medial
  • Staple or screw
  • Add Gastrocnemius recession or TAL
  • Add Medial column
17
Q

Smith implant

A
  • STA-Peg STJ Arthrorisis
18
Q

Age groups and types of pes planus

A
  • 3 age groups (newborn, adolescent, adult)

- 2 types (flexible or rigid)