5) Pes Planus Flashcards
1
Q
6 types of pes planus
A
- CV new born flexible
- CCPPV new born rigid
- FFF adolescent flexible
- TC adolescent rigid
- PTTD adult flexible
- PTTDDJD adult rigid
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
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)
4
Q
Over 50 y/o unilateral flatfoot
A
- Tibialis posterior dysfunction
5
Q
Hubscher maneuver
A
- Supinates STJ
6
Q
Compensation of ankle equinus
A
- Midtarsal joint dorsiflexion
7
Q
Calcaneo Navicular Coalition
A
- Rigid flatfoot
8
Q
Uncompensated vs. compensated equinus
A
- Uncompensated = calcaneus does not reach the ground
- Compensated Equinus = STJ pronation and Midtarsal joint dorsiflexion
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
10
Q
Medial column procedures
A
- Kidner
- Lowman
- Young
- Miller
- Hoke
- TaloNavicular, Nav Cun, Cun First.
- Osteotomies
11
Q
Calcaneal osteotomies
A
- Chambers
- Baker and Hill
- Selakovich
- Evans
- Dwyer
- Silver
- Koutsogiannis
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
13
Q
Evans = anterior
A
- Lengthen anterior calcaneus
- Bone graft
- Staple
- Add Gastrocnemius recession or TAL
- Add Medial column
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
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