9] Adv Foot And Ankle

Question 1

Diffuse pain medial distal 2/3 of tibia

Answer 1

Medial tibial stress syndrome aka shin splints

Question 2

Shin splint can be due to

Answer 2

Overloading muscle - tib post, FDL, soles

Overuse with running and jumping

Question 3

Causes of shin splints

Answer 3

Excessive pronation, ER of tibia, overload

Question 4

Biomechanical factors of medial tibial stress FRACTURE can be

Answer 4

Overpronation
Rigid cavus foot
Leg length discrepancy

Question 5

Diffuse pain but focal tenderness to palpation

+ hop test

Answer 5

Medial tib stress Fx

Question 6

Chronic exertional compartment syndrome

Answer 6

Increased pressure causing reduced blood flow and tissue perfusion

Question 7

Characteristics of chronic exertional compartment syndrome

Answer 7

No pain at rest
Paraesthesias maybe
Anterior compartment, bilateral
Dx by measuring intracmpartmental pressure

Question 8

Is the pain worse with impact?

Answer 8

Stress fracture

Question 9

Is the pain worse with exertion

Answer 9

Compartment syndrome

Question 10

Does the pain improve with warm up and stretching?

Answer 10

Muscle strain
Shin splints
Tendinopathy

Question 11

Common causes of medial ankle pain

Answer 11

Tib post tendinopathy

FHL tendinopathy

Question 12

Tib post action

Answer 12

Invert subtalar joint and stabilize hindfoot against valgus forces

Question 13

Tib post tendinopathy seen in

Answer 13

Middle aged women

Question 14

Clinical presentation of tib post tendinopathy

Answer 14

Medial ankle pain
Swelling if its a bad injury
Occasional crepitus
Resisted inversion is painful

Question 15

Tests for tib post tend.

Answer 15

Heel rise
Too many toes
Flat arch
Spring lig injury

Question 16

Treatment for tib post

Answer 16

Control overloading

Question 17

Action of FHL

Answer 17

Assists in PF and big toe flexion

Question 18

FHL tendinopathy often associated with

Answer 18

Posterior impingement

Question 19

FHL tendinopathy seen with

Answer 19

Dancers b/c of excessive hip ER, ankle eversion and hip and trunk weak

Question 20

Clinical features of tarsal tunnel syndrom

Answer 20

Tingling, burning
Rest helps
Sometimes worse at night
Tender
Tinsel’s sign

Question 21

Cause of medial calcaneal nerve entrapment

Answer 21

Calcaneal valgus

Compression

Question 22

2 surgeries for lateral ankle

Answer 22

Anatomical repair- Brostrom

Reconstructive tenodesis

Question 23

Reattaching ATFL and CFL

Answer 23

Brostrom

Question 24

Mobilizing and reattaching extensor retinaculum after imbrication of ATFL and CFL

Answer 24

Modified brostrom

Question 25

3 categories of reconstructive tenodesis

Answer 25

1] limits ankle INV
2] limits ankle INV and reconstructs ATFL
3] reconstructs ATFL and CFL

Question 26

Limits ankle inversion procedure

Answer 26

Evans

Question 27

Limited ankle INV and reconstructs ATFL

Answer 27

Watson jones

Question 28

Reconstructs ATFL and CFL

Answer 28

Chrisman snook