Ankle and Foot Flashcards

1
Q

what are the 2 surgical options for significant pain from advanced ankle OA?

A

ankle replacement

arthrodesis

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2
Q

what is hallux valgus?

A

big toe moves out

medial deviation of 1st metatarsal causing lateral deviation of the toe

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3
Q

what is a bunion?

A

inflamed bursa over the medial 1st metatarsal

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4
Q

what is the conservative treatment for hallux valgus?

A

wear more accomodating shoes

use a spacer between big toe and second tow to prevent rubbing and ulceration

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5
Q

what is the surgical management for hallux valgus?

A

osteotomies to realign the bones and soft tissue

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6
Q

what is hallux rigidus?

A

OA of first metatarsophalangeal joint

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7
Q

gold standard surgical treatment for hallux rigidus?

A

arthrodesis

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8
Q

what is the conservative treatment for hallux rigidus?

A

wearing stiff soled shoes to limit motion of MTPJ

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9
Q

what is morton’s neuroma?

A

irritated plantar interdigital nerves. they become swollen and inflamed

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10
Q

what can high heels cause?

A

morton’s neuroma

hallux valgus

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11
Q

where do metatarsal stress fractures occur?

A

most common =2nd then 3rd metatarsal

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12
Q

how long will it take for a metatarsal stress fracture to heal by itself?

A

6-12 weeks

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13
Q

what can cause achilles tendonitis?

A

repetitive strain (from sports)
RA
antibiotics (Quinolone)

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14
Q

treatment for achilles tendonitis?

A

rest
physio
heel raise to offload tendon
resistant tendons might benefit from decompression

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15
Q

what should you NOT give for achilles tendonitis?

A

steroid injection

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16
Q

what is plantar fasciitis?

A

inflammation of plantar fascia

FUCKING BLOODY PAINFUL

17
Q

causes of plantar fasciitis?

A

poor cushioning in shoes
obesity
diabetes
walking /running on hard stuff

18
Q

signs/symptoms of plantar fasciitis?

A

FUCKING BLOODY PAINFUL

pain with walking
worse first thing in morning/last thing at night
stiffness
localized pain

19
Q

treatment for plantar fasciitis?

A

rest
stretching exercises
heal pads
steroid injection may help but risk injury to nerves

20
Q

what is pes planus?

A

flat foot

21
Q

what is pes cavus?

A

abnormally high arch of foot- often related to neuromuscular conditions

often accompanied by claw toes

22
Q

why do claw and hammer toes arise?

A

imbalance between the flexor and extensor tendons

23
Q

hyperextension at MTPJ with hyperflexion at PIPJ and DIP

A

claw toe