DSA 20 Webb Foot and Ankle

Question 1

When is surgery recommended for a Jones fx?

Answer 1

In Non union fx and high level athletes

Question 2

WHat is the standard tx for Jones fx?

Answer 2

non weightbearing cast 6-8 wk

Question 3

WHat is the tx for a 5th metatarsal avulsion fx?

Answer 3

hard sole shoe

Question 4

What physical exam test is useful for evaluating achilles tendon rupture?

Answer 4

Thompson test

Question 5

Why does achilles tendon rupture usually hit people between 30-50 who are semi active?

Answer 5

improper condition

poor blood supply 3-6cm proximal to the insertion on the calcaneus

Question 6

what is the Lisfranc ligament attached too?

Answer 6

attached between the 2nd metatarsal base to the base of the medial cuneiform

Question 7

If you suspect Lisfranc dislocation do you want weight bearing or non weigh bearing imaging and why?

Answer 7

weight bearing to allow for better view of the joint spacing

Question 8

What are the Ottawa rules for xrays of the ankle?

Answer 8

1. pain posterior to lateral malleolus
2. pain posterior to medial malleolus
3. inability to bear weight