Foot and Ankle Low Yield

Question 1

What is the treatment for tibiotalar impingement?

Answer 1

1) Therapy, lifestyle changes, NSAIDs

2) Arthroscopic debridement

Question 2

What is the most common cause of acquired equinovarus spastic deformity?

Answer 2

CVA or TBI

Question 3

What is the surgical treatment for an acquired equinovarus spastic deformity?

Answer 3

1) TAL- tx for overactive gastrocsoleus
2) SPLATT (split anterior tibialis tendon transfer)- lateral half of tibialis anterior is attached to cuboid; tx varus deformity from overactive tibialis anterior

Question 4

What are some common ossicles in the foot?

Answer 4

1) Hallux seasamoids ~100%
2) Os trigonum 10-25%
3) Os peroneum 9-20%
4) Accessory navicular 2-12%

Question 5

What is poliomyeitis?

Answer 5

Viral disease that causes destruction of the anterior horn cells in the spinal cord; hallmark is motor weakness with normal sensory exam

Question 6

What can occur in up to half of polio patients later in life?

Answer 6

Post-polio syndrome; represents the affliction of more anterior horn cells after initial infection; occurs in up to 50%
Brief exercise with periods of rest is recommended