HAV/ HL/HR

Question 1

normal ROM MTPJ

Answer 1

65-75 dorsiflex. 15-20 Plantarflex

Question 2

normal ROM 1st ray

Answer 2

5mm up and 5 mm down

Question 3

Wt bearing ROM

Answer 3

20-30 dorsiflexion

Question 4

Normal angles met adductus

Answer 4

<15

Question 5

normal angles IMA

Answer 5

<8 (>10=bunion)

Question 6

true IM=

Answer 6

IMA+ (met adductus-15)

Question 7

PASA/DASA

Answer 7

<8

Question 8

normal angles Hallux abductus interphalangeus

Answer 8

<10 (>18=bunion)

Question 9

Normal tibial sesmoid angle

Answer 9

<3

Question 10

Surgical tx: Distal phalanx

Answer 10

medial nail bed rotation

Question 11

Surgical tx: Hallux IPJ

Answer 11

amp of distal phalanx, IPJ arthrodesis

Question 12

Surgical tx: Proximal Phalanx

Answer 12

distal akin
central akin
oblique akin (juvara)
proximal akin
Keller arthroplasty- (resect proximal Phalanx) corrects hallux abductus angle w HL/HR
Keller-bradis- remove 2/3 of prox phalanx
Bonney-Kessel- remove dorsal wedge.
Distal hemi implant
regnauld: corrects for abnormal phalanx length
Sagittal Z

Question 13

Surgical tx:MPJ

Answer 13

McKeever Arthrodesis: fusion
Silver Bunionectomy
McBride=silver +lateral relsease
ModifiedMcBride: leaves fibular sesamoid
Hiss=Modified McBride+Dorsal AH advancement

Question 14

surgery: distal 1st met

Answer 14

Mayo:met head resection 
Stone:Mayo with sesamoid articulation left intact
Reverdin:Correction of PASA.Incomplete osteotomy.
Reverdin Green: and plantar shelf
Reverdin Laird: complete
osteotomy and plantar shelf
Reverdin Todd:Correction of elevatus
Youngswick:austin with double dorsal cut

Question 15

surgical: distal/sub capital met osteotomies

Answer 15

Mitchell:Rectangular: osteotomy with lateral spicule to correct
for IMA, elevatus and met length
Roux:Wedged Mitchell
Miller:Mitchell w oblique ostomy to correct IM and length
Hohmann- transverse through cut
Wilson-oblique through cut
Distal L- Reverdin Green w out correction of PASA
Kalish: Austin w long dorsal arm
vogler (offset v)- proximal Kalish
Peabody- proximal reverdin
scarf
percutaneous DMO- hohmann
Derotational abdutory transpositional osteotomy
Distal crescentic

Question 16

Surgery: central 1st met

Answer 16

scarf
ludloff-dorsal proximal to distal plantar
mau- distal dorsal to proximal plantar

Question 17

Surgery: proximal 1st met

Answer 17

Cresentic:
Cresentic shelf
OBWO
Trethowan:OBWO using medial eminence for graft 
CBWO(Loison-Balacescu)
Logroscino:CBWO with Reverdin
Juvara:Oblique CBWO
Proximal Austin
Lambrinudi:Plantar CBWO

Question 18

surgery 1st met cuneiform

Answer 18

Lapidus
Westman:OBWO of cuneiform (corrects transverse plane
Cotton:(sagittal(plane)
Cotton- Westman:correct transverse and frontal

Question 19

HL/HR surg- joint sparing proximal phalanx

Answer 19

Kessel bonney- Dorsiflexory wedge
Regnauld: Peg hole in proximal phalanx allows for
correction of DASA and proximal phalanx length
Sagittal Z

Question 20

HL/HR surg- joint sparing 1st MTPJ

Answer 20

cheilectomy

Question 21

HL/HR surg- joint sparing1st met

Answer 21

Youngswick:
Waterman: dorsiflexory wedge osteotomy 
Watermann- Green-plantar flexes
Dorsal OBWO
Lambrinudi-plantarflexory wedge met shaft
Cotton OWO-medial cuneiform

Question 22

HL/HR joint destructive

Answer 22

Proximal phalanx
-Keller (do EHL lengthening)
-Keller Brandes (lat release
1sst MTPJ
-Valenti-resect met head and proximal halanx
-McKeever 
1st met
-Mayo (met head resection)
-Stone(mayo but leave sesmoid)