Other conditions of the tarsus Flashcards

1
Q

Fractures of the talus - location? which is more common?

A

Fractures of Tallus can occur in
- head, neck or body

Head most common

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2
Q

What is the prognosis with talar fractures?

A

Guarded as it is articular surface

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3
Q

Treatment of talar fractures?

A

lag-screw, K-wire — pantarsal arthrodesis

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4
Q

Fractures of the calcaneus - clinical sign?

A

plantigrade stance

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5
Q

breeds and why fratures of the calcaneus?

A

greyhound/working dog -> often right hind limb combined with central tarsal bone fractures (due to racing)
in non-racing: often comminuted

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6
Q

Treatment of calcaneal fractures?

A

Lag screw, K-wire, tension-band, plate
Pantarsal arthrodesis/calcaneoquartal arthrodesis

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7
Q

Fracture of the central tarsal bone - which breeds? why?

A

Greyhound, border collie - working/racing
Often right sided
Stress fracture

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8
Q

Fracture of the central tarsal bone - types of fractures?

A
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9
Q

Fracture of the central tarsal bone - which fracture is most common?

A

Type IV - medial + dorsal slab fracture
Type V - comminuted fracture

About 75% of central tarsal bone fractures

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10
Q

Treatment options for the different fractures, prognosis?

A

Type I - IV: lag screw
Type I, II and V can be treated with coaptation

Guarded prognosis with Type V for racing dogs

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11
Q

Fractures of the 2nd, 3rd and 4th tarsal bone?

A

2nd_ Can accompany central tarsal bone fx, lag screw
3rd: usually slab, greyshound, lag screw
4th: Often accompanying central tarsal bone fx, fixation of central tarsal bone allows 4th to heal

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12
Q

Malleolar fractures - prognosis? treatment?

A

Heal with adequate stabilization
- pin + tensionband, small diameter K wire and large diameter orthopaedic wire
- transarticular pin or exfix

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13
Q

Ligament rupture in the tarsus - prognosis? treatment?

A

High complication rate
Avlusion from tibia/fibula - exfix, pantarsal arthrodesis
Mid substance -> synthetic

Temporary transarticular exfix can give good prognosis

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14
Q

In shearing injury, when do we do pantarsal arthrodesis?

A

can be done at once!

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15
Q

PTA plates angles in cat and dog?

A

Dog - 135
Cat - 120

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16
Q

Plantar tarsal luxation or subluxation - breeds, presentation?

A

Overweight, middle-aged shetland sheepdog or collies

17
Q

Plantar tarsal luxation or subluxation - clinical findings?

A

Plantar thickening - first sign
insidious, hyperextention, plantigrade, calcaneous rotated proximally

18
Q

Treatment for Plantar tarsal luxation or subluxation ?

A

Calcaneoquartal arthrodesis

19
Q

Dorsal ligament rupture - cause?

A

Fall, sporadic

20
Q

Dorsal ligament rupture - treatment?

A

If isolated dorsal ligament -> external coaptation
if more severe: screws + wire or transart fix

21
Q

Tarsometatarsal subluxation and luxation - treatment?

A

Pantarsal arthrodesis

22
Q

Tarsometatarsal subluxation and luxation - concomitant injuries?

A

fractures of MCT 2 + 5

23
Q

Common calcaneal/achilles tendon injury - classification?

A

Type I: Complete rupture
Type II: musculotendinous rupture
Type IIb: Common calcaneal tendon rupture, paratendon intact
Type IIc: Avulsion of tendon from insertion with intact SDFT
Type III: Tendinopathy

24
Q

Common calcaneal/achilles tendon injury - treament?

A

Type I: Complete rupture - primary repair
Type II: musculotendinous rupture - primary repair
Type IIb: Common calcaneal tendon rupture, paratendon intact - primary repair
Type IIc: Avulsion of tendon from insertion with intact SDFT - bone tunnel + three loop pulley
Type III: Tendinopathy - conservative treatment

25
Q

Superficial digital flexor tendon displacement - breeds?

A

Collies
Shelties
Cats

26
Q

Superficial digital flexor tendon displacement - direction?

A

lateral

27
Q

Superficial digital flexor tendon displacement - diagnosis?

A

Can be felt to displace when limb is flexed, swelling over calcaenus

28
Q

Superficial digital flexor tendon displacement - treatment?

A

repair damaged retinacular attachement, sulcoplasty