PED FOOT II

Question 1

foot and ankle procedures performed?

Answer 1

soft tissue conditions/trauma
Digital deformities
bunions
infections
fractures
flatfoot
pes cavus 
clubfoot
tumors

Question 2

ingrown toenail procedures?

Answer 2

chemical: P/A, NaOH
surgical: frost, winograd, zadik

Question 3

T/F, all soft tissue procedures should send specimen to pathology?

Answer 3

true

Question 4

most common hammertoe types?

Answer 4

flexor stabilization

Question 5

common inherited traits of syndactyly?

Answer 5

type I: zygosyndactyly
-cutaneous complete or non complete webbing usually 2nd and 3rd digits

type II: polysyndactyly
-more advanced, bony involvement 4th and 5th digits, metatarsals

Question 6

congenital hypoplasia of metatarsal head usually metatarsal #4 more

more frequent in females

results in short dorsiflexed toe

problems wearing shoe

*length is everything, what is max?

Answer 6

brachymetatarsia
surgical options: corticotomy with mini rail, z-plasty osteotomy, bone graft

1.25 cm is max

Question 7

ST procedure for bunions?

distal head procedure?

Answer 7

McBride, silver

Austin, reverdin epiphysiodesis

***avoid base procedures if possible

Question 8

metatarsus adductus deformity considerations?

Answer 8

know to calculate angle

procedures depend on Childs age

isolated vs compound deformity

exhaust conservative meaures

Question 9

metaadductus soft tissue procedures?

osseous procedures?

Answer 9

performed on 2-6 year olds

children > 6 y/o

Question 10

major approach to managing infections?

Answer 10

be aggressive