rearfoot Flashcards

1
Q

hindfoot position for fusion

A

2-5 deg valgus with calcaneal bissection to tibia, and 5-10 mm lateral to mid diaphyseal to tibia; 10- 15 deg externally rotated in thigh/foot axis

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2
Q

for a triple, which joint requires longest time for revascularization

A

TN fusion

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3
Q

most common cause of haglunds deformity

A

high calcaneal inclination angle

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4
Q

dowel-graft arthrodesis technique aka

A

trephine arthrodesis technique

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5
Q

contraindications for trephine arthrodesis

A

If realignment or shortening is desired, it is recommended that traditional joint resection beused for fusion and repositioning

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6
Q

sliding the calcaneus anterior to the talus vs posterior to the talus will cause what changes to forefoot/rearfoot position

A

Sliding the calcaneus anteriorly on the talus results in dorsiflexion of the forefoot on the rearfoot (decreasing arch height)

Sliding the calcaneus posteriorly on the talus results in plantarflexion of the forefoot on the rearfoot (increasing arch height)

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7
Q

main blood supply to body of talus

A

artery of tarsal canal and artery of sinus tarsi

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8
Q

deltoid arterial branches off what

A

artery of tarsal cancal

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9
Q

rupture of deltoid ligament can cause what type of compromise

A

can cause vascular compromise to talar body because a branch of the artery tarsal canal runs through the deltoid ligament to supply medial aspect of talar body

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10
Q

Artery of tarsal canal branches off which artery

A

posterior tibial A

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11
Q

Artery of sinus tarsi branches off which artery

A

perforating B of peroneal A

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12
Q

which artery supplies head and neck of talus

A

dorsalis pedis

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13
Q

What is the Total angle of Ruch

A

Total angle of Ruch = Fowler & Philip angle +calcaneal inclination angle. Greater than 90* indicates a haglunds deformity.

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14
Q

most common cause for haglunds deformity

A

high calcaneal inclination angle (therefore, commonly seen with cavovarus foot type)

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15
Q

Heel pad triad

A

plantar fasciitis
PTTD
tarsal tunnel syndrome

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16
Q

what orthotic is best with ankle arthrodesis

A

rocker bottom shoe

17
Q

how long is an ex fix worn for ankle arthrodiastasis

A

12 weeks (3 months) best for younger adults 20-30s avoiding ankle arthrodesis

18
Q

MC complication post EPF

A

Mechanical alterations occur as a result of plantar fasciotomy which lead to lateral calcaneocuboid pain. Many surgeons have tried cutting only 1/3 – ½ of the ligament but data reports that symptoms still continue.

19
Q

Lateral column lengthening may lead to a reduction of motion in what joint?

A

STJ