Review Test (Chapman) Flashcards
HO After syndesmotic injury: treatment strategy
HO/synostosis can occur if interosseous ligament is disrupted.
- occurs in 6-12 months
- surgery for patients with persistent pain and once the ossification is “cold” on bone scan, saying that it is stable
surgical management of chronic achilles tendon ruptures?
gastroc tendon turn down, FHL transfer
- allograft is not indicated
Indications for peroneal tendon repair vs tenodesis?
tear <50% = repair
tear >50% = tenodesis
Risk factors for achilles tendon re-ruptures?
- tobacco
- diabetes
- steroid use
Floating toe deformity:
occurs after weil osteotomy
- MT head does not touch the floor when standing
The classic surgical treatment for stage II PTTD?
medializing calcaneal osteotomy, FDL transfer to the navicular
Best treatment for talar OCD lesions?
excision, curettage, and drilling (85% success rate)
Level 1 evidence regarding operative vs non-operative management of achilles tendon ruptures?
level 1 evidence says the only difference in outcome is MORE WOUND COMPLICATIONS FROM SURGERY
- no dif in SMFA scores, strength, re-rupture rates
Post-polio syndrome is:
new onset muscle weakness, myalgia, fatigue
- 20-40 years after initial viral infection
-
What is a Cotton osteotomy?
plantarflexion opening wedge medial cuneiform osteotomy
- treatment for forefoot supination/varus in PTTD stage IIC
Typical deformity in the feet after a CVA?
spastic equinovarus
- need achilles lengthening
- need SPLATT procedure
Pathoanatomy of Baxter’s Nerve Pain
1st lateral plantar nerve
entrapped within the abductor halluxis and deep fascia
Isolated tibial sesamoidectomy for sesamoid fracture?
you can do it
- must repair the plantar plate and fascial structures afterward
- can do it in chronic sesamoiditis as well
Treatment of navicular stress fractures
Do NOT operate (at least for the test)
Best way to augment achilles tendon insufficiencies?
FHL transfer
Facts about LATERAL Talar OCDs:
- less common than medial
- smaller, more shallow
- usually TRAUMATIC
- respond poorly to non-operative treatment
- more likely to displace into the joint
Indicatiosn for Keller Resection Arthroplasty?
low demand older patient with severe pain symptoms from hallux rigidus
What is the Knot of Henry:
in the midfoot, where the FHL transitions to being anterior to FDL, and the immediately DORSAL to the FDL
- remember, behind the medial malleolus, the FDL is medial to the FHL
What shoe best reduces plantar forefoot pressure?
rocker soles
