T2 L12: Surgery of the foot and ankle Flashcards
1
Q
What are the 3 divisions of the foot and what is contained within each one?
A
Hindfoot
-Calcaneus, talus, and ankle joint
Midfoot
-Talonavicular joint up to the tarsal metatarsal joint
Forefoot
-Metatarsals and toes
2
Q
Why is the Achilles tendon vulnerable to pathology?
A
- It has no tendon sheath but is instead surrounded by a paratenon (connective tissue)
- Poor blood supply
- Blood supply is weakest 2-6cm from the calcaneal attachment
3
Q
Where does rupture of the Achilles tendon happen?
A
In the hypovascular area 2-6cm from the calcaneal attachment
4
Q
Which tendon is used for Achilles transplant?
A
Flexor hallucis longus because it’s so close to the Achilles
5
Q
What are the symptoms of injury to the tibialis posterior tendon?
A
Post malleolar pain
Arch pain
Progressive flat foot deformity
6
Q
What is the posterior anterior draw test for?
A
Chronic instability in the ankle
A dent will appear if there is instability
7
Q
What is hallux valgus?
A
A bunion
