tarsal coalition, chronic ankle instability, heel pain

Question 1

What facet most common in coalition?

Answer 1

middle

Question 2

rigid flatfoot association

Answer 2

vertical talus and tarsal coalition

Question 3

classification of coalitions

Answer 3

Tachdjian Classification:

Question 4

Signs of CN coalition

Answer 4

anteater, comma sign

Question 5

signs of TC coalition

Answer 5

TN beaking, halo sign, reverse C, flat lat talar process

See “drunken waiter” sign on MRI

Question 6

Badgley surg for coalition

Answer 6

removes coalition. pack EDB into defect

Question 7

Talar tilt test

Answer 7

CFL injury if >10 or >5of other side

Question 8

Ant drawer test

Answer 8

> 2cm

Question 9

Ligament reconstruction: elmslie

Answer 9

use fascia lata to reconstruct ATFL and CFL drill hole in talus

Question 10

Ligament reconstruction: Chrisman Snook

Answer 10

reroute PB through fib and anchor to calc

Question 11

Ligament reconstruction: Snook

Answer 11

drill hole in calc,

Question 12

Direct repair: brostrum- goud

Answer 12

repair and reinforce with extensor retinaculum

Question 13

Direct repair: karlsson modification

Answer 13

cut lateral ligament. approximate stumps more distally

Question 14

Direct repair: hoon

Answer 14

scope ankle- cut 4th EDL and reroute through lat malleolus to become CLF/ATFL

Question 15

Direct repair: juggerknot

Answer 15

arthroscopic use of glenoid anchor

Question 16

acute inflammatory process

Answer 16

inflame 1 week
Reparative 2-3 weeks
remodeling

Question 17

valleix

Answer 17

tinels but proximally

Question 18

piezogenic papules

Answer 18

herniations of fat pad pressing on nerve

Question 19

fowler- Phillips normal

Answer 19

<75

Question 20

if take too much in EPF what do you cause

Answer 20

calcaneal cuboid syndrome-lateral column destabilized