TENDON TRAUMA

Question 1

SPR compentency of proximal injury manifests how?

Answer 1

restrains peroneal tendons
repeated stress
incompetent SPR allows for subluxation of peroneal tendons
anterior longitudinal PB tears

Question 2

what is the easiest fix for peroneals?

Answer 2

SPR fix

Question 3

what tests do you use for ruptured achilles?

Answer 3

thompson test
maltes test
palpable dell
benign plain filter

not MRI

Question 4

contraindications of percutaneous procedure?

Answer 4

being 25 days post trauma, only 14 days post trauma

Question 5

what is the weakest part of open achilles repair?

Answer 5

length

Question 6

what are the stages of healing?

Answer 6

lag
-1st two weeks (0-14 days)

fibroproliferative
-third week (14-21 days)

maturation
-4th week to 2 years (day 28-beyond)

Question 7

name this procedure?

complications: higher rerupture, lengthening of tendon with subsequent loss of strength
benefits: low rate of complications

Answer 7

closed procedure

Question 8

name this procedure?

complications: higher rate of rural nerve injury, higher rerupture rates when compared with open procedures
benefits: minimal wound healing complications, better cosmetic appearance

Answer 8

percutaneous procedure

Question 9

name this procedure?

complications: wound healing, bulky appearance of tendon, higher incidence of complications
benefits: low incidence of rerupture, better functional result and strength, early mobilization and return to activity

Answer 9

open procedure