Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK 2 > Week 9 > Flashcards

Week 9 Flashcards

1
Q

A ___ based practice approach is kept in mind for treating sprains in the ankle

A

An impairment based practice approach is kept in mind for treating injuries in the ankle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the predictor variables that gives a better chance of success for manual therapy and exercise intervention for a grade1-2 ankle sprain?

A
  • Symptoms worse when standing
  • Symptoms worse in the evening
  • Navicular drop > 5 mm
  • Distal tibiofibular joint hypo-mobility

(+ LR for success with 3 of 4 variables = 5.90)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the MT recommendations for the acute/ protected motion of an ankle sprain?

A

• MT for lymph drainage, edema reduction, pain-free
soft tissue and joint mobilizations
• Exercise: reinforce MT; appropriate for stage and goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the MT recommendations for the progressive loading /sensorimotor training phase of an ankle sprain?

A

MT: graded mobilization/ manipulation, mobilization with movement
• Exercise: reinforce MT, functional retraining, strength and balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are some alternate techniques to address ankle and foot sprains?

A

Subtalar/rearfoot manipulation AKA talocrural joint thrust or distraction technique (high velocity technique)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The subtalar/rearfoot manipulation AKA talocrural joint thrust (TCJ thrust) or distraction technique is often utilized to ____

A

The subtalar/rearfoot manipulation AKA talocrural joint thrust or distraction technique is often utilized to help restore mobility in the direction of DF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the difference between a the mobilization with movement technique, vs the mobilization with movement technique?

A

No between group difference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a caution to take in the acute phase of an ankle sprain?

A

Avoid increased pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some things to do during the clinical decision making process for ankle sprains?

A
  • Perform a lumbar/lower quarter screen, especially if chronic
  • Assess functional comparable sign
  • Address Common Mobility Impairments (DF, eversion…)
  • MT & Exercise (including proprioception)
  • Reassess functional comparable sign
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is plantar heel pain (PHP)?

A

Pain arising from insertion of the plantar fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PHP can be with or without a ___

A

PHP can be with or without a heel spur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the presentation of PHP?

A
  • Progressive pain with weight-bearing
  • Especially 1st steps in the morning
  • Present in both athletic and non-athletic populations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

There is rarely a case of __ present with PHP

A

There is rarely a case of inflammation present with PHP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which group of patients experienced greater improvements in PHP between an E-stim group vs a MT and exercise group?

A

MT and exercise group

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is cuboid syndrome?

A

Pain plantar region of cuboid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the mechanism of a cuboid syndrome?

A

Forceful contraction of the

peroneus longus with plantar subluxation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the prevalence of cuboid syndrome in the population?

A
  • Dancers: 17% of foot/ankle injuries
  • Athletes: 4% of foot injuries
  • Lateral ankle sprains: 7%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the presentations of cuboid syndrome?

A

• Pain during gait; reduced
push-off.
• Localized pain & tenderness over the cuboid.
• Pain with passive physiological and accessory motion testing in the midfoot and cuboid region.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is hallux rigidus/limitus?

A

Degenerative arthrosis 1st MTP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What populaton does hallux rigidus/limitus affect the most?

A

Over 50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is hallux valgus?

A

An ABD hallux position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What population is hallux valgus mostly present in?

A
  • Incidence increases with age
  • 3% 15-30 years
  • 9% 31-60 years
  • 16% > 60 years
  • More in males than in females
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the post-op PT care for hallux valgus?

A
  • Edema reduction
  • Gait training /1st ray weight bearing
  • Muscle re-education/ strengthening
  • MT: mobilization to increase MTP F/E; oscillating toe traction for pain control; other foot/ankle joints as indicated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

At what stage of post op ankle fracture do we do the most of MT techniques?

A

At the immobilization phase, then we decrease it as patient gets more mobile and increase exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are the risk factors of PHP?

A
  • Limited ankle dorsiflexion
  • Prolonged standing during the day
  • BMI > 30 kg/m2
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What are the potential underlying factors of PHP?

A
  • Pes planus with subsequent overstretch of fascia
  • Rigid, cavus foot with tight fascia
  • Sudden increase in frequency, intensity, duration of activity (esp. hill or speed work for runners)
  • Calcaneal spur may develop due to chronic pull of fascia on calcaneus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are the selected objective exam factors of PHP?

A
  • Pain with palpation of plantar fascia insertion
  • Limited DF ROM
  • Higher BMI in non-athletic individuals
  • Positive windlass test
  • Negative tarsal tunnel test
  • Possible impaired neurodynamics
  • Assumes cleared up through L-spine for contributing conditions (mobility and strength)
  • US thickness > 4mm at calcaneal attachment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

MT addresses relevant LE impairments using what techniques?

A
  • Joint mobilizations

* Soft tissue mobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

MT techniques can be combined with ___ to treat LE impairments

A

MT techniques can be combined with targeted exercise to treat LE impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are the goals of MT in regards to LE impairments?

A
  • Address joint mobility
  • Improve flexibility deficits
  • Decrease pain
  • Restore function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What are the other intervention methods for PHP?

A
  • Stretching – Grade “A”
  • Taping – Grade “A”
  • Foot Orthoses – Grade “A”
  • Night Splints – Grade “A”
  • Physical Agents – variables grades from “C” to “D”
  • Therapeutic Exercise – no studies were reported in CPG specific
  • Trigger Point Dry Needling – insufficient evidence at present,
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What are the target tissue for stretching as an intervention for PHP?

A
  • Plantar fascia specific

* Gastroc/soleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What sort of relief results from stretching as an intervention for PHP?

A

Short-term relief

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What type of taping is used for PHP intervention?

A

Low-Dye (antipronation) taping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What sort of benefits are present for taping as an intervention for PHP?

A
  • Short-term benefit per application (~ 48 hrs)

* May be of benefit to ease pain/restore function early in care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Who is a foot orthoses potentially useful for as a PHP intervention?

A

Potentially useful for those who respond favorably to taping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What kind of effects are present for foot orthoses as an intervention for PHP?

A

Short to long-term

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

How long are night splints prescribed for as a PHP intervention?

A

Prescribe for a duration of 1-3 months for those with consistent 1st step pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Does the type of night splint affect the outcome in PHP?

A

Type of night splint does not appear to affect outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What type of physical agents can be used as an intervention for PHP, and why are they scored so low?

A

Iontophoresis, phonophoresis, ultrasound, low level laser.

They scored so low, because there is no inflammation in PHP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What are the systemic conditions that can cause heel pain?

A

Includes neuropathy and inflammatory arthritis causing conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What is fat pad syndrome?

A

Generally degenerates > age 40yrs, after injury or recurrent stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What is the effect of a fat pad syndrome?

A

Reduced cushioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What are PT management options for fat pad syndrome?

A

Activity modification
• Doughnuts/ heel cups or heel pads
• Cushioned footwear
• Ice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What is tarsal tunnel syndrome?

A

Posterior tibial nerve (or med/ lat plantar nerve) entrapment as it passes posterior to medial malleolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What are the causes of tarsal tunnel syndrome?

A
  • Trauma
  • Excessive pronation/ pes planus
  • Tight laced shoes /boots
  • Local edema/ inflammation
  • Space occupying lesion (i.e. tumor)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What are the exam findings of a tarsal tunnel syndrome?

A
  • Burning, numbness/tingling in medial ankle and/or plantar foot
  • Plantar foot parethesias
  • (+) Tinels to posterior tibial nerve with simultaneous DF/EV & toe extension
  • MMT changes (rare)
  • Max passive ankle EV/DF and MTP/IP extension held 5-10 sec
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What is the usual onset of of a calcaneal stress fracture?

A

Sudden or gradual onset pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Calcaneal stress fractures are typically associated with __

A
  • Increase in load >normal bone capacity

* Falls/impact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What activities are usually painful with a calcaneal stress fracture?

A

Pain with all weight bearing activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What are the exam findings of a calcaneal stress fracture?

A

Pain with
• Calcaneal palpation along medial/lateral aspect
• Calcaneal squeeze, percussion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What is posterior tibialis dysfunction?

A

Pain, inflammation along posterior tibialis tendon and

sheath – may show anywhere along tendon to plantar aspect of foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What are the presentations of posterior tibialis dysfunction?

A
  • Can have pain with weight bearing, which may ease thru day
  • Gait, push-off deficits
  • Decreased posterior tibialis length with testing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

____ ankle sprain is the least stable in “loose packed” position that occurs in ___

A

Lateral ankle sprain is the least stable in “loose packed” position that occurs in PF with inversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

What is the progression of severity for a lateral ankle sprain?

A

Progression of severity from ATFL to CFL to PTFL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Why is the medial ankle sprain less common?

A

Less common due to decreased eversion ROM and bony architecture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

____ is a high ankle sprain and is the least common type of sprains

A

Syndesmotic is a high ankle sprain and is the least common type of sprains

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

What are the presentations of a grade 1 acute lateral ankle sprain?

A
  • Mild symptoms
  • Likely kept playing after injury
  • Microscopic tearing of ATFL
  • No functional loss or instability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

What is the recovery time of a grade 1 acute lateral ankle sprain?

A

• Recovery time: 2-10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

What is the treatment method of a grade 1 acute lateral ankle sprain?

A

Patient self treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

What are the presentations of a grade 2 acute lateral ankle sprain?

A
  • Moderate functional loss
  • Involves ATFL and CFL
  • May have initially “walked it off” but will have gait dysfunction
  • Diffuse swelling/tenderness
62
Q

What is the recovery time of a grade 2 acute lateral ankle sprain?

A

• Recovery time: 10-30 days

63
Q

What type of acute lateral ankle sprain is most commonly seen in PT?

A

Grade 2 acute lateral ankle sprain

64
Q

What are the presentations of a grade 3 acute lateral ankle sprain?

A
  • Unstable, multi-ligamentous sprain
  • Anterior capsular involvement
  • Unable to fully WB
  • Diffuse edema/tenderness
  • Frequent concomitant fracture
65
Q

What is the recovery time of a grade 3 acute lateral ankle sprain?

A

• Recovery time: 30-90 days

66
Q

What is the typical management method of a grade 3 acute lateral ankle sprain?

A

Typically managed by ortho first

67
Q

What is the grading for a grade 1 acute lateral ankle sprain on a west point sprain grading system?

A
  • Tearing: Microscopic
  • Swelling: Minimal
  • Joint stability: None
  • Weight bearing: Fully/partial
68
Q

What is the grading for a grade 2 acute lateral ankle sprain on a west point sprain grading system?

A
  • Tearing: Partial
  • Swelling: Moderate/swelling
  • Joint stability: Mild/moderate
  • Weight bearing: Partial/unable
69
Q

What is the grading for a grade 3 acute lateral ankle sprain on a west point sprain grading system?

A
  • Tearing: Complete rupture
  • Swelling: Severe
  • Joint stability: Moderate/severe
  • Weight bearing: Unable
70
Q

What are the test done for an acute lateral ankle sprain?

A
  • Anterior Drawer

* Talar Tilt Test

71
Q

What ligament does the anterior drawer test test for in an acute lateral ankle sprain?

A

Tests for ATFL

72
Q

When is the diagnostic accuracy better for the anterior drawer test?

A

Better diagnostic accuracy 5 days post-injury compared to 2 days post-injury

73
Q

What ligament does the talar tilt test test for in an acute lateral ankle sprain?

A

Tests for CFL

74
Q

What are the things that we are looking for in the talar tilt test?

A
  • Does it produce pain?
  • Do we find more joint play compared to the other side
  • Is there more of a 5 deg difference with how much excursion we get compared to the uninvolved extremity
75
Q

What are some common sinister issues that can happen with an inversion sprain?

A
  • Nerve: superficial peroneal /fibular nerve involvement
  • Base of the 5th MT
  • Spiral fracture of the fibula
  • Lateral malleoli
  • Navicular
76
Q

What are the ottawa ankle rules for deciding if a patient needs a x-ray for when they experience pain over the malleolar zone?

A
  • Any pain over the malleolar zone and any of these findings:
  • Bone tenderness at the posterior edge or tip of lateral malleolus 6cm
  • Bone tenderness at the posterior edge or tip of medial malleolus 6cm
  • Inability to bear weight both immediately and in emergency department (2-3 steps)
77
Q

What are the ottawa ankle rules for deciding if a patient needs a x-ray for when they experience pain over the mid-foot zone?

A
  • Any pain in mid-foot zone and any of these findings:
  • Bone tenderness at base of 5th metacarpal
  • Bone tenderness at navicular
  • Inability to bear weight both immediately and in emergency department (2-3 steps)
78
Q

What are the characteristics of a medial/eversion sprain?

A
  • More severe
  • Potential for mortise instability
  • Medial malleolar fracture
79
Q

Where is the pain for a medial/eversion sprain?

A

Localized pain over the deltoid

80
Q

What is the test for the medial/eversion sprain?

A

Positive eversion (talar tilt) test

81
Q

What is a syndesmotic (high ankle) sprain?

A

Injury to anterior tibio-fibular ligament and/or syndesmosis

82
Q

What is the mechanism of a syndesmotic (high ankle) sprain?

A
  • Hyper-dorsiflexion

* Rotation and PF

83
Q

How long is the recovery time for a syndesmotic (high ankle) sprain?

A

Recovery >6 months

84
Q

What is often the intervention for a syndesmotic (high ankle) sprain?

A

Often surgical candidate

85
Q

What are the special test for a syndesmotic (high ankle) sprain?

A
  • Syndesmotic squeeze
  • ER stress test
  • Fibular translation test
86
Q

What is the acute management of an ankle sprain?

A
  • Initial pain and edema control (RICE)
  • Gait (crutches)
  • Early mobilization and WB
87
Q

What type of sprain is immobilization indicated for?

A

Indicated in grade III injuries as well as syndesmotic injuries

88
Q

What does immobilization lead to in a grade 1 and 2 injury?

A

Leads to protracted recovery in grade I and II injuries

89
Q

___ WB ideal immediately post-injury

A

Protected WB ideal immediately post-injury

90
Q

What does manual therapy do for an ankle sprain?

A

Thrust and non-thrust techniques may improve pain and function following acute ankle sprain

91
Q

What does therapeutic exercise do for an ankle sprain?

A

Exercise therapy reduced risk of recurrent ankle sprains and functional instability

92
Q

___ is a great way to start treatment for an ankle sprain, but not the best place to finish

A

Neuromuscular training is a great way to start treatment for an ankle sprain, but not the best place to finish

93
Q

Chronic ankle instability is characterized by residual symptoms that include ___

A

Chronic ankle instability is characterized by residual symptoms that include feelings of giving way and instability as well as repeated ankle sprains, persistent weakness, pain during activity, and self-reported
disability

94
Q

What are the 2 primary components of chronic ankle instability?

A
  • Mechanical instability

- Functional instability

95
Q

What are the mechanical instability components of chronic ankle instability?

A

Pathologic laxity, impaired arthrokinematics, and joint degenerative changes

96
Q

What are the functional instability components of chronic ankle instability?

A

Altered neuromuscular control, strength deficits, and deficient postural control

97
Q

___ or ___ is recommended for return to sports and has been proven to really work

A

Lace-up or semi-rigid brace is recommended for return to sports and has been proven to really work

98
Q

What are the ways to test for closed chain DF in patients with ankle sprain injuries?

A
  • 38 degree tibial shaft angle

- 9-10cm knee to wall

99
Q

What is the patient progression of pain or disability?

A
  • Self management
  • Conservative car (PT)
  • Surgery
100
Q

What are the indications for surgery in the foot and ankle?

A
  • Pain
  • Loss of function
  • Instability
101
Q

What are the soft tissue repairs surgical procedure of the ankle and foot?

A
  • Achilles Tendon Repair

* Tarsal Tunnel Release

102
Q

What are the stabilization procedures and arthroplasties surgical procedure of the ankle and foot?

A
  • Lateral Stabilization
  • Lis Franc Fusion
  • Ankle Fusion or Replacement
  • 1st MTP Replacement
103
Q

What are the general repairs surgical procedure of the ankle and foot?

A

• Osteochondral grafting of the
talus
•Hallux Valgus Repair

104
Q

What are the indications of an achilles tendon repair?

A
  • Rupture
  • Young and active
  • Not musculotendinous joint
105
Q

What are the indications of a tarsal tunnel release?

A
  • Tarsal tunnel syndrome
  • Increased motor nerve latency on EMG
  • Early diagnosis
  • Identifiable lesion
106
Q

What are the descriptions of n achilles tendon repair?

A

Open or percutaneous

107
Q

Which form of intervention is better for an achilles tendon repair Surgery vs Conservative
Care?

A

Surgery

108
Q

What are the rehab considerations for an achilles tendon repair?

A
  • Accelerated rehab
  • Protocols vary
  • Operative cases usually 4 weeks ahead of Nonoperative
109
Q

What does the accelerated rehab for an achilles tendon repair consist of?

A
  • Immobilization in a PF position for 2wks after surgery

with the possibility of FWB immediately after surgery using a walking boot and a heel lift

110
Q

When are progressive resistive exercises initiated for an achilles tendon repair?

A

Week 6

111
Q

What happens at 7 weeks post op of an achilles tendon repair?

A

ROM can be progressed As tol, with the patient being able to be out of the walking boot

112
Q

How long does recovery of an achilles tendon repair take and how long is the return to sport time foe an achilles tendon repair?

A

Recovery takes 6-9 months and return to sport can take up to 12 months or longer

113
Q

What are some conservative treatments to do prior to a tarsal tunnel release surgery?

A
  • Immobilization
  • Orthotics
  • Strengthening and balance activities
  • Pharmocological medications
  • Injections
114
Q

What are the post op priorities of a tarsal tunnel release surgery?

A
  • 3 Weeks Immobilization, Non-weight Bearing
  • Tissue Mobility (incision, mobilization, gentle nerve glides)
  • Progression into DF, and Start Gait Training & Functional Re-Training
115
Q

How long does it take to return to sport post tarsal tunnel release surgery?

A

2 and a half months

116
Q

What is the indication for an Osteochondral grafting of the

talus?

A
  • Osteochondritis dissecans

* Lesion of articular cartilage

117
Q

What is the indication for a Hallux Valgus Repair

A

• Bunion correction/ painful hallux valgus deformity

118
Q

How are chondral lesion of the talus usually identified?

A

Via MRIs as an increased signal intensity of the talar dome

119
Q

What is required for an Osteochondral grafting of the

talus?

A

Donor tissue required, usually from less weight-bearing region of knee (OATS)

120
Q

What are the rehab considerations of an osteochondral grafting of the
talus?

A
  • Tissue/Osteotomy healing

* ROM

121
Q

When a patient has a small lesion, what kind of graft should be used?

A

None, do an arthroscopic surgery instead of OATS

122
Q

When a patient has a large lesion, what kind of graft should be used?

A

Allograft, because an autograft will not yield as good of an outcome

123
Q

The common surgical procedure for an hallux valgus

deformity involves ___

A

The common surgical procedure for an hallux valgus

deformity involves an osteotomy / ORIF procedure

124
Q

What are the post op priorities of a hallux valgus deformity surgery?

A
  • Bone healing
  • Great toe extension
  • Gait training
  • Neuromuscular reeducation
125
Q

What is the common complication of the hallux valgus deformity surgery?

A

Lingering 1st toe MTP joint extension ROM loss

126
Q

What are the indications for a lateral stabilization procedure?

A

Gross, or chronic ankle instability

127
Q

What are the indications for a lis franc fusion procedure?

A

Fracture, sprain

128
Q

What are the indications for an ankle fusion and arthroplasty procedure?

A
  • Complex Fractures

* Degenerative changes

129
Q

What are the indications for a 1st MTP arthroplasty procedure?

A

Degenerative changes, pain, limited mobility

130
Q

What patients are lateral stabilization procedures used for?

A

Patients following a severe or repetitive ankle sprains that have not responded to conservative care, after about 6 months of failed rehab

131
Q

What are the 2 main types of lateral stabilization procedures?

A

Anatomic and non- anatomic

132
Q

What does the anatomic lateral stabilization involve?

A

Reconstruction of the lateral ligaments

133
Q

What does the anatomic lateral stabilization involve?

A

Brostrom: consist of rerouting the peroneal muscles or utilizing harvest tissues from other parts of the body to help stabilize the lateral ankle

134
Q

Which type of lateral stabilization technique has yielded better results?

A

Anatomic

135
Q

What are the rehab protocols following a lateral stabilization technique?

A
  • Ankle immobilization for 2 weeks
  • Gently ROM and gait training after 2-3 weeks
  • PROM into inversion 6 weeks post op
136
Q

When is the anticipated return to sport for a lateral stabilization technique?

A

3-6 months

137
Q

What are the benefits of fusions for a Lis Franc Fusion?

A
  • Decreased chance of a 2nd surgery

- More stable in the long term

138
Q

When are patients immobilized and NWB in a lisfranc fusion/ ORIF?

A

1st 6 weeks

139
Q

What should be happening 6 weeks post op of a lisfranc fusion/ ORIF?

A
  • Foot and ankle ROM activity should be slowly initiated followed by flexibility, proprioception, and strengthening activities
140
Q

___ is often utilized post a lisfranc fusion/ ORIF procedure to help maintain and protect the healing structures during the recovery process

A

Orthotics is often utilized post a lisfranc fusion/ ORIF procedure to help maintain and protect the healing structures during the recovery process

141
Q

When is the anticipated return to sport for a lisfranc fusion/ ORIF?

A

Within 6 months of surgery

142
Q

What is an arthrodesis?

A

Bone glue/grafts and screws

143
Q

Both an arthrodesis and arthroplasty for the ankle require and initial ___ status, while allowing the tissues to heal

A

Both an arthrodesis and arthroplasty for the ankle require and initial NWB status, while allowing the tissues to heal

144
Q

How long is the NWB time for an arthroplasty and how long for the arthrodesis?

A

Arthroplasty: 2 weeks
Arthrodesis: 8 weeks

145
Q

What is the return to sport time for an arthroplasty and how long for the arthrodesis?

A

Arthroplasty: 4 months
Arthrodesis: 6 months

146
Q

How long does it take for maximal recovery of an ankle arthroplasty and arthrodesis?

A

1 year

147
Q

What is the primary goal of arthroplasty of the 1st MTP joint?

A

Maintain ROM and function of the 1st toe

148
Q

What is the gold standard surgery for the 1st MTP joint?

A

Arthrodesis is the gold standard

149
Q

What are the effects of a arthrodesis in the 1st MTP joint?

A
  • Reduces pain
  • Maximizes clinical outcomes
  • Reducing complications and the potential for revisions
150
Q

What is the downside of an arthrodesis for a 1st MTP joint procedure?

A

It modifies gait, due to a loss of general toes extension ROM and limits footwear that can be worn and tolerated

MSK 2 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions