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16 Cards in this Set
- Front
- Back
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The tendon fibers spiral 90 degrees such that the gastrocnemius inserts where in relation to the soleus?
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Gastrocnemius fibers insert lateral to the soleus
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What is the preferred treatment technique for Achilles tendinosis?
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Eccentric stretching
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Quick review: What is the preferred treatment technique for myositis ossificans?
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No passive stretching
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For an acute Achilles rupture, what are the two advantages of surgical treatment?
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Decreased rate of rerupture
Best plantar flexion strength restoration |
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What are the two disadvantages of surgical treatment?
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Wound complications
Decreased range of motion (ROM) |
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For nonoperatively treated patients, what is the advantage of a functional
brace over a cast? |
Improved ROM
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What are the two main disadvantages of percutaneous repair techniques?
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Weaker repair Increased risk of sural nerve injury
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Where is the sural nerve particularly atrisk with a surgical approach?
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10 cm proximal to the Achilles insertion
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In general, what is the desired position of ankle immobilization after Achilles
repair? |
20 degrees of plantar flexion
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What is the preferred treatment for chronic Achilles rupture if separation primary repair <4 cm?
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Tendon lengthening technique and primary repair
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What is the preferred treatment for chronic Achilles rupture if separation <4 cm?
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Turndown flap and augmented repair
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What is a I-Iaglund exostosis?
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Bony prominence at the
posterosuperior calcaneus |
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A Haglund exostosis is also commonly known as what?
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Pump bump
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In what plane does a retrocalcaneal bursa develop?
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Posterior to Haglund exostosis
Anterior to the Achilles tendon |
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lf an exostosis is refractory to shoe wear modification, what is the operative treatment?
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Open exostectomy
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How much of the Achilles tendon can be released without need for repair?
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Up to 50%
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