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17 Cards in this Set
- Front
- Back
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What joints of the foot are most commonly affected by rheumatoid arthritis?
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MP joints
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What are the three components of the sequence of progressive MP joint deterioration?
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Dorsal subluxation
Claw toe deformity Bursae develop under MT heads |
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What is the preferred position for first MTP arthrodesis?
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15 degrees valgus
10 degrees extension Neutral rotation |
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What are the two components of the treatment if the hallux IP joint is phalanx
unstable? |
Resect the base of the proximal
Fuse the IP joint |
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What is the preferred position for IP joint arthrodesis?
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5 to 10 degrees plantar flexion
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What are the two surgical options for rheumatoid MP disease of the lesser toes?
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Weil osteotomy
Resection of proximal phalangeal head and neck |
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Does the hindfoot fall into varus or valgus with rheumatoid arthritis?
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Valgus
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Which ligament becomes attenuated?
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Talocalcaneallinterosseous ligament
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Once the hindfoot deformity becomes rigid and degenerative, what are the two components of the necessary surgical treatment?
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Triple arthrodesis
Lengthening of the Achilles tendon |
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What two clinical findings are suggestive of psoriatic arthropathy?
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Sausage toe
Nail pitting |
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What joint is most commonly involved? What is the associated radiographic appearance?
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DIP joint most commonly involved
X-ray appearance: pencil—in—cup deformity |
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What are three examples of medications that may be helpful in the treatment of psoriatic arthritis?
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NSAIDs
Sulfasalazine Methotrexate (if severe) |
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With what three other foot and ankle conditions might such patients also present?
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Anterior tibial tendon (ATT)
tenosynovitis Plantar fasciitis Enthesopathies about the Achilles tendon |
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What population is most at riskfor ATT tenosynovitis related to inflammatory arthritis?
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Young males
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What population is most at risk for ATT rupture?
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Elderly
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ln general, what are the two components of the treatment for acute ATT rupture?
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Walking cast for 6 weeks
AFO thereafter if necessary |
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lf a significant functional deficit persists, consider which possible transfer?
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EHL transfer
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