Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
|
On tests, what key words indicate subtalar joint pain?
|
Sinus tarsi pain
|
|
|
What process must be excluded when evaluating subtalar joint symptoms?
|
Tarsal tunnel syndrome
|
|
|
What is the preferred treatment for subtalar arthritis with a flexible hindfoot?
|
Brace
|
|
|
What are two surgical options to address subtalar pathology?
|
Subtalar fusion
Triple arthrodesis |
|
|
What are the six general indications for subtalar fusion?
|
Primary osteoarthritis of the subtalar joint
Calcaneus fracture Stage Il posterior tibial tendon dysfunction Talocalcaneal coalition Charcot—Marie—Tooth Rheumatoid arthritis |
|
|
What is the principal advantage of subtalar fusion over triple arthrodesis?
|
Decreased mechanical stress on the ankle
|
|
|
At which joint is the greatest loss of motion observed after subtalar fusion:
calcaneocuboid or talonavicular? |
Calcaneocuboid
|
|
|
Therefore, which joint must not be fused in association with a subtalar fusion?
|
Talonavicular joint
|
|
|
What are the six general indications for triple arthrodesis?
|
Osteoarthritis of multiple hindfoot joints
Posttraumatic osteoarthritis Stage lll posterior tibial tendon dysfunction Fixed hindfoot deformity (as with late treatment for coalition or clubfoot) Hindfoot instability Rheumatoid arthritis |
|
|
When performing a triple arthrodesis, what is the desired hindfoot position? Why?
|
5 degrees valgus
Because unlocks the hindfoot |
|
|
What is the desired forefoot position?
|
Plantigrade
|
|
|
What is the desired midfoot position?
|
0 degrees abduction
|
|
|
How often does ankle arthritis develop after triple arthrodesis?
|
100%
|
|
|
ls radiographic adjacent-joint degenerative joint disease (DJD) associated with clinical dissatisfaction after either procedure?
|
No
|
|
|
What is the most important factor in determining satisfaction after hindfoot
fusion? |
Postoperative alignment
|
|
|
What effect does hindfoot fusion have upon the knee?
|
May lead to increased rates of knee degeneration
|
|
|
Quick review: What fusion has not been shown to adversely affect the
knee? |
Tibiotalar
|
