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18 Cards in this Set

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  • Back
What is the ideal radiographic view for visualizing the cuboid?
30-degree medial oblique view
For fractures of the cuboid, what is the goal of ORIF? goal of ORIF?
To restore at least 60% of the articular surface
What are the two components of the treatment for a crush injury to the cuboid?
Lateral plate
Bone graft
Crush injuries are often associated with what other traumatic condition?
Homolateral dislocation
What population is particularly at risk for cuboid subluxation?
Dancers with hypermobile joints
What is unique about the vascular supply to the navicular? Therefore?
Tenuous blood suqplv (especially central third)
Therefore, all periods of non-weight-bearing (NWB) are longer than would otherwise be expected
What is the preferred treatment for a nondisplaced fracture of the
tuberosity?
8 to 12 weeks of NWB
What are the two indications for operative treatment of navicular tuberosity injuries?
Posterior tibial tendon (PTT] avulsion
Displaced
What is a common postoperative complication?
Posttraumatic flatfoot
What is the nonoperative treatment for dorsal ligamentous avulsion?
8 to 12 weeks of NWB immobilization
What is the goal of ORIF?
Restoration of at least 60% of the articular surface
For how long should a nondisplaced stress fracture be immobilized?
6 weeks NWB immobilization
What is the preferred treatment of a displaced navicular stress fracture?
ORIF
Quick review: What is the treatment for Kohler‘s disease?
6 weeks WBAT in a short leg cast
What are the two components of the first—line treatment for a painful accessory navicular?
Nonsteroidal antiinflammatory drugs
(NSAIDs)
Medial arch support
lf refractory to these interventions, then what is the next step?
Trial of casting
If casting is unsuccessful, then what is the next step?
Excision of accessory navicular
In what patients should the posterior tibial tendon be advanced at the time
of surgery?
Patients with flat feet