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34 Cards in this Set
- Front
- Back
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What is the most common cause of posteromedial bowing?
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Physiologic
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What structures are tight in this clinical situation?
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Anterior structures
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What is the position of the foot and ankle?
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Calcaneovalgus
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What is the preferred treatment?
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Observe
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What is the prognosis?
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LLD of 3 to 4 cm
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What is the most common cause of anterolateral bowing?
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Congenital pseudarthrosis of tibia
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What disease is associated?
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50% of time associated with neurofibromatosis
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What cellular pathway is affected by this disease?
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Ras pathway
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What is the position of the foot and ankle?
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Calcaneovalgus
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What is the initial treatment?
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Total contact brace
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Despite bracing, what eventually occurs?
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Inevitably goes on to fracture
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What are the two components of the surgical treatment if fracture does not heal?
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Intramedullary nail
Autograft |
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If two or three surgeries fail, then what?
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Syme’s amputation
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Should you osteotomize to correct deformity?
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No!
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What other surgical options exist for children >5 years of age?
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Distraction osteogenesis
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In what two ways can the foot deformity be corrected safely?
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Hemiepiphysiodesis
Synostosis |
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What is the inheritance?
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AD
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What hand abnormality is associated with tibial hemimelia?
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Lobster-claw
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With hemimelia, where is the apex of the tibial bow?
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Anterolateral
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What is the position of the foot and ankle?
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Equinovarus
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What is the treatment if the tibia is entirely absent?
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Knee disarticulation
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What are two prerequisites for fibular transposition?
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Presence of proximal tibia
lntact quadriceps function |
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What is the clinical problem?
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Progressive knee flexion contracture
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What is the most common cause of anteromedial bowing?
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Fibular hemimelia
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Fibular hemimelia is associated with instability of what joint?
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Ankle
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What is the position of the foot and ankle?
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Equinovarus
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What is the key feature of the rays of the foot?
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Lateral rays are missing
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What is the key feature of the tarsal bones?
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Coalesced
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What is the key feature of the femur?
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Shortened
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What is the treatment for severely short, nonfunctional foot?
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Symes amputation
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lf the foot is functional, what is the treatment of choice?
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Surgical reconstruction
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What position is associated with posteromedial and anterolateral "bowings"?
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Calcaneovalgus
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What position is associated with tibial hemimelia?
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Equinovarus
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What position is associated with fibular hemimelia?
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Equinovalgus
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