Board Review 8-10

Front 1

What is normal range for PASA

Back 1

0-8 degrees

Front 2

What procedurs could you use to fix a PASA

Back 2

reverdin, PASA

Front 3

what position is the foot in with pes valgus deformity

Back 3

everted heel position, abduction fo the forefoot, collapse ofhtemedial collum
patients foot is maximally pronated thru the gait cycle with little supiantion. Anle equinus is often present

Front 4

What is the compensation for pes valgus

Back 4

compensation for pes valgus occurs with early heel off, and collapse of the medial column

Front 5

What are the radiographic features of pes valgus

Back 5

lateral view: decreased calcaneal inclination angle (CIA), anterior Cyma break
DP view: increased talo-calcaneal angle

Front 6

In Pes valgus during the weight bearing the STJ is ___ with calcaneus ____, the T-N & C-C joints become divergent from eath other with axes being ____

Back 6

In Pes valgus during the weight bearing the STJ is pronated with calcaneus everted, the T-N & C-C joints become divergent from eath other with axes being parallel

Front 7

What ligamentous syndromes can contribue to pes valgus

Back 7

Ehlers Danlos syndroe,
Marfan's syndrome

Front 8

What si the most common forerunner of Pes Valgus

Back 8

congenital calcaneovalgus (limited plantar flexion of the ankle joint and everted positioning of the foot)

Front 9

when would you start casting a child for congenital calcaneovalgus

Back 9

> 1 year old

Front 10

What diseases or conditions might make you prone to pes valgus

Back 10

Down's syndrome, limb length, discrepancy, neuromuscular conditions, ligamentous laxity, scolis

Front 11

What is the Hoke procedure?

Back 11

fusion of the navicular to the medial and middle cunieforms in conjunction with an achilles tendon lenghening. Increases dorsiflexion of foot to make it more functional

Front 12

Talonavicular arthrodesis

Back 12

Fusion of the T-N joint provides effective limitation of pathologic motion by blocking all MTJ motion and nearly all STJ moiton, can be used in conjunctio nwith Evan's calcaneal osteotomy to reduce forefoot supinatus and TAL

Front 13

Is forefoot supinatus positional or structural

Back 13

positional

Front 14

Subtalar joint arhroereisis

Back 14

blocks or limits excessive STJ motion with an implat.

Front 15

Can you use extra-articular osteotomies to correct flat foot by themselves?

Back 15

No

Front 16

What angle do you want to increase with an Evan's Osteotomy?

Back 16

Calcaneal Inclination angle

Front 17

What is a dwyer procedure

Back 17

medial closing base wedge or lateral opening base wedge of the calcaneus

Front 18

What is the origin of the ptt

Back 18

proxiam and posterior aspects of the tibia, fibula, intterosseous mebrane,

Front 19

What is the insertion fo the PTT

Back 19

inserts on very tarsal bone except the talus

Front 20

What ist he function of the PTT

Back 20

most powerful supinatof of hte ffot,
direct supinator fthe mdi-tarsal joint and indirectly supinates the STJ via bifurcate ligament

Front 21

What are biomechanical cause of PTTD

Back 21

overuse morbid obesity, equinus, pre existing valgus condition

Front 22

Johnson and Strom classification

Back 22

Stage 1: tendonitis, flexible rear foot , mild pain, mild weaknes, w/ heel reais
stage 2, elongate tendon, flexible/valgus rea foot, moderate pain, medial, marked weaknes w/ heel riase
Stage 4 elongate/complete rupture of tendon, rigid/vlagus rea foot and ankle, medial and lateral sever pain, marked weakness on toe raise

Front 23

What is the Cobb procedure

Back 23

TA is split and the medial section sutured on the TP, treatsPTTD

Front 24

How can you treat PTTD surgically

Back 24

--repair and grafting with fascia lata allograpft, plantaris, achillles
cobb procedure
repair with FDL augmentation

Front 25

What are the categories of eitologies of Pes cavus

Back 25

neuromuscular
infecton
trauma
congenital
idiopathic

Front 26

How do you classify anterio cavus

Back 26

forefoot cavus (apex at chopart's joint)
lesser tarsal cavus (apex at lesser tarsal bones)
metatarsal cavus (apex at lisfranc' joint)
combined cavus (apex generalized to the lesser tarsal area

Front 27

what would you see on a lateral x-ray of cavus foot

Back 27

increases talocaclaneal angle
increased calcanedal inclination
decreased talar declination
posterior break i the cyma line
bullet hole sinus tarsi

Front 28

What would you see on an AP cavus foot x-ray

Back 28

decreased talocalcaneal angle
increased metatarsus adductus angle

Front 29

When would you use Murphy triceps surae advancement for cavus foot

Back 29

if there is spasm present

Front 30

what procedures could you use for calcaneal varus

Back 30

Dwyer, Silver, Suppan

Front 31

What procedurs could you use for RIGID anterior cavus

Back 31

triple arthrodesis, DuVries, Cole, Japas, Lisfranc's arthrodesis, DFWO metatarsals 1-5

Front 32

What procedurs could you use for FLEXIBLE anterior cavus

Back 32

Hibbs, STATT, PEroneus longus transfer, tibialis posterior tendon transfer

Front 33

What proceudres could you use for flexible plantarflexed 1st ray

Back 33

Jones tenosuspension

Front 34

What procedures could you use for Rigid plantarflexed 1st ray

Back 34

DFWO 1st met
DFWO medial cueiform
McElvenny-Caldwell DFWA of hte 1st met cuneiform joint

Front 35

What procedures would you use to correct digital deformities

Back 35

PIPJ arthrodesis
DIPJ arthrodesis
may require MTPJ release

Front 36

What Radiologic angles would you look at to see if patient has transverse plane deformity

Back 36

increased CAA 0-5
increased Kites 15-25
decreases Talar head ??? < 8

Front 37

What clincial signs would indicate a transverse plane deformity

Back 37

turning toes inwards
abductory twist

Front 38

What is normal IPA, how would you correctit

Back 38

0-10
distal akin, IPJ fusion

Front 39

What is normal DASA how would you correct it

Back 39

0-8
prox Akin, implant, keller

Front 40

What is normal HAA, How would you correct abnormal

Back 40

MPJ fusion, implants, Mcbride, keller, DMO,

Front 41

What would you see radiographically with a saggital plane flatfoot deformity

Back 41

decreased Calcaneal (19-23)Inclination Angle
Meary's angle increase (0)

Front 42

WHAT procedures could you do to correct saggital plane flatfoot deformity

Back 42

Hibbs, Seiberg, TAL

Front 43

What clinical sigs would you see in a saggital plane flatfoot deformity

Back 43

silverskiold sign

Front 44

What clinical signs would you see in a frontal plane flatfoot deformity

Back 44

everted RCSP
Helbing's sign
Prominent talus

Front 45

What procedures could you use to correct frontal plane aspect of flatfoot

Back 45

Koutzogiannis
artheroeisis

Front 46

What procedure would you use to treat a rigid forefoot cavus

Back 46

DFMO

Front 47

What procedure would you use to treat a rigid reafoot cavus

Back 47

Dwyer
Cole
Arthrodesis

Front 48

What procedure would you use to treat a flexible forefoot cavus

Back 48

Jones tenosuspension

Front 49

What procedure would you use to treat a flexible rearfoot cavus

Back 49

Dwyer
Cole
Keck & Kelly