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53 Cards in this Set
- Front
- Back
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Describe a kidner procedure:
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removal of a prominent navicular tuberosity or accessory navicular and transpalntation fo the posterior tibial tendon intoe the underside of hte navicular bone
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Describe and Evans osteotomy
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transverse plane correction of flat foot:
opening ostoeotomy of the calcaneus 1.5 cm proximal to the clacaneocuboid jointa nd insertion of a bone graft |
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Describe a Lowman procedure
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saggital plane correction of flatofoot: talotavicualr wedge arthrodesis -- TAL -- tibialis anterior reroued under the navicular nad sutured into the spring ligament
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Describe Cotton procedure
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opening dorsal wedge ontot he 1st cuneiform
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Describe Hoke
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plantarly based wedge removal and fusion of the navicular and the tow medial cuneiforms -- perform with TAL
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What talocalacaneal angle indicates flatfoot?
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> 25 degrees
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What talonavicular articulation indicateds flatfoot?
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60-70%, normal is < 50%
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What Meary's angle indicates flatfoot
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1-15 degrrees mild, > 15 degrees severs, normal is 0
(meary's angle is talus - 1st metatarsal angle) |
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What joints are fused in a triple arthrodesis.
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talonavicular joint, talocalacaneal joint, calcaneal cuboid jint
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What Im angle is normal?
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7 degrees or less
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How do you correct PASA?
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reverdin
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what is normal metararsus adductus angle
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normal is less than 15 degrees
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What is normal tibial sesamoid position
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1-3
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What is normal PASA
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7.5 -12 degrees
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What is normal DASA
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7.5 degrees
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What is normal hallux abductus interphalngeus angle
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10 degrees
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What is norma hallux abductus angle
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0-15 degrees
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What could you use to correct PASA
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Reverdin, reverdin green, Peabody
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What is the difference between a reveredin and peabody
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Peabody is the same as a reverdin but is made more proximal to avoid sesamoids
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What are the 4 kinds of thinkers?
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- Factual
- Insightful - Rational - Evaluative |
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what joints does a lapidus fuse?
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first metataral cuineiform joint and also fuses second medtatarsal
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what bunion correction would you use on a rheumatoid foot
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keller
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What is a cotton procedure
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medial cueniform onpeing wedge
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What procedure would you use to correct DASA
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Akin
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What kind of procedure is a Ganley's
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closing abductory cuboid ostoetomy
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What kind of porocedure is a lchtbau
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anterior calcaneal osteotomy
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What kind of procedure is a koutsogiannis
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oblique cresentic ostoeotomy of the calcaneus
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What kind of osteotomy is the baker
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osteotomy inferior to the STJ posterir facet witha bone graft
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What kind of procedure is the selakovich
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opening wedge ostoetomy fothe sustentaculum tali with bone graft whtich restricts abnorma STJ motion
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What ist the STATT
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Split tibilasis anterio tendon transfer.
the tiabialsi anterior is split from its insertion up jsut proximal to the superir xtensor retinaculum |
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What are some swing pahse muscles
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anterior tibialis -- EHL -- EDL -- peroneus tertius
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What are some Stance Phase muscles
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Gastrocnemius, soelus, FHL, FDL, Peroneus longus, Peronus Brevis, All intrinsics
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Structural 1st ray deformities have what what angular relationship, PASA/DASA Pathology, Joint Status
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PASA + DASA = HAA
Abnormal PASA/DASA Congruent |
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Funcional 1st ray deformities have what what angular relationship, PASA/DASA Pathology, Joint Status
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PASA + DASA < HAA
Normal PASA/DASA Deviated/subluxed |
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Combination 1st ray deformities have what what angular relationship, PASA/DASA Pathology, Joint Status
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PASA + DASA < HAA
Abnormal PASA/DASA Deviated subluxed |
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What procedure would you do for minimal increase in IMA (<11) with normal PASA
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Silver, modified McBride, Hiss, Tightrope
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What procedure would you do for minimal increase in IMA (<11) increased PASA
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Reverdin, Reverdin-Green, Reverdin Laird
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What procedures could you use to correct for mild to moderate increase in IM ange (12-14) with normal PASA, which of these procedures cannot be modified to correct for PASA?
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Austin, Mitchell, Hohmann, Wilson, Kalish, Offset V, Scarf
Kalish cannot correct for PASA |
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What procedures could you uses for Severe HAV deformity (>15) with normal PASA
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Closing base wedge, opening base wedge, crescenteric, Kalish, offset V, Scarf
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What procedure would you use to correct HAV with osteoarthritis with DJD?
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1st MPJ fusion, keller with or without implant
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What procedure would you use to correct HAV with osteoarthritis and no DJD
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Lapidus
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What mild to moderate bunion technique cause the most shortening?
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Mitchell
4.5 mm |
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What are the indications for a STATT
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flexible reafoot varus, excessive supination, dorsfelxory weakness
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What are the indications for tibialsi posterior tendon transfer
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drop foot, recurrent clubfoot,
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Wwhat are the indications for a peroneus longs transfer
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drop foot, pes cavus
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What is a Heyman procedure
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transfer of all long extensor tendons to the ir respective metatarsal heads
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What is the the indication for a Jones tenosuspension
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flexible cavus foot, flexible palntarflexed 1st ray
relieves pressure problems under 1st ray |
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What is the indication for a Hibbs Tenosuspension
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equinus with or without clawtoes
releases the buckling forsce at he MPJ's |
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What is done in a Jones tenosuspension
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EHS is transected and rerouted through the head of hte 1st metatarsal and you also do a 1st IPJ fusion
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What is a Coel osteotomy
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dorsiflexory wedge osteotomy through the navicular cunieform joint and cuboid bone
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What is a Dwyer osteotomy
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lateral closing wedge or an opening medial wedge of he calcaneus
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What is a Jahss procedure
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dorsiflexory wdge osteotomy across the tarsometatarsal articulations
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What is a DuVries osteotomy
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dorsiflexory fusion throught he MTJ
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