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15 Cards in this Set
- Front
- Back
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Biomechanical etiology of bunion
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hypermobile 1st ray
abnormal STJ pronation ligamentous laxity shoe gear |
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Structual etiology fo HAV
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short 1st ray
met adductus pes planus |
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structural deformity HAV
What angular relationship what PASA/DASA pathology What jont status |
PASA + DASa = HAA
Abnormal PASA/DASA congruent |
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functiona HAV
What angular relationship what PASA/DASA pathology What jont status |
PASA + DASA < HAA
NOrmal PASA/DASA Deviated / subluxed |
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Combination deformity HAV
What angular relationship what PASA/DASA pathology What jont status |
PASA + DASA < HAA
Abnormal PASA/DASA Deviated / subluxed |
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Mild HAV Deformity (IMA < 11
normal PASA |
Silver
Modified McBrid Hiss Tight rope |
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Mild HAV Deformity (IMA < 11
abnormal PASA |
modified mcbride
and reverdin, reverdin-green, reverdin-laird |
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Mild to Moderate HAV deformit (IMA 12-14)
Normal PASA |
AUSTIN
Mitchell, Hohmann, Wilson, (shorten significantly) Kalish - use too screws for stability can ue Offset -V or Scarf, but not best choice for boards |
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Mild to Moderate HAV deformit (IMA 12-14)
abNormal PASA |
Ausitn, Mitchell, HOhmann, wilson, bicorccetion modifaction
Offset v or sarf need to modify Can't fix PASA with Kalish |
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HAV > 15
normal PASA |
Closing BASe Wedge
opening base wedge crescentic kalish offse-v scarf |
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HAV > 15
abnormal PASA |
closing bse wedge, opening base wedge, cresentic with reverdin or its modification
offset-v or scarf modified for PASA correctin |
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HAV deformity with osteoarthritis
with DJD |
1st MPJ fusion better for active people but cant' bend hallux joint
Keller ARthroplasty - lesser metarsalgia, better for inactive peope Implant - use on older people |
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HAV deformity with osteoarthritis
hypermobile |
lapidus
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Purpose of capsule tendon balance procedures
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assist in re-aligning hte sesamoid apparatus
remove the bump derotate the toe cane be uses aloin in IM angles than 12 (or 11) degrees |
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Complication of true mcbride
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hallux varus secondary to fibular sesamooid excision.
recurrence joint stiffness |
