Nbr - Heel Pain

Front 1

Rupture of the achilles tnedon within hte elderly oplualtion will most often occur at what locaiton?

Back 1

the insertion itno th calcanuis

Front 2

Distally the plantar fasiaINITALLY INSETS INTO WHICH OF HTEFOLLOWRING ANATOMICAL STRUCTUS?

Back 2

tHESUPERFICAL TRANSVERS METATRSAL LIGAMENT OR NATATORY LIGAMENT

Front 3

Upon exmaination of a lateral wigght beraign x-ray of hte foot an inferio heel spur woudl most oftent b efound within?

Back 3

the origin of hte FDM

Front 4

How willl a sympotmatic haglund's deformity present clincially?

Back 4

pain up on palpation of the poster superilor lateral spect otf the calcaneus

Front 5

Is a plantar fasciotomy an advisable treatment altermantive for a heel spur syndorm on fone mon in duration?

Back 5

NO recen onster palntar faxsciits and or heel spur syndre respnd wele to conservative treatmetn options including corisone injection, heel cored and plantar fascia stretching, strappin, orhtose, physical terapy modoaktises, night splints , and casting

Front 6

Rupture of the achilles tnedon within hte elderly oplualtion will most often occur at what locaiton?

Back 6

the insertion itno th calcanuis

Front 7

Distally the plantar fasiaINITALLY INSETS INTO WHICH OF HTEFOLLOWRING ANATOMICAL STRUCTUS?

Back 7

tHESUPERFICAL TRANSVERS METATRSAL LIGAMENT OR NATATORY LIGAMENT

Front 8

Upon exmaination of a lateral wigght beraign x-ray of hte foot an inferio heel spur woudl most oftent b efound within?

Back 8

the origin of hte FDM

Front 9

How willl a sympotmatic haglund's deformity present clincially?

Back 9

pain up on palpation of the poster superilor lateral spect otf the calcaneus

Front 10

Is a plantar fasciotomy an advisable treatment altermantive for a heel spur syndorm on fone mon in duration?

Back 10

NO recen onster palntar faxsciits and or heel spur syndre respnd wele to conservative treatmetn options including corisone injection, heel cored and plantar fascia stretching, strappin, orhtose, physical terapy modoaktises, night splints , and casting

Front 11

Describe the clnical presentation of retrocalcaneal bursitis

Back 11

pain on palaption of both sides of hte achilles tendon with observable erythema and edema without pain on aankle range of moitn and having a negative bone scane

Front 12

FAt pad degenration of the heel weill present clincally as?

Back 12

palntar cetnreal heel pain on aplaation in getatric paeitns

Front 13

Entrapment of the rist branch of the laeral plantar nerve is therorized ot be an etiology of ?

Back 13

heel spur syndrome

Front 14

The first branch of the lateral palnter nerve isreferred to as?

Back 14

Baxter's nerve

Front 15

The weindlass mechanis was described by?

Back 15

hicks

Front 16

What type of stress is imoese upon the plantar fascia during weigh bearin

Back 16

tension stress

Front 17

Dgenerative teras within the achilles tendon woudl reslut in what type o of anlke deformityh?

Back 17

equinus

Front 18

Where does the lateral bgand of hte plantar fascia insert?

Back 18

It inserts into the styloid process of the base of hte 5th metarsal

Front 19

How does one make the diagnoses of calcaneal apophysitis ina 14 year old boy

Back 19

subjective pain elicited by medial land lteral compression of the calcaneus

Front 20

What is the avrage lenght of hte achilles tendon in the adult population

Back 20

15 cm

Front 21

Describe the clnical presentation of retrocalcaneal bursitis

Back 21

pain on palaption of both sides of hte achilles tendon with observable erythema and edema without pain on aankle range of moitn and having a negative bone scane

Front 22

FAt pad degenration of the heel weill present clincally as?

Back 22

palntar cetnreal heel pain on aplaation in getatric paeitns

Front 23

Entrapment of the rist branch of the laeral plantar nerve is therorized ot be an etiology of ?

Back 23

heel spur syndrome

Front 24

The first branch of the lateral palnter nerve isreferred to as?

Back 24

Baxter's nerve

Front 25

The weindlass mechanis was described by?

Back 25

hicks

Front 26

What type of stress is imoese upon the plantar fascia during weigh bearin

Back 26

tension stress

Front 27

Dgenerative teras within the achilles tendon woudl reslut in what type o of anlke deformityh?

Back 27

equinus

Front 28

Where does the lateral bgand of hte plantar fascia insert?

Back 28

It inserts into the styloid process of the base of hte 5th metarsal

Front 29

How does one make the diagnoses of calcaneal apophysitis ina 14 year old boy

Back 29

subjective pain elicited by medial land lteral compression of the calcaneus

Front 30

What is the avrage lenght of hte achilles tendon in the adult population

Back 30

15 cm

Front 31

The blood supplyu to th achiles tendon is decreased at point approxmiately __ cm above its insertion on trhe calcaneus

Back 31

4 to 5 cm

Front 32

Are corticosteori dnijectons around the achilles tendon recommended?

Back 32

they are not recommended becasue of the risk of rupture

Front 33

In most caes of acute achilles tendinits or tendiosis witout rupture, the intial treatment apporach shoudl be?

Back 33

ice massage, heel lift, stretching exercisse, rest and NSAIDS

Front 34

The tibial nerve divides ath the leveo lf the medail malleolus into superficialand dep branches the supercial branch, which runs subctaneous baove the laciniat liagemnt is is named?

Back 34

the medial calcaneal nerve

Front 35

Whic nerve supplies sensory innervatio to teh medial and plantar heel pad?

Back 35

medial claaneal

Front 36

Wahta re ht possible pintso of entrapemtn of the ris branch of hte lateral plantar nerve 9to the abductor digiti quinti)

Back 36

The first pint occurs on its course to the abductor digiti quinti muscle . It is compresse by the deep facai ofthe abducto hallucis msucle and hte medial head of he4 quadratus palantae msucle. The next point is hwere the nerve creses jsut dista to the medal calcanea tubersoity int eh viintiy of hte heel spur. Her it may bcompressed against the bone and ligaments.

Front 37

Pain eleictee upon medial latereal compression of hecalcaneus hsoudl make one supsicious of ?

Back 37

calcaneal stress fractuer

Front 38

Pain whic is loated inferio or ht ecetnral heel proxaiml to the sti of planar fasciitis and hwich does not readiat is most likely to be?

Back 38

heel pasd atropy or inerif calcaneal bursits

Front 39

Barring injuris , the diffenti diagons for inferio calcaneal heel pain should inclde?

Back 39

plantar fasciit/heel spur syndrom, inferi calcaneal bursit, heel pad atropy, nerv eentrapment (posterior tibial medial calcaenal , 1st branch of later plantar nerve0 seronegativ esphyloarhtropatihe, rheumatoid arthrits, gout, pseudogout, sarcoidsis, thryoied abornamities, Paget's diease,and ifnecotn

Front 40

What is the bural projection?

Back 40

this is the posterio suepreiro prjeciotn fo the calcaneus.

Front 41

Is the retrocalcaneal bursa na antomic burs or and advential bursa/wrhe isit it?

Back 41

it is ana antomic busa, its presence is conssitent. It is located in threces betwenthe bursal projecotin and the anterio margin of hteachilles tendon. it extnexs 2mm belwo the bursal projection

Front 42

What sithe retroachilles or pretendo or achiles bursa? whre is it?

Back 42

This si an adventiail busa whch rforms ove th psoteri super calcansu, betweenth skin and the bone / tnedon due ot fricitn and pressure form the shoe counter. Ths is the predominat fining in a "pump bjunmp"

Front 43

What is the pnillip fower angle? it's signficance

Back 43

The Phillip fowler angle is ameasurement uhjsed ot dertemin the prescne of a haglund's deformity. It is the angle formed by thne intersection of a line along the posterior calcaneus and line along the inferior clacaneus. the onormal value is 44-69 dgrees. The agnle take sth ecalcaneal inclination inoto conseidration. as the inclination increase,the poseterio superior cacaneus beomce smore prokmient and likely to casue a problem.

Front 44

What are the "parlel pich lines?" ther significance?

Back 44

A line is drwn along hte inferior calcaneus (as in a calcaneal inclinatio angle) aperpendicular ot this line is then dawn fro mthe posetreir margin o f tghpswoterio race of th STJ. A thrid lin is then drawn paraleel to ther inferior caclacneal line ath thop of the secon dlin. If hte busal projecoitn lies above this thrid line. then as ginfiant haglund' deformity is said to exist.

Front 45

How is achilles tendiosis defiend radiographically?

Back 45

Ona lateral nonweightbearing radiogarph, greater than 9 mm of thickening of htre ahcilles tendon, at a pont 2mm superio to the busal projecoitnm

Front 46

Describ eth eclincial preenation fo a apeitn with a posterior calcaneal heel spur.

Back 46

These patient gerally ahjve localized painto palapton directly ove th bony promimnce. Thre may be pain with dorsflexionof thre foot.