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45 Cards in this Set
- Front
- Back
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Weil Osteotomy
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Will wanted to go on the waterslide. While playing at the park, he had metatarsalgia.
/ / / He went on the intraarticular slide |
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V Met Osteotomy
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Metatarsalgia
Dorsiflexory with some shortening. Can displace however. Imagine a v looking down on the met. |
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Thomas and Hamilton Sign
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?
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Hohman
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It's an Oman. Cut straight though the met neck. Difficult to fixate.
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Chevron
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When I went to Tailor's Chevron, there was no Kalish modification
The Chevron was not stable transversely. |
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Mercado
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Tailor's liked to drive mercedes.
He drove to the Subcapitol with the wedge closing in on him. Can fixate. Hinge Fracture is a complication |
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Yancy
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Elder Yardley had a friend named Tailor.
He drove a closing wedge between them in the shaft and it couldn't heal well because of the cortex. Because his relationship didn't heal well, he had to be NWB |
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Gerbert
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Closing wedge at base of 5th. Bad.
Has to be NWB |
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What are the lateral deviation numbers for Tailor's?
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Normal 2.64-7.5
Tailors is 8.05 |
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Arthroplasty of Tailors?
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Removal of 5th met head
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Reverse Wilson?
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Tailors.
Wilson reversed the way he did things because he didn't like the Homan. Distal lateral to prox medial |
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Why is the dorsilfexed fifth met different in the etiologies of Tailor's?
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No pronation
No eversion of Met |
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What is the assoication of ABDuctor digiti minimi with Tailors?
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Loses abduction force. Addcuts digit.
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Post Procedure?
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Athroplast for hammertoes
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Functions of Interossei?
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Stabilize transverse plane
Stabilize buckling effect of flexors The interject the flexors and keep them in check |
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Lumbricals Functions?
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Plantar flex the met heads, dorsi PIP and DIPs
Balance long extensor and flexors during swing |
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Keller Procedure?
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REsection of base of proximal Phalanx.
Don't do it if salvageable, active person or spastic neuromuscular disease. Kellen the basketball kid Can do it in presence of 1st ray deformities End stage Hallux limitus |
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Cheilectomy?
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One of first steps for Hallux Limitus
Cleaning up cartilage. Use K wire to cause fibrocartilage to grow. |
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Kessel Bonney?
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Dorsal Wedge or prox phalanx removed but doesn't address true deformity.
Bonney didn't get Christmas so she took a dorsal piece out of Isaacs back. Didn't solve the problem but made her feel better |
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Regnauld?
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Mexican Hat. Shortening by Peg and Hole.
Decompresses |
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Waterman?
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Limitus
Trapezoidal wedge from metahead. Reorients cartilage and decompresses. Bought a watermelon. Wasn't happy with it. Made a green modication |
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Youngswick?
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Austin with chunk taken out dorsally. Shortens and plantarflexes.
Limitus Young Mrs. Wick taught be triangle. |
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Saggital Z?
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Limitus
Proximal arm exiting medially Distal exiting laterally |
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Lambrinudi?
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Plantarflexory base osteotomy for Primus Elevatus
Difficult and requires NWB |
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Oblique Sagittal Base osteotomy?
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Not as stable. Can remove wedge for IM correction.
For limitus |
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What role does the PL have in Hallux Limitus
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Stabilizes the first ray.
So it is inadequate with limitus |
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What do heels do to limitus?
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1 inches increases by 20. Each additional 14
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What blocks windlass?
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Anything that drives the first ray up
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What did Clayton do for RA?
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Resected prox phalanx and met heads. Dumb though, and heads are floppy.
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Hoffman and RA
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Plantar incision
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Larmon
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Three dorsal lines
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Hoder Dobbs
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5 dorsal incision
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Bilotty
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one linear and 2 lazy S
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Mayo?
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Removal for Methead for RA HAV deformities
Erika hates MAyo so she would cut the head right off |
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When are proximal base osteotomies done?
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IM > 15
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Juvara?
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Going to Juvi because you attacked the base from the lateral and left a medial hinge.
45 Degree angle |
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Loison/Balcesou?
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Transvers Closing Abductory wedge. More proximal on shaft.
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Trethowan?
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Opening Base wedge osteotomy
Use bone insert. MY young trethowan, use yourself and insert yourself in the bone to straighten it out. |
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Logroschino
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Double met osteotomy. Base wedge osteotomy with distal such as riverdin. Shortening.
Two loggers are working on a log. |
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What is Reverdin used for?
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Increased PASA, IMA <8
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Reverdin-Laird?
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Abnromal PASA. Increased IM angle.
Osteotomy through lateral cortex. |
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Reverdin Todd?
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Corrects dorsiflexion
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Indications for Mitchell?
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Metatarsus Elevatus, IM 9-14, long met
Contras - Increases PASA, IMA >15, short. Think of the Mitches. The dad is the abnormal PASA that it can't correct. |
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What are the different types of Austin?
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Uni - Reduced IMA
Bi - Reduces IMA and fixes PASA Biplanar - Reduces IMA and plantar flexes Cannot fix frontal plane |
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Mitchell?
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Does nothing for PASA
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