Tendons And Tendon Transfers

Front 1

What is the outer covering of a tendon

Back 1

Epitenon

Front 2

What layer provides blood supply to tendon

Back 2

Paratenon

Front 3

Allows the transfer of blood supply from paratenon to tendon

Back 3

Mesotenon

Front 4

Basic molecular unit of a tendon

Back 4

Tropocollagen

Front 5

The connective tissues of a tendon are collectively called

Back 5

Peritenon

Front 6

Layer of tendon that surround the collagen fibers

Back 6

Endotenon

Front 7

What layer must be reapproximated after tendon surgery

Back 7

Paratenon

Front 8

What layer must be reapproximated after tendon surgery

Back 8

Paratenon

Front 9

Group of collagen fibers in a tendon bundled together

Back 9

Fascicle

Front 10

Most important structure in the tendon repair process

Back 10

Epitenon

Front 11

What is the strongest tendon end to end anastomosis

Back 11

Krackow

Front 12

Back 12

Krackow

Front 13

Back 13

Kessler

Front 14

Front (Term)

Back 14

Bunnel

Front 15

Front (Term)

Back 15

Bunnel

Front 16

Round cortical plug removed with a trephine, tendon is inserted and tendon is replaced

Back 16

Trephine plug

Front 17

Back 17

Bunnel

Front 18

Round cortical plug removed with a trephine, tendon is inserted and tendon is replaced

Back 18

Trephine plug

Front 19

Explain 3 hole suture

Back 19

Tendon tied to suture

Tendon inserted into bone

2 more holes for suture to exit and suture is tied

Front 20

Buttress and button anchor

Back 20

Suture on tendon passed through bone

Pass through skin and hold with button on skin

Front 21

Tunnel with sling

Back 21

Hole in bone

Tendon passed through and sutured to itself

Front 22

Mason-Allen stitch is often used in

Back 22

Rotator cuff repair

Front 23

Method used to draw a tendon through a drill hole

Back 23

Chinese finger trap

Front 24

Back 24

Z plasty tendon lengthening

Front 25

Back 25

Accordion tendon lengthening

Front 26

Paratenon should be preserved to allow

Back 26

Gliding

Preservation of blood flow

Front 27

How much strength does the muscle loose on a tendon transfer

Back 27

1 grade

Front 28

To qualify for a tendon transfer a muscle must be what grade of strength

Back 28

4 or higher

Front 29

How long should CVA pt wait to have a tendon transfer

Back 29

6 months

Front 30

What occurs in phase conversion of a muscle in a tendon transfer

Back 30

Switch between stance/swing phase

Vise versa

Front 31

Swing phase muscles

Back 31

Tibialis anterior

EHL

EDL

Peroneus tertius

Front 32

Post op care for tendon transfer

Back 32

4 weeks cast NWB

-at 3rd week passive ROM in cast to prevent adhesions

-at 4th week start active mobilization

Front 33

Adductor tendon transfer

Back 33

Tendon is detached from lateral sesamoid

Moved dorsally and attached to medial capsule

Front 34

Adductor tendon transfer

Back 34

Tendon is detached from lateral sesamoid

Moved dorsally and attached to medial capsule

Front 35

Adductor tendon transfer can be done in what surgery

Back 35

HAV

Front 36

Adductor tendon transfer

Back 36

Tendon is detached from lateral sesamoid

Moved dorsally and attached to medial capsule

Front 37

Adductor tendon transfer can be done in what surgery

Back 37

HAV

Front 38

Back 38

Adductor tendon transfer

Front 39

Flexor tendon transfer

Back 39

FHL transected close to insertion at distal phalanx and cut longitudinally

Wrapped dorsally around proximal phalanx and sutured

Front 40

Flexor tendon transfer

Back 40

FHL transected close to insertion at distal phalanx and cut longitudinally

Wrapped dorsally around proximal phalanx and sutured

Front 41

Other name for flexor tendon transfer

Back 41

Girdlestone procedure

Front 42

Flexor tendon transfer

Back 42

FHL transected close to insertion at distal phalanx and cut longitudinally

Wrapped dorsally around proximal phalanx and sutured

Front 43

Other name for flexor tendon transfer

Back 43

Girdlestone procedure

Front 44

Front (Term)

Back 44

Flexor tendon transfer

Front 45

Flexor tendon transfer

Back 45

FHL transected close to insertion at distal phalanx and cut longitudinally

Wrapped dorsally around proximal phalanx and sutured

Front 46

Other name for flexor tendon transfer

Back 46

Girdlestone procedure

Front 47

Back 47

Flexor tendon transfer

Front 48

Jones tenosuspension

Back 48

EHL transected

Rerouted medial to lateral through head of 1st met

Distal stump attached to EDB

Arthrodesis of 1st IPJ

Front 49

Jones tenosuspension indicated for

Back 49

Pressure under forefoot

Flexible Cavous foot

Plantarflexed 1st ray

Front 50

Jones tenosuspension indicated for

Back 50

Pressure under forefoot

Flexible Cavous foot

Plantarflexed 1st ray

Front 51

Kirk modification to jones

Back 51

EHL goes dorsal to plantar

Front 52

Front (Term)

Back 52

Jones tenosuspension

Front 53

Hibbs tenosuspension

Back 53

EDL transected and ends are gathered

Moved to 3rd cuneiform or 3rd met

Attachments of EDB are cut and attached to distal pieces of EDL

Front 54

Front (Term)

Back 54

Jones tenosuspension

Front 55

Hibbs tenosuspension

Back 55

EDL transected and ends are gathered

Moved to 3rd cuneiform or 3rd met

Attachments of EDB are cut and attached to distal pieces of EDL

Front 56

In a Hibbs what is done with the transected 4th and 5th distal EDL

Back 56

Attached to 4th EDB

Front 57

Front (Term)

Back 57

Jones tenosuspension

Front 58

Hibbs tenosuspension

Back 58

EDL transected and ends are gathered

Moved to 3rd cuneiform or 3rd met

Attachments of EDB are cut and attached to distal pieces of EDL

Front 59

In a Hibbs what is done with the transected 4th and 5th distal EDL

Back 59

Attached to 4th EDB

Front 60

Indication for Hibbs

Back 60

Equinus

Front 61

Front (Term)

Back 61

Hibbs tenosuspension

Front 62

Spit tibialis tendon transfer

Back 62

Tibialis anterior split just proximal to superior retinaculum

Lateral fibers are passed through peroneus tertius sheath

Attached to tendon or cuboid

Front 63

Front (Term)

Back 63

Hibbs tenosuspension

Front 64

Spit tibialis tendon transfer

Back 64

Tibialis anterior split just proximal to superior retinaculum

Lateral fibers are passed through peroneus tertius sheath

Attached to tendon or cuboid

Front 65

Split tibialis tendon transfer indicated for

Back 65

Excessive supination

Flexible rearfoot varus

Dorsiflexory weakness

Front 66

Back 66

STATT

Front 67

Peroneus Longus tendon transfer

Back 67

Peroneus Longus cut at level of cuboid and transferred to 3rd cuneiform or 3rd met base

Front 68

Peroneus Longus tendon transfer indicated for

Back 68

Foot drop

Cavous foot

Front 69

Tendon transfer of all long extensor tendons to the met heads

Back 69

Heyman

Front 70

Tendon transfer of all long extensor tendons to the met heads

Back 70

Heyman

Front 71

Heyman indicated for

Back 71

Cavous foot

Front 72

Tibialis anterior tendon transfer

Back 72

Tibialis anterior transferred to the 3rd cuneiform

Front 73

Tibialis anterior tendon transfer

Back 73

Tibialis anterior transferred to the 3rd cuneiform

Front 74

Tibialis anterior tendon transfer indicated for

Back 74

Drop foot

Recurrent clubfoot

Flexible forefoot equinus

Front 75

Tibialis posterior tendon transfer

Back 75

PT tendon passed through interosseum membrane and attached to 3rd cuneiform

Front 76

Tibialis posterior tendon transfer indicated for

Back 76

Drop foot

Recurrent clubfoot

Front 77

Is a tibialis posterior tendon transfer in phase or out of phase

Back 77

Out of phase

Front 78

Name 2 tendon transfers for cavous foot

Back 78

Jones

Heyman

Peroneus longus

Front 79

Name 2 tendon transfers for cavous foot

Back 79

Jones

Heyman

Peroneus longus

Front 80

Name 2 tendon transfers for recurrent clubfoot

Back 80

Posterior tibialis

Anterior tibialis