Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
3 Cards in this Set
- Front
- Back
What is the preferred orthotic device for a symptomatic adult foot deformity that is shown in Figure A, has no arthritis on radiographs, and responds to Coleman block testing as shown in Figure B? 1-Short walker boot; 2-Accommodative custom orthotics; 3-Lace up soft ankle brace; 4- Medial hindfoot posting with arch support; 5- Lateral hindfoot posting with recessed 1st ray
|
best orthotic for this correctible deformity is a semi-rigid orthotic with a recess for the head of the plantarflexed first ray and lateral hindfoot posting to correct the heel varus. This choice involves recognizing that the plantarflexed first ray drives the hindfoot into varus creating the cavovarus foot deformity. This cavus arch and varus hindfoot place excessive pressure on the lateral border of the foot. The Coleman block test demonstrates if the hindfoot deformity is correctable with depression of the first ray as seen in Figure B.Ans5
|
|
Which of the following patients would be the BEST candidate for submuscular bridge plating? 1-A 4yo B w/a spiral diaphyseal femur fx; 2-A 9yo 75-lb girl with a length stable distal one-third femur fx; 3-A 10yo, 120-lb boy w/ long spiral, comminuted midshaft femur fx; 4-A 17yo G w/ an open, transverse midshaft femur fx; 5-An 18yo F w/ a proximal 1/3, wedge-shaped femur fx
|
Bridge plating is the best option for a 10 year old with contraindications to flexible nailing (Illustration A). Titanium flexible nails should be avoided in patients with length unstable fractures and in those with > 11 years of age and > 108 lbs. As the patient is 10 years old and has open physes, there are concerns with intramedullary nailing (greater troch or piriformis entry). Decision making varies among surgeons as to the appropriate age for far-lateral entry nailing.Ans3
|
|
A 10-month-old child fell off of the couch and has L elbow pain & swelling. A xray Fig A. All of the following are characteristics of this injury pattern EXCEPT: 1-High risk of tardy ulnar nerve palsy; 2-Posteromedial displacement; 3-High association with child abuse; 4-High risk of cubitus varus deform; 5-High risk of subsequent AVN of the medial condyle
|
distal humeral physeal separation (transphyseal fracture). This is supported by the radiograph which show posteromedial displacement of the radial and ulnar shafts relative to the distal humerus. Posteromedial displacement is most common. . In the child with a visible ossification center at the capitellum, a true elbow dislocation will have disruption of the radiocapitellar line and transphyseal separation of the distal humerus will not. This injury pattern is associated with child abuse, and may lead to cubitus varus deformity or AVN of the medial condyle. Tardy ulnar nerve palsy is not associated with transphyseal fractures, and is more commonly seen following lateral condyle fracture nonunions and cubitus valgus, Transphyseal fractures are either Salter I injuries or can be associated with a metaphyseal fragment (Salter-Harris Type II) that can range in size from a small fragment to a large Thurston-Holland fragment.Ans1
|
