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217 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Stage 1 bunion evaluation |
Subclinical subluxation of MPJ |
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Stage II bunion evaluation |
Clinical hallux abduction deformity |
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Stage III |
Development of metatarsus primus adductus |
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Bunion evaluation Stage 4 |
Clinical subluxation/dislocation of MPJ |
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Metatarsus adductus angle |
15 or less normal |
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When is adult met adductus angle reached |
Age 4 |
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When is adult met adductus angle reached |
Age 4 |
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Born with a met adductus angle of |
30 |
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Front (Term) |
Met adductus angle |
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IM angle normal |
8-12 |
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Front (Term) |
Met adductus angle |
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IM angle normal |
8-12 |
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IM angle greater than ____ requires a base procedure |
16 |
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IM angle |
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Front (Term) |
Hallux abductus angle |
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Normal hallux abductus angle |
0-15 |
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Front (Term) |
PASA |
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Front (Term) |
DASA |
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Front (Term) |
PASA |
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Front (Term) |
DASA |
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Normal for PASA or DASA |
0-8 |
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Hallux abductus interphalangeus angle |
0-10 |
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What is the normal metatarsal protrusion distance |
+- 2 mm |
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Front (Term) |
Tibial sesamoid position |
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Tibial sesamoid position |
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What is normal tibial sesamoid |
1-3 |
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Tibial sesamoid position |
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What is normal tibial sesamoid |
1-3 |
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What tibial position is on the cristae |
4 |
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Front (Term) |
Austin |
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Austin |
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Cuts for Austin are how many degrees |
60 |
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Front (Term) |
Youngswick |
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Youngswick does |
Shortening and plantarflexing |
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Youngswick |
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Youngswick does |
Shortening and plantarflexing |
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Youngswick is indicated in |
Metatarus elevatus |
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Front (Term) |
Reverdin |
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Reverdin |
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The reverdin corrects |
PASA |
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Reverdin |
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The reverdin corrects |
PASA |
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Is the lateral cortex cut or left intact in Reverdin |
Intact |
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Front (Term) |
Reverdin - green |
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Reverdin green differs from the regular Reverdin because |
It has a plantar shelf in addition to protect the sesamoids |
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Reverdin - green |
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Reverdin green differs from the regular Reverdin because |
It has a plantar shelf in addition to protect the sesamoids |
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What shape is the Reverdin green cut said to be |
L shaped |
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Front (Term) |
Reverdin laird |
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Reverdin laird |
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Reverdin laird does correction of |
PASA and IM |
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Reverdin laird |
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Reverdin laird does correction of |
PASA and IM |
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How does Reverdin laid differ from Reverdin green |
Still has plantar cut
But
Goes through lateral cortex |
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Reverdin laird |
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Reverdin laird does correction of |
PASA and IM |
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How does Reverdin laid differ from Reverdin green |
Still has plantar cut
But
Goes through lateral cortex |
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Front (Term) |
Reverdin todd |
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Reverdin laird |
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Reverdin laird does correction of |
PASA and IM |
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How does Reverdin laird differ from Reverdin green |
Still has plantar cut
But
Goes through lateral cortex |
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Reverdin todd |
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Reverdin Todd procedure |
Like a Reverdin laird
But
Goes through plantar cortex |
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Revedin Todd procedure corrects |
PASA , IM and plantarflexes metatarsal |
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Front (Term) |
Watermann |
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The plantar cortex in waterman is |
Left intact |
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Watermann is indicated in |
Hallux limitus |
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Front (Term) |
Watermann |
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The plantar cortex in waterman is |
Left intact |
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Watermann is indicated in |
Hallux limitus |
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Front (Term) |
Watermann green |
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Watermann green procedure preserves |
The plantar sesamoids |
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Watermann |
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The plantar cortex in waterman is |
Left intact |
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Watermann is indicated in |
Hallux limitus |
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Watermann green |
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Watermann green procedure preserves |
The plantar sesamoids |
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The watermann green is indicated for |
Hallux limitusb |
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Peabody |
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Hohmann |
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Hohmann corrects |
IM PASA Elevatus |
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Wilson |
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DRATO |
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DRATO stands for |
Derotational abductory transpositional osteotomy |
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In this neck procedure the metatarsal head can be manipulated in any plane |
DRATO |
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Mitchell |
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Shortening met will plantarflex or dorsiflex |
Dorsiflex |
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Lengthening metatarsal will plantarflex or dorsiflex |
Plantarflex it |
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Front (Term) |
Kalish |
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Kalish dorsal shelf |
Longer and at 55 degrees |
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Kalish |
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Kalish dorsal shelf |
Longer and at 55 degrees |
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Scarf |
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Front (Term) |
Ludloff |
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Ludloff |
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Front (Term) |
Mau |
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Ludloff and mau correct |
IM angle |
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Front (Term) |
Lamrinudi |
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Lamrinudi |
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Lambrinudi corrects |
Metatarsus primus elevatus |
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Crecentric |
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The crecentric base procedure corrects IM and has an advantage that |
Does not shorten metatarsal |
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Front (Term) |
Juvara |
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Juvara type A |
Wedge, Not through medial cortex |
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Juvara |
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Juvara type A |
Wedge, Not through medial cortex |
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Juvara type B |
Wedge, through medial cortex |
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Juvara type C |
No wedge, through medial cortex |
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Juvara |
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Radius arm concept for base osteotomy |
Distal cut 30* Proximal cut 45*
Wedge 15* |
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Front (Term) |
Loison Balacesu |
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Front (Term) |
Loison Balacesu |
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What the **** is a logroscino |
Reverdin + loison-balacescu |
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Arthroplasties may be indicated for |
Older pts with hallux rigidus/limitus and severe djd |
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What method can be used to suture the capsule across the joint space in arthroplasties |
Purse string |
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In addition arthroplasties, what soft tissue procedure may be done |
Extensor hallucis longus lengthening |
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Front (Term) |
Keller |
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Keller resects |
No more than 1/4 of Proximal phalanx base |
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Front (Term) |
Mayo |
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Front (Term) |
Stone |
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Front (Term) |
Lapidus |
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What method can be used to suture the capsule across the joint space in arthroplasties |
Purse string |
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Mckeever is |
A fusion of MPJ
Metatarsal is speared into the proximal phalanx |
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Front (Term) |
Keller |
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Front (Term) |
Keller |
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Front (Term) |
Mayo |
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Front (Term) |
Stone |
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Front (Term) |
Lapidus |
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Front (Term) |
Lapidus |
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Lapidus |
Fusion of the 1st met and medial cuneiform |
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Front (Term) |
Mckeever |
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Front (Term) |
Mckeever |
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What method can be used to suture the capsule across the joint space in arthroplasties |
Purse string |
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Mckeever is |
A fusion of MPJ
Metatarsal is speared into the proximal phalanx |
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Mckeever is fused in extended, flexed or neutral position |
Extended |
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In addition arthroplasties, what soft tissue procedure may be done |
Extensor hallucis longus lengthening |
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Front (Term) |
Mayo |
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Front (Term) |
Stone |
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Front (Term) |
Lapidus |
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Front (Term) |
Stone |
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Front (Term) |
Lapidus |
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Mckeever |
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Procedure indicated for increased IM and hypermobile 1st ray |
Lapidus |
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Front (Term) |
Mckeever |
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Front (Term) |
Silver |
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Front (Term) |
Cheilectomy |
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Front (Term) |
Kessel-bonney |
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Silver |
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Cheilectomy |
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Kessel-bonney |
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Kessel-bonney indicated in |
Hallux limitus |
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3 main parts to Mcbride procedure |
Silver Adductor tendon cut Removal of fibulae sesamoid |
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3 main parts to Mcbride procedure |
Silver Adductor tendon cut Removal of fibulae sesamoid |
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Modified Mcbride spares |
Fibular sesamoid |
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Front (Term) |
Aikin |
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3 main parts to Mcbride procedure |
Silver Adductor tendon cut Removal of fibulae sesamoid |
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Modified Mcbride spares |
Fibular sesamoid |
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Front (Term) |
Aikin |
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Aikin is performed on |
Proximal phalanx |
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Distal aikin corrects |
DASA |
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3 main parts to Mcbride procedure |
Silver Adductor tendon cut Removal of fibulae sesamoid |
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Modified Mcbride spares |
Fibular sesamoid |
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Aikin |
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Aikin is performed on |
Proximal phalanx |
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Distal aikin corrects |
DASA |
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Proximal aikin corrects |
PASA |
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HISS procedure |
Same as Mcbride but with dorsal transfer of abductor hallucis tendon |
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Name and indication |
Regnauld (mexican hat procedure)
For hallux limitus |
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Cotton |
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Cotton procedure |
Medial opening wedge on medial cuneiform |
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Front (Term) |
Mediovertical capsulotomy |
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Medial U capsulotomy |
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Medial U capsulotomy |
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Medial T capsulotomy |
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Inverted L capsulotomy |
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Lenticular capsulotomy |
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Washington monument capsulotomy |
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Which 2 capsulotomies allow frontal and transverse plane correction |
Lenticular Washington monument |
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Mediovertical capsulotomy |
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Medial H capsulotomy |
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Hallux limitus/ hallux rigidus |
Decreased or absent ROM of mpj |
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Which capsulotomy reinforces medial capsule |
Washington monument |
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Which capsulotomy reinforces medial capsule |
Washington monument |
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Decreased ROM at 1st mpj |
Hallux limitus |
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No ROM for hallux MPJ, end result of hallux limitus |
Hallux rigidus |
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ROM at 1st mpj needed for normal gait |
50-60* |
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Grade 1 hallux limitus |
Functional limitus Pain at end ROM Hyperextension of IPJ ROM WNL |
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Grade 2 hallux limitus |
Joint adaptation Pain at end ROM Flattening of met head Passive ROM limited Small exostosis and periarticular lipping |
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Grade 3 hallux limitus |
Joint destruction Crepitus on ROM Pain on full ROM |
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Grade 4 hallux limitus |
Ankylosis Less than 10* ROM Obliteration of joint space Loss of articular cartilage |
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Name 5 Causes of hallux limitus/rigidus |
Metatarsus primus elevatus Hyper mobile 1st ray Immobile 1st ray DJD Neoplasm Trauma Septic joint Iatrogenic Neuromuscular disease Arthritis (RA, psoriatic, gout) |
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Functional or structural hallux limitus
Whether forefoot is loaded or not, hallux DF is decreased |
Structural hallux limitus |
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Functional or structural hallux limitus
When forefoot is loaded hallux DF decreases |
Functional or structural hallux limitus |
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Functional or structural hallux limitus
Whether forefoot is loaded or not, hallux DF is decreased |
Structural hallux limitus |
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Functional or structural hallux limitus
When forefoot is loaded hallux DF decreases |
Functional or structural hallux limitus |
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Functional or structural hallux limitus
Responds well to orthotics |
Functional hallux limitus |
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Name 5 symptoms of hallux limitus |
Pain and decreased ROM Pain dorsal MPJ Dorsal bony prominence Plantar callus at IPJ Possible spastic EHL Joint narrowing Flattening of 1st met head Subchondral sclerosis Osteophytes Loose bodies Painful hallux nail |
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Name 5 symptoms of hallux limitus |
Pain and decreased ROM Pain dorsal MPJ Dorsal bony prominence Plantar callus at IPJ Possible spastic EHL Joint narrowing Flattening of 1st met head Subchondral sclerosis Osteophytes Loose bodies Painful hallux nail |
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In hallux limitus the IPJ may |
Hyperextend |
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Conservative treatment of hallux limitus |
Rocker bottom shoe Stiff shoe Orthotic Corticosteroid |
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Conservative treatment of hallux limitus |
Rocker bottom shoe Stiff shoe Orthotic Corticosteroid |
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Surgery hallux limitus |
Remove osteophytes and loose bodies Shorten or plantarflex met Early passive ROM with surgery |
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Hallux varus |
Adductus and/or varus deviation of hallux at 1st mpj |
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Hallux varus |
Adductus and/or varus deviation of hallux at 1st mpj |
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Causes of hallux varus |
Iatrogenic Resection of fibular sesamoid Trauma Congenital Tight bandages |
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Hallux varus |
Adductus and/or varus deviation of hallux at 1st mpj |
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Causes of hallux varus |
Iatrogenic Resection of fibular sesamoid Trauma Congenital Tight bandages |
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Conservative treatment of hallux varus |
Strapping and splinting |
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Hallux varus |
Adductus and/or varus deviation of hallux at 1st mpj |
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Causes of hallux varus |
Iatrogenic Resection of fibular sesamoid Trauma Congenital Tight bandages |
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Conservative treatment of hallux varus |
Strapping and splinting |
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Surgical step wise approach to hallux varus |
Soft tissue release of MPJ Medial capsulotomy Tibial sesamoidectomy Transfer EHL to plantar lateral aspect of proximal phalanx (With fusion of IPJ) Reverse Austin Arthroplasty or implant Arthrodesis |
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Middle of Sagittal ROM of 1st Ray is above the lesser metatarsal head plane |
Metatarsus primus elevatus |
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Causes of metatarsus primus elevatus |
Congenital Pronated foot Iatrogenic |
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Middle of Sagittal ROM of 1st Ray is above the lesser metatarsal head plane |
Metatarsus primus elevatus |
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Causes of metatarsus primus elevatus |
Congenital Pronated foot Iatrogenic |
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Symptoms of metatarsus primus elevatus |
IPK sub 2nd met head Hallux limitus/ hallux rigidus |
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