Exostosis and Symptomatic Ossicles of the Foot and Ankle Quiz
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Questions and Answers

Which accessory ossicle becomes apparent radiographically at ages 9-11?

  • Talar prominence
  • Accessory scaphoid (correct)
  • Navicular prominence
  • Ganglionic cyst

What type of accessory ossicle is classified as a true sesamoid because it is within the tendon?

  • Exostosis
  • Navicular prominence
  • True accessory scaphoid (correct)
  • Talar prominence

Which condition can reduce the talar prominence?

  • Pathomechanical deformity (correct)
  • Arthritis
  • Periosteal reaction
  • Ganglionic cyst

What is virtually unaffected by subtalar joint motion near the navicular prominence?

<p>Accessory navicular (B)</p> Signup and view all the answers

Which soft tissue condition is NOT typically associated with the medial foot prominences?

<p>Ganglionic cyst (B)</p> Signup and view all the answers

What represents an extension of the navicular and has a connection represented by a radiolucent zone?

<p>Accessory scaphoid (B)</p> Signup and view all the answers

What is the usual treatment for an accessory navicular that causes symptoms?

<p>Excision of the ossicle (B)</p> Signup and view all the answers

What is a common cause of irritation related to Os Trigonum?

<p>Prolonged activity (D)</p> Signup and view all the answers

In what age range does the Os Trigonum usually unite or fuse with the talus?

<p>During teenage years (C)</p> Signup and view all the answers

What surgical intervention was performed on the 32-year-old male with a painful left ankle?

<p>Removal of accessory ossicle (B)</p> Signup and view all the answers

What treatment method was found to be ineffective for the 32-year-old male with a painful left ankle upon his return 1 year later?

<p>Physical therapy (C)</p> Signup and view all the answers

What type of surgical treatment was performed on the 47-year-old male with a chronic ulcer sub IPJ?

<p>Brostrom procedure (B)</p> Signup and view all the answers

What is the primary procedure of choice for treating a talar prominence?

<p>Arthrodesis of the subtalar joint (C)</p> Signup and view all the answers

What is a conservative initial treatment option for navicular prominences?

<p>NSAIDs and immobilization (C)</p> Signup and view all the answers

Which surgical approach is used for Type I accessory navicular surgeries?

<p>Tendon splitting approach (D)</p> Signup and view all the answers

What is recommended to visualize the entire tuberosity in Type II accessory navicular surgeries?

<p>Adequate osseous exposure (A)</p> Signup and view all the answers

For Type III accessory navicular surgeries, what should be done to protect the articular surface of the talar head during resection of the tuberosity?

<p>Supinate the subtalar joint (D)</p> Signup and view all the answers

Which adjunctive procedure may need to be considered when treating a talar prominence?

<p>PCDO surgery (A)</p> Signup and view all the answers

What is the primary procedure of choice for treating a navicular prominence?

<p>Arthrodesis of the subtalar joint (A)</p> Signup and view all the answers

Which accessory ossicle classification is considered to be a true carnuate navicular or enlarged navicular tuberosity?

<p>Type III accessory ossicle (B)</p> Signup and view all the answers

What surgical intervention involves reflecting the posterior tibialis from the talonavicular joint capsule to remove the ossicle?

<p>Tendon splitting approach (A)</p> Signup and view all the answers

Which conservative initial treatment option may be used for navicular prominences?

<p>Nsaids (A)</p> Signup and view all the answers

What is the common radiographic presentation of a Type II accessory navicular?

<p>Fibrous connection (A)</p> Signup and view all the answers

What adjunctive procedure may need to be considered when treating a talar prominence?

<p>PCDO (A)</p> Signup and view all the answers

What soft tissue condition is typically associated with the medial foot prominences?

<p>Plantar fasciitis (B)</p> Signup and view all the answers

In which direction is the talus prominence exaggerated?

<p>Pronation (A)</p> Signup and view all the answers

What age range typically sees the accessory navicular becoming radiographically apparent?

<p>9-11 years (B)</p> Signup and view all the answers

What is the primary characteristic that distinguishes a Type I accessory navicular?

<p>It is within the tendon (D)</p> Signup and view all the answers

Which movement contributes to a reduction in the talar prominence?

<p>Supination (A)</p> Signup and view all the answers

What pathological condition involves a prominence produced by the head of the talus?

<p>Arthritis (C)</p> Signup and view all the answers

What is the typical presentation of pain in patients with an extremely large tuberosity at the base of the 5th metatarsal?

<p>Intermittent and exercise-induced pain (D)</p> Signup and view all the answers

What distinguishes the Os Vesalianum from other symptomatic accessory ossicles?

<p>Activity-related pain in children (C)</p> Signup and view all the answers

In what location is the Os Peroneus accessory bone typically found?

<p>In the peroneal groove of the cuboid (A)</p> Signup and view all the answers

Which scenario would most likely prompt surgical intervention for symptomatic accessory bones of the foot?

<p>Persistence of symptoms despite conservative care (B)</p> Signup and view all the answers

When would resection of osteophytic changes be most likely necessary in the treatment of accessory bones of the foot?

<p>When the accessory bone causes articular surface involvement (B)</p> Signup and view all the answers

What is a key characteristic that distinguishes OS VESALIANUM from other symptomatic ossicles?

<p>Activity-related pain in children (D)</p> Signup and view all the answers

What is the primary characteristic of Type V dorsal exostosis at the 1st met.-cuneiform joint?

<p>Pseudo exostosis (C)</p> Signup and view all the answers

Which type of dorsal bossing involves angular malalignment at the 1st met.-cuneiform joint?

<p>Type III (D)</p> Signup and view all the answers

What is the main etiological factor associated with dorsal bossing of the 1st tarsometatarsal joint in Type II?

<p>Trauma history (B)</p> Signup and view all the answers

Which type of Type IV dorsal bossing involves lis franc’s joint in addition to the 1st met.-cuneiform?

<p>Type IV (B)</p> Signup and view all the answers

What distinguishes Type II dorsal bossing from other types based on exostosis location?

<p>Circumferential location (A)</p> Signup and view all the answers

Which condition may result in a secondary dorsal bossing of the 1st met-cuneiform joint?

<p>Pes cavus (A)</p> Signup and view all the answers

What is the common cause of irritation related to Os Subfibulare?

<p>Pressure from the peroneus longus (C)</p> Signup and view all the answers

What is a potential surgical intervention for a patient with an accessory boney process like Os Trigonum?

<p>Excision of ossicle (D)</p> Signup and view all the answers

What is the main cause of irritation related to Os Subtibiale?

<p>Plantarflexion stress on the flexor digitorum longus (C)</p> Signup and view all the answers

What is the typical treatment approach for a patient presenting with an accessory navicular causing symptoms?

<p>Excision of accessory ossicle (D)</p> Signup and view all the answers

In which scenario would a tendon transfer be a likely treatment option?

<p>Lateral ankle instability (B)</p> Signup and view all the answers

Which accessory bone typically fuses with the talus by the age of 18?

<p>Os Trigonum (C)</p> Signup and view all the answers

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