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Exostosis and Symptomatic Ossicles of the Foot and Ankle Quiz
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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</p> Signup and view all the answers

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

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

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

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

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

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

    What is a conservative initial treatment option for navicular prominences?

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

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

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

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

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

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

    <p>Nsaids</p> Signup and view all the answers

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

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

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

    <p>PCDO</p> Signup and view all the answers

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

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

    In which direction is the talus prominence exaggerated?

    <p>Pronation</p> Signup and view all the answers

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

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

    Which movement contributes to a reduction in the talar prominence?

    <p>Supination</p> Signup and view all the answers

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

    <p>Arthritis</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</p> Signup and view all the answers

    What distinguishes the Os Vesalianum from other symptomatic accessory ossicles?

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

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

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

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

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

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

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

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

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

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

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

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