Principles of Tendon Transfers Quiz
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Questions and Answers

What is the primary purpose of tendon transfers?

  • To strengthen the tendon and prevent further injury
  • To restore lost muscle function and joint motion (correct)
  • To redistribute the load on the tendon and surrounding tissues
  • To improve the appearance of the limb

    • Which of the following is a key principle to consider when performing a tendon transfer?

  • The transferred tendon should be as short as possible
  • The transferred tendon should be detached from its original insertion (correct)
  • The transferred tendon should be secured with multiple sutures
  • The transferred tendon should have the same line of pull as the original tendon

    • Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?

  • Dynamic tendon transfer (correct)
  • Isometric tendon transfer
  • Static tendon transfer
  • Passive tendon transfer

    • What is the primary goal of a tendon transfer procedure?

    <p>To restore lost muscle function and joint motion</p> Signup and view all the answers

    Which of the following is a potential complication of a tendon transfer procedure?

    <p>Loss of muscle function and joint motion</p> Signup and view all the answers

    What is the primary reason for detaching a tendon from its original insertion during a tendon transfer procedure?

    <p>To allow the tendon to be redirected to a new attachment site</p> Signup and view all the answers

    Which of the following is a key consideration when planning a tendon transfer procedure?

    <p>The transferred tendon should have the same line of pull as the original tendon</p> Signup and view all the answers

    What is the primary purpose of tendon transfers?

    <p>To assist other muscle functions by rerouting the course of a normal muscle tendon</p> Signup and view all the answers

    What is the key difference between a tendon transfer and a tendon transposition?

    <p>Tendon transfers involve moving the tendon to a new location, while transpositions involve rerouting the tendon without detachment</p> Signup and view all the answers

    Which of the following is considered a type of tendon transfer?

    <p>Muscle-tendon transplantation</p> Signup and view all the answers

    Which of the following is a key principle of tendon transfers?

    <p>Maintaining the neurovascular support structures of the transferred muscle-tendon unit</p> Signup and view all the answers

    What is the main goal of a tendon suspension procedure?

    <p>To support a structure by suspending a tendon</p> Signup and view all the answers

    In a tendon transfer, what is the key difference between detachment and transposition?

    <p>Detachment involves moving the tendon to a new insertion, while transposition involves rerouting without detachment</p> Signup and view all the answers

    Which of the following is considered a type of tendon transfer?

    <p>Tendon transposition</p> Signup and view all the answers

    Which of the following is NOT a principle of tendon transfers?

    <p>The transferred muscle should lose at least 2 grades of power after the transfer</p> Signup and view all the answers

    Which of the following techniques is NOT used to secure tendons to bone during tendon transfers?

    <p>Cerclage wire</p> Signup and view all the answers

    Which of the following statements about side-to-side tendon transfers is TRUE?

    <p>They provide the most physiologic pull</p> Signup and view all the answers

    According to the principles of tendon transfers, which of the following statements is TRUE?

    <p>The transferred muscle should ideally be phasic</p> Signup and view all the answers

    Which of the following statements about tendon transfers is FALSE?

    <p>The transferred tendon should be placed under tension after the transfer</p> Signup and view all the answers

    Which of the following surgical procedures is being discussed in Case 1?

    <p>First metatarsophalangeal joint arthrodesis</p> Signup and view all the answers

    Based on the information provided, what is the most likely condition being addressed in Case 2?

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

    During the inflammatory stage of tendon healing, what cells are recruited to the wound site?

    <p>Red blood cells, white blood cells, and platelets</p> Signup and view all the answers

    What is the role of macrophages during the proliferative stage of tendon healing?

    <p>Synthesizing new matrix</p> Signup and view all the answers

    Which phase of tendon healing begins roughly two days into the injury response?

    <p>Proliferative stage</p> Signup and view all the answers

    What is the main function of tenocytes during tendon healing?

    <p>Secrete collagen fibers</p> Signup and view all the answers

    What provides temporary stiffness in the wound site during the inflammatory stage?

    <p>Fibrin clot</p> Signup and view all the answers

    Which type of collagen is primarily involved in the proliferative phase of tendon healing?

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

    Which of the following is considered a type of tendon transfer?

    <p>Tendon suspension</p> Signup and view all the answers

    What is the primary purpose of tendon transfers?

    <p>To correct tendon imbalances and restore function</p> Signup and view all the answers

    Which of the following is a key principle to consider when performing a tendon transfer?

    <p>Minimizing surgical trauma</p> Signup and view all the answers

    Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?

    <p>Tendon transposition</p> Signup and view all the answers

    What is the key difference between a tendon transfer and a tendon transposition?

    <p>Tendon transfers involve complete detachment, while transpositions involve partial detachment</p> Signup and view all the answers

    Which of the following is a potential complication of a tendon transfer procedure?

    <p>Decreased tendon gliding</p> Signup and view all the answers

    Which of the following surgical procedures is being discussed in Case 1?

    <p>Tendon transfer</p> Signup and view all the answers

    Which principle of tendon transfers states that the muscle must have adequate power?

    <p>The muscle must have adequate power, at least M4 or M5</p> Signup and view all the answers

    What is the primary purpose of a tendon transfer procedure?

    <p>To correct a muscle imbalance or deformity</p> Signup and view all the answers

    Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?

    <p>Tendon transposition</p> Signup and view all the answers

    What is the key difference between a tendon transfer and a tendon transposition?

    <p>Tendon transfer involves detachment, transposition does not</p> Signup and view all the answers

    Which of the following is considered a type of tendon transfer?

    <p>All of the above</p> Signup and view all the answers

    What is the most physiologic type of tendon transfer?

    <p>Side-to-side transfer</p> Signup and view all the answers

    Which principle of tendon transfers states that the tendon should run in as straight a course as possible?

    <p>After the transfer, the tendon should run in as straight a course as possible</p> Signup and view all the answers

    What is the main purpose of debridement with tubulerization as a type of tendon repair?

    <p>To remove damaged tissue and create a scaffold for cell migration</p> Signup and view all the answers

    Which option best describes the purpose of tendon transfers?

    <p>To assist in other functions by detaching and relocating tendons</p> Signup and view all the answers

    What is the primary difference between end-to-end reconstruction and debridement with tubulerization as types of tendon repair?

    <p>Mechanical alignment of the extracellular matrix</p> Signup and view all the answers

    What is a key principle to consider during tendon transfers?

    <p>Maintaining the neurovascular support structures of tendons</p> Signup and view all the answers

    Which option correctly describes allograft reconstruction as a tendon reconstruction option?

    <p>Using donated tissue to reconstruct the damaged tendon</p> Signup and view all the answers

    In tendon transposition, what does rerouting the course of a normal muscle tendon entail?

    <p>Relocating the tendon without detaching it from its insertion point</p> Signup and view all the answers

    What is the primary goal of end-to-end repair as a type of tendon repair procedure?

    <p>To reattach tendons at their original insertion points</p> Signup and view all the answers

    Which of the following is a key principle of tendon transfers that is NOT mentioned in the text?

    <p>Preserving the neurovascular supply to the transferred tendon</p> Signup and view all the answers

    In a tendon transfer procedure, what is the primary reason for detaching the tendon from its original insertion?

    <p>To facilitate the transfer to a new insertion site</p> Signup and view all the answers

    Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?

    <p>Tendon rerouting</p> Signup and view all the answers

    What is the primary purpose of tendon transfers, as suggested in the text?

    <p>To restore function in the presence of tendon injury or paralysis</p> Signup and view all the answers

    During the inflammatory stage of tendon healing, which of the following cells is NOT mentioned as being recruited to the wound site?

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

    What provides temporary stiffness in the wound site during the inflammatory stage of tendon healing?

    <p>Fibrin clot</p> Signup and view all the answers

    Which type of collagen is primarily involved in the proliferative phase of tendon healing?

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

    What is the main function of tenocytes during tendon healing?

    <p>Synthesis of the extracellular matrix</p> Signup and view all the answers

    Which of the following is a potential tendon reconstruction option NOT mentioned in the text?

    <p>Tendon graft</p> Signup and view all the answers

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