57 Questions
What is the primary purpose of tendon transfers?
To restore lost muscle function and joint motion
Which of the following is a key principle to consider when performing a tendon transfer?
The transferred tendon should be detached from its original insertion
Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?
Dynamic tendon transfer
What is the primary goal of a tendon transfer procedure?
To restore lost muscle function and joint motion
Which of the following is a potential complication of a tendon transfer procedure?
Loss of muscle function and joint motion
What is the primary reason for detaching a tendon from its original insertion during a tendon transfer procedure?
To allow the tendon to be redirected to a new attachment site
Which of the following is a key consideration when planning a tendon transfer procedure?
The transferred tendon should have the same line of pull as the original tendon
What is the primary purpose of tendon transfers?
To assist other muscle functions by rerouting the course of a normal muscle tendon
What is the key difference between a tendon transfer and a tendon transposition?
Tendon transfers involve moving the tendon to a new location, while transpositions involve rerouting the tendon without detachment
Which of the following is considered a type of tendon transfer?
Muscle-tendon transplantation
Which of the following is a key principle of tendon transfers?
Maintaining the neurovascular support structures of the transferred muscle-tendon unit
What is the main goal of a tendon suspension procedure?
To support a structure by suspending a tendon
In a tendon transfer, what is the key difference between detachment and transposition?
Detachment involves moving the tendon to a new insertion, while transposition involves rerouting without detachment
Which of the following is considered a type of tendon transfer?
Tendon transposition
Which of the following is NOT a principle of tendon transfers?
The transferred muscle should lose at least 2 grades of power after the transfer
Which of the following techniques is NOT used to secure tendons to bone during tendon transfers?
Cerclage wire
Which of the following statements about side-to-side tendon transfers is TRUE?
They provide the most physiologic pull
According to the principles of tendon transfers, which of the following statements is TRUE?
The transferred muscle should ideally be phasic
Which of the following statements about tendon transfers is FALSE?
The transferred tendon should be placed under tension after the transfer
Which of the following surgical procedures is being discussed in Case 1?
First metatarsophalangeal joint arthrodesis
Based on the information provided, what is the most likely condition being addressed in Case 2?
Chronic lateral ankle instability
During the inflammatory stage of tendon healing, what cells are recruited to the wound site?
Red blood cells, white blood cells, and platelets
What is the role of macrophages during the proliferative stage of tendon healing?
Synthesizing new matrix
Which phase of tendon healing begins roughly two days into the injury response?
Proliferative stage
What is the main function of tenocytes during tendon healing?
Secrete collagen fibers
What provides temporary stiffness in the wound site during the inflammatory stage?
Fibrin clot
Which type of collagen is primarily involved in the proliferative phase of tendon healing?
Type III collagen
Which of the following is considered a type of tendon transfer?
Tendon suspension
What is the primary purpose of tendon transfers?
To correct tendon imbalances and restore function
Which of the following is a key principle to consider when performing a tendon transfer?
Minimizing surgical trauma
Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?
Tendon transposition
What is the key difference between a tendon transfer and a tendon transposition?
Tendon transfers involve complete detachment, while transpositions involve partial detachment
Which of the following is a potential complication of a tendon transfer procedure?
Decreased tendon gliding
Which of the following surgical procedures is being discussed in Case 1?
Tendon transfer
Which principle of tendon transfers states that the muscle must have adequate power?
The muscle must have adequate power, at least M4 or M5
What is the primary purpose of a tendon transfer procedure?
To correct a muscle imbalance or deformity
Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?
Tendon transposition
What is the key difference between a tendon transfer and a tendon transposition?
Tendon transfer involves detachment, transposition does not
Which of the following is considered a type of tendon transfer?
All of the above
What is the most physiologic type of tendon transfer?
Side-to-side transfer
Which principle of tendon transfers states that the tendon should run in as straight a course as possible?
After the transfer, the tendon should run in as straight a course as possible
What is the main purpose of debridement with tubulerization as a type of tendon repair?
To remove damaged tissue and create a scaffold for cell migration
Which option best describes the purpose of tendon transfers?
To assist in other functions by detaching and relocating tendons
What is the primary difference between end-to-end reconstruction and debridement with tubulerization as types of tendon repair?
Mechanical alignment of the extracellular matrix
What is a key principle to consider during tendon transfers?
Maintaining the neurovascular support structures of tendons
Which option correctly describes allograft reconstruction as a tendon reconstruction option?
Using donated tissue to reconstruct the damaged tendon
In tendon transposition, what does rerouting the course of a normal muscle tendon entail?
Relocating the tendon without detaching it from its insertion point
What is the primary goal of end-to-end repair as a type of tendon repair procedure?
To reattach tendons at their original insertion points
Which of the following is a key principle of tendon transfers that is NOT mentioned in the text?
Preserving the neurovascular supply to the transferred tendon
In a tendon transfer procedure, what is the primary reason for detaching the tendon from its original insertion?
To facilitate the transfer to a new insertion site
Which type of tendon transfer involves detaching the tendon from its original insertion and reattaching it to a new location?
Tendon rerouting
What is the primary purpose of tendon transfers, as suggested in the text?
To restore function in the presence of tendon injury or paralysis
During the inflammatory stage of tendon healing, which of the following cells is NOT mentioned as being recruited to the wound site?
Fibroblasts
What provides temporary stiffness in the wound site during the inflammatory stage of tendon healing?
Fibrin clot
Which type of collagen is primarily involved in the proliferative phase of tendon healing?
Type III collagen
What is the main function of tenocytes during tendon healing?
Synthesis of the extracellular matrix
Which of the following is a potential tendon reconstruction option NOT mentioned in the text?
Tendon graft
Test your knowledge on the principles of tendon transfers with this quiz. Questions cover topics such as ideal tendon selection, range of movement, and muscle power requirements.
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