Surgical Management of Orthopedic Conditions

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Questions and Answers

What is the primary factor that drives the decision of surgical management?

  • Severity of symptoms (correct)
  • Degree of knee deformity
  • Patient's age
  • Limb length discrepancy

Which of the following is a complication of surgical management?

  • Wound healing issues (correct)
  • Osteophytes formation
  • Synovial chondromatosis
  • Osteochondral defects

What is the primary goal of arthrodesis procedure?

  • To correct deformity
  • To relieve pain
  • To restore joint mobility
  • To fuse joints (correct)

Which of the following is a type of arthroplasty procedure?

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

In which plane does the talus-first MT axis need to be reestablished during arthrodesis procedure?

<p>Both sagittal and transverse planes (C)</p> Signup and view all the answers

What is the primary consideration when selecting a surgical procedure?

<p>Degree of arthritis in nearby joints (A)</p> Signup and view all the answers

What is a characteristic imaging finding in midfoot arthritis?

<p>Joint space narrowing due to loss of articular cartilage (C)</p> Signup and view all the answers

What is the purpose of a diagnostic injection in nonsurgical management of midfoot arthritis?

<p>To localize the joint of concern (D)</p> Signup and view all the answers

What is a common consequence of midfoot arthritis?

<p>Difficulty with shoes (A)</p> Signup and view all the answers

What type of orthotic device can be particularly useful in managing midfoot arthritis with multiple joint involvement?

<p>Ankle Foot Orthoses (AFO) (A)</p> Signup and view all the answers

What is a symptom of midfoot arthritis?

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

What is a type of medication used in nonsurgical management of midfoot arthritis?

<p>Diclofenac gel (D)</p> Signup and view all the answers

What is the title of the 2020 comprehensive textbook of foot and ankle surgery referenced in the text?

<p>Mcglamry's comprehensive textbook of foot and ankle surgery (D)</p> Signup and view all the answers

What is the name of the surgical technique described by D.J.Glissan in the Australian and New Zealand Journal of Surgery in 1949?

<p>Induction of fusion at the ankle joint (B)</p> Signup and view all the answers

What is the name of the condition that may be treated with Spherical Ceramic Interpositional Arthroplasty?

<p>Basal fourth and fifth metatarsal arthritis (C)</p> Signup and view all the answers

Which journal publication is referenced in the text for information on the efficacy of foot and ankle corticosteroid injections?

<p>Foot and Ankle International (A)</p> Signup and view all the answers

What is the name of the presentation template used in this educational resource?

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

Which of the following is NOT mentioned in the text as a topic related to midfoot arthritis?

<p>Portal hypertension (D)</p> Signup and view all the answers

What is the primary purpose of a topical anti-inflammatory such as diclofenac gel in nonsurgical management of midfoot arthritis?

<p>To reduce joint inflammation (C)</p> Signup and view all the answers

What is the primary advantage of using an Ankle Foot Orthosis (AFO) in managing midfoot arthritis with multiple joint involvement?

<p>Corrective action on multiple joints (C)</p> Signup and view all the answers

What is the primary goal of therapeutic injection in nonsurgical management of midfoot arthritis?

<p>To provide long-term pain relief (D)</p> Signup and view all the answers

What is the primary consideration when selecting an orthotic device for managing midfoot arthritis?

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

What is the primary advantage of using functional foot orthotics in nonsurgical management of midfoot arthritis?

<p>Corrective action on foot deformity (C)</p> Signup and view all the answers

What is the primary role of analgesics in nonsurgical management of midfoot arthritis?

<p>To provide pain relief (C)</p> Signup and view all the answers

In a neglected calcaneal fracture, what is the primary goal of the surgical approach?

<p>To regain lost height (B)</p> Signup and view all the answers

What is the primary consideration for performing a double arthrodesis?

<p>To address painful or arthritic joints (D)</p> Signup and view all the answers

What is the benefit of using a 3-D tracking system in triple arthrodesis?

<p>It provides precise measurement of the talonavicular joint's range of motion (D)</p> Signup and view all the answers

In which population is motion-sparing procedures like soft tissue interposition and ceramic interposition arthroplasty more commonly utilized?

<p>Neuropathic population (D)</p> Signup and view all the answers

What is the typical postoperative care for arthrodesis procedures?

<p>6-8 weeks NWB in a posterior splint/cast/CAMboot (A)</p> Signup and view all the answers

What is the order of joint reduction in traditional triple arthrodesis?

<p>Subtalar → Talonavicular → Calcaneocuboid (C)</p> Signup and view all the answers

What is a key consideration in surgical management of midfoot arthritis?

<p>Degree of arthritis of nearby joints (A)</p> Signup and view all the answers

What is a common complication of surgical management of midfoot arthritis?

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

What is the primary goal of arthrodesis procedure in midfoot arthritis?

<p>To correct deformity (C)</p> Signup and view all the answers

What is a consideration in selecting a surgical procedure for midfoot arthritis?

<p>Degree of functional limitation (C)</p> Signup and view all the answers

What is a potential contraindication for surgical management of midfoot arthritis?

<p>Poorly-controlled comorbid conditions (A)</p> Signup and view all the answers

What is a type of procedure used in surgical management of midfoot arthritis?

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

What is a crucial aspect to consider when evaluating the necessity of deformity correction in arthrodesis?

<p>Limb length discrepancy (D)</p> Signup and view all the answers

In a neglected calcaneal fracture, what is the primary goal of the surgical approach?

<p>Realignment of the foot (B)</p> Signup and view all the answers

In TMT joint arthrodesis, what is the typical sequence of joint fusion?

<p>Medial to lateral (D)</p> Signup and view all the answers

What is the primary purpose of fixation devices in arthrodesis procedures?

<p>To stabilize the joint (B)</p> Signup and view all the answers

What is a common complication of arthrodesis procedures?

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

What is the primary goal of arthrodesis in midfoot arthritis?

<p>To fuse the affected joints (D)</p> Signup and view all the answers

What is typically needed in distraction arthrodesis for a neglected calcaneal fracture?

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

What is often challenging to treat in the lateral TMT joint?

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

What is used to fixate the subtalar joint?

<p>Screws (3.5, 4.0) (C)</p> Signup and view all the answers

What is typically included in a triple arthrodesis?

<p>Talonavicular, subtalar, and calcaneocuboid joints (C)</p> Signup and view all the answers

What is needed to confirm diagnosis of midfoot arthritis?

<p>X-rays (C)</p> Signup and view all the answers

What is the goal of surgical management in a neglected calcaneal fracture?

<p>To regain lost height (C)</p> Signup and view all the answers

What is the primary goal of joint preparation access in subtalar joint incision?

<p>Maintain normal joint contours (C)</p> Signup and view all the answers

What is the name of the approach used in isolated subtalar joint procedures?

<p>Sinus tarsi approach (D)</p> Signup and view all the answers

What is the name of the surgical technique described by D.J. Glissan?

<p>Glissan's principles of arthrodesis (D)</p> Signup and view all the answers

What is the primary factor that drives the decision of which incision to use in surgical management?

<p>Number of joints involved (A)</p> Signup and view all the answers

What is the purpose of deep fascia incision in subtalar joint incision?

<p>To incise along the inferior border of EDB muscle belly (B)</p> Signup and view all the answers

What is the primary consideration when selecting a fixation construct?

<p>Soft tissue management (C)</p> Signup and view all the answers

What is the primary cause of peroneal tendon subluxation?

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

What is the primary goal of conservative management in peroneal tendon pathology?

<p>To reduce pain and inflammation (A)</p> Signup and view all the answers

Which of the following is a common surgical intervention for peroneal tendon tears?

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

What is the primary difference between peroneal tendonitis and peroneal tendon tears?

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

What is the primary mechanism of injury in peroneal tendon pathology?

<p>Repetitive strain (D)</p> Signup and view all the answers

What is the primary mechanism of peroneal tendon subluxation and dislocation?

<p>Forceful dorsiflexion of the ankle with hindfoot in an inverted position (A)</p> Signup and view all the answers

Which of the following imaging modalities is most useful in identifying subluxation of the peroneal tendons?

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

What is the characteristic imaging finding of peroneal tendon tears?

<p>Fleck sign (D)</p> Signup and view all the answers

Which of the following is a common complication of peroneal tendonitis?

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

What is the primary goal of conservative management in peroneal tendonitis?

<p>To reduce pain and inflammation (D)</p> Signup and view all the answers

What is the Eckert and Davis classification used for?

<p>Classifying peroneal tendon subluxation and dislocation (D)</p> Signup and view all the answers

What is the primary indication for surgical intervention in peroneal tendon subluxation?

<p>Failed conservative management with recurrent subluxation (D)</p> Signup and view all the answers

What is the primary cause of painful os peroneum syndrome?

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

What is the primary symptom of peroneal tendinosis?

<p>Pain directly over the peroneal tendons (C)</p> Signup and view all the answers

What is the primary goal of conservative management in peroneal tendonitis?

<p>Reduction of pain and inflammation to manageable levels (A)</p> Signup and view all the answers

What is the primary difference between peroneal tendonitis and peroneal tendinosis?

<p>Tendonitis is an inflammatory condition, while tendinosis is a degenerative condition (D)</p> Signup and view all the answers

What is the primary surgical approach for peroneal tendon tears involving greater than 50% of the tendon?

<p>Tendon allograft with re-routing (A)</p> Signup and view all the answers

What is the primary mechanism of injury in peroneal tendon subluxation?

<p>Hindfoot varus and cavovarus deformities (D)</p> Signup and view all the answers

What is the primary role of ultrasound in evaluating peroneal tendon pathology?

<p>To identify tendon tears and subluxation (A)</p> Signup and view all the answers

What is the primary indication for immobilization in conservative management of peroneal tendonitis?

<p>Refractory cases with persistent symptoms (D)</p> Signup and view all the answers

What is the primary surgical approach for peroneal tendon subluxation?

<p>Retromalleolar groove deepening with bone block (A)</p> Signup and view all the answers

What is the primary goal of physical therapy in conservative management of peroneal tendonitis?

<p>Reduction of pain and inflammation (B)</p> Signup and view all the answers

What is the primary complication of surgical management of peroneal tendon tears?

<p>Chronic pain and stiffness (B)</p> Signup and view all the answers

What is the primary indication for surgical intervention in peroneal tendonitis?

<p>Failed conservative management with recurrent symptoms (C)</p> Signup and view all the answers

What is the primary advantage of using orthotics with lateral forefoot posting in conservative management of peroneal tendonitis?

<p>Reduction of pressure on the peroneal tendons (B)</p> Signup and view all the answers

What is the anatomical location of the peroneal tendons in relation to the fibula?

<p>Posterior to the fibula, in a shared synovial sheath (C)</p> Signup and view all the answers

What is the primary insertion point of the peroneus brevis muscle?

<p>Base of the 5th metatarsal (B)</p> Signup and view all the answers

Which of the following conditions is often associated with peroneal subluxation?

<p>Painful os peroneum syndrome (B)</p> Signup and view all the answers

What is the primary difference between peroneal tendonitis and peroneal tendinosis?

<p>Type of tendon fibers involved (C)</p> Signup and view all the answers

What is the primary mechanism of injury in peroneal tendon subluxation?

<p>Trauma to the lateral ankle (D)</p> Signup and view all the answers

What is the main function of the peroneus longus muscle in the foot?

<p>Plantarflexion of the first ray (C)</p> Signup and view all the answers

Which nerve provides innervation to the peroneal tendons?

<p>Superficial peroneal nerve (D)</p> Signup and view all the answers

What is the primary role of the peroneal muscles during sudden ankle inversion?

<p>To resist forced inversion (B)</p> Signup and view all the answers

Which artery supplies blood to the peroneal tendons?

<p>Posterior peroneal artery (C)</p> Signup and view all the answers

What is the primary action of the peroneus brevis muscle?

<p>Eversion of the foot (B)</p> Signup and view all the answers

Through which tunnel does the peroneus longus muscle insert?

<p>Cuboid tunnel (B)</p> Signup and view all the answers

What is the most common site of peroneus longus tear?

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

What is the main cause of peroneal tendon tearing?

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

What is the primary treatment for peroneal tendon subluxation?

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

What is the Redfern and Myerson algorithm used for?

<p>Deciding on surgical management for peroneal tendon tears (B)</p> Signup and view all the answers

What is the main symptom of painful os peroneum syndrome (POPS)?

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

What is the main cause of peroneal tendonitis?

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

What is the main goal of conservative management for peroneal tendonitis?

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

What is the primary treatment for peroneal tendon tears?

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

What is the main complication of surgical management for peroneal tendon tears?

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

What is the primary indication for surgical intervention in peroneal tendon subluxation?

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

What is the nerve responsible for innervating the peroneal tendons?

<p>Superficial peroneal nerve (D)</p> Signup and view all the answers

What is the primary function of the peroneus brevis muscle?

<p>Eversion of the foot (C)</p> Signup and view all the answers

Through which tunnel does the peroneus longus muscle insert?

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

What is the primary role of the peroneal muscles during sudden ankle inversion?

<p>To contract and stabilize the ankle joint (A)</p> Signup and view all the answers

What is the primary blood supply to the peroneal tendons?

<p>Posterior peroneal artery (A)</p> Signup and view all the answers

What is the primary purpose of the Coleman block test in peroneal tendon physical exam?

<p>To assess varus rearfoot alignment (C)</p> Signup and view all the answers

What is the primary advantage of using ultrasound in peroneal tendon imaging?

<p>Allows for dynamic evaluation of the structures (D)</p> Signup and view all the answers

What is the characteristic finding on an MRI in peroneal tendinosis?

<p>Focal degeneration and swelling of the tendon (C)</p> Signup and view all the answers

What is the primary role of a CT scan in peroneal tendon imaging?

<p>Characterizing retro malleolar groove (A)</p> Signup and view all the answers

What is the Eckert and Davis classification used for?

<p>Staging peroneal tendon subluxation (B)</p> Signup and view all the answers

What is the primary advantage of using MRI in peroneal tendon imaging?

<p>Better evaluation of tendon tears (B)</p> Signup and view all the answers

What is the primary role of radiographs in peroneal tendon imaging?

<p>Assessing pes cavus (C)</p> Signup and view all the answers

What is the Fleck sign pathognomonic for?

<p>Superior peroneal retinaculum avulsion (D)</p> Signup and view all the answers

What is the primary advantage of using CT scans in peroneal tendon imaging?

<p>Identifies stress fractures (D)</p> Signup and view all the answers

What is the primary role of ultrasound in peroneal tendon imaging?

<p>Allows for dynamic evaluation of the structures (B)</p> Signup and view all the answers

What is the primary indication for using MRI in peroneal tendon imaging?

<p>Evaluating tendon tears (D)</p> Signup and view all the answers

What is the imaging modality of choice for diagnosing peroneal tendon pathology?

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

What is the Eckert and Davis classification used for in peroneal tendon pathology?

<p>Grading peroneal tendon tears (C)</p> Signup and view all the answers

Which of the following imaging modalities is most useful for detecting peroneal tendon tears?

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

What is the primary advantage of using ultrasound in diagnosing peroneal tendon pathology?

<p>Real-time dynamic imaging (C)</p> Signup and view all the answers

What is the primary role of CT scans in evaluating peroneal tendon pathology?

<p>Evaluating bone involvement (D)</p> Signup and view all the answers

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