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

    What is the primary consideration when selecting a surgical procedure?

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

    What is a common consequence of midfoot arthritis?

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

    What is a symptom of midfoot arthritis?

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

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

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

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

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

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

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

    What is the primary consideration for performing a double arthrodesis?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    What is a common complication of arthrodesis procedures?

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

    What is the primary goal of arthrodesis in midfoot arthritis?

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

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

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

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

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

    What is used to fixate the subtalar joint?

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

    What is typically included in a triple arthrodesis?

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

    What is needed to confirm diagnosis of midfoot arthritis?

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

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

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

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

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

    What is the primary consideration when selecting a fixation construct?

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

    What is the primary cause of peroneal tendon subluxation?

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

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

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

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

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

    What is the characteristic imaging finding of peroneal tendon tears?

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

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

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

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

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

    What is the Eckert and Davis classification used for?

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

    What is the primary cause of painful os peroneum syndrome?

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

    What is the primary symptom of peroneal tendinosis?

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

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

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

    What is the primary surgical approach for peroneal tendon subluxation?

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

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

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

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

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

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

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

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

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

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

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

    Which nerve provides innervation to the peroneal tendons?

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

    Which artery supplies blood to the peroneal tendons?

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

    What is the primary action of the peroneus brevis muscle?

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

    Through which tunnel does the peroneus longus muscle insert?

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

    What is the most common site of peroneus longus tear?

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

    What is the main cause of peroneal tendon tearing?

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

    What is the primary treatment for peroneal tendon subluxation?

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

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

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

    What is the main cause of peroneal tendonitis?

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

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

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

    What is the primary treatment for peroneal tendon tears?

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

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

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

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

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

    What is the nerve responsible for innervating the peroneal tendons?

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

    What is the primary function of the peroneus brevis muscle?

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

    Through which tunnel does the peroneus longus muscle insert?

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

    What is the primary blood supply to the peroneal tendons?

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

    What is the Eckert and Davis classification used for?

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

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

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

    What is the Fleck sign pathognomonic for?

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

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

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

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

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

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

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

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

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

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

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

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