121 Questions
What is the primary factor that drives the decision of surgical management?
Severity of symptoms
Which of the following is a complication of surgical management?
Wound healing issues
What is the primary goal of arthrodesis procedure?
To fuse joints
Which of the following is a type of arthroplasty procedure?
Cheilectomy
In which plane does the talus-first MT axis need to be reestablished during arthrodesis procedure?
Both sagittal and transverse planes
What is the primary consideration when selecting a surgical procedure?
Degree of arthritis in nearby joints
What is a characteristic imaging finding in midfoot arthritis?
Joint space narrowing due to loss of articular cartilage
What is the purpose of a diagnostic injection in nonsurgical management of midfoot arthritis?
To localize the joint of concern
What is a common consequence of midfoot arthritis?
Difficulty with shoes
What type of orthotic device can be particularly useful in managing midfoot arthritis with multiple joint involvement?
Ankle Foot Orthoses (AFO)
What is a symptom of midfoot arthritis?
All of the above
What is a type of medication used in nonsurgical management of midfoot arthritis?
Diclofenac gel
What is the title of the 2020 comprehensive textbook of foot and ankle surgery referenced in the text?
Mcglamry's comprehensive textbook of foot and ankle surgery
What is the name of the surgical technique described by D.J.Glissan in the Australian and New Zealand Journal of Surgery in 1949?
Induction of fusion at the ankle joint
What is the name of the condition that may be treated with Spherical Ceramic Interpositional Arthroplasty?
Basal fourth and fifth metatarsal arthritis
Which journal publication is referenced in the text for information on the efficacy of foot and ankle corticosteroid injections?
Foot and Ankle International
What is the name of the presentation template used in this educational resource?
SlidesCarnival
Which of the following is NOT mentioned in the text as a topic related to midfoot arthritis?
Portal hypertension
What is the primary purpose of a topical anti-inflammatory such as diclofenac gel in nonsurgical management of midfoot arthritis?
To reduce joint inflammation
What is the primary advantage of using an Ankle Foot Orthosis (AFO) in managing midfoot arthritis with multiple joint involvement?
Corrective action on multiple joints
What is the primary goal of therapeutic injection in nonsurgical management of midfoot arthritis?
To provide long-term pain relief
What is the primary consideration when selecting an orthotic device for managing midfoot arthritis?
Joint involvement
What is the primary advantage of using functional foot orthotics in nonsurgical management of midfoot arthritis?
Corrective action on foot deformity
What is the primary role of analgesics in nonsurgical management of midfoot arthritis?
To provide pain relief
In a neglected calcaneal fracture, what is the primary goal of the surgical approach?
To regain lost height
What is the primary consideration for performing a double arthrodesis?
To address painful or arthritic joints
What is the benefit of using a 3-D tracking system in triple arthrodesis?
It provides precise measurement of the talonavicular joint's range of motion
In which population is motion-sparing procedures like soft tissue interposition and ceramic interposition arthroplasty more commonly utilized?
Neuropathic population
What is the typical postoperative care for arthrodesis procedures?
6-8 weeks NWB in a posterior splint/cast/CAMboot
What is the order of joint reduction in traditional triple arthrodesis?
Subtalar → Talonavicular → Calcaneocuboid
What is a key consideration in surgical management of midfoot arthritis?
Degree of arthritis of nearby joints
What is a common complication of surgical management of midfoot arthritis?
Wound infection
What is the primary goal of arthrodesis procedure in midfoot arthritis?
To correct deformity
What is a consideration in selecting a surgical procedure for midfoot arthritis?
Degree of functional limitation
What is a potential contraindication for surgical management of midfoot arthritis?
Poorly-controlled comorbid conditions
What is a type of procedure used in surgical management of midfoot arthritis?
Arthrodesis
What is a crucial aspect to consider when evaluating the necessity of deformity correction in arthrodesis?
Limb length discrepancy
In a neglected calcaneal fracture, what is the primary goal of the surgical approach?
Realignment of the foot
In TMT joint arthrodesis, what is the typical sequence of joint fusion?
Medial to lateral
What is the primary purpose of fixation devices in arthrodesis procedures?
To stabilize the joint
What is a common complication of arthrodesis procedures?
All of the above
What is the primary goal of arthrodesis in midfoot arthritis?
To fuse the affected joints
What is typically needed in distraction arthrodesis for a neglected calcaneal fracture?
Bone graft
What is often challenging to treat in the lateral TMT joint?
Arthritis
What is used to fixate the subtalar joint?
Screws (3.5, 4.0)
What is typically included in a triple arthrodesis?
Talonavicular, subtalar, and calcaneocuboid joints
What is needed to confirm diagnosis of midfoot arthritis?
X-rays
What is the goal of surgical management in a neglected calcaneal fracture?
To regain lost height
What is the primary goal of joint preparation access in subtalar joint incision?
Maintain normal joint contours
What is the name of the approach used in isolated subtalar joint procedures?
Sinus tarsi approach
What is the name of the surgical technique described by D.J. Glissan?
Glissan's principles of arthrodesis
What is the primary factor that drives the decision of which incision to use in surgical management?
Number of joints involved
What is the purpose of deep fascia incision in subtalar joint incision?
To incise along the inferior border of EDB muscle belly
What is the primary consideration when selecting a fixation construct?
Soft tissue management
What is the primary cause of peroneal tendon subluxation?
Lateral ankle ligament instability
What is the primary goal of conservative management in peroneal tendon pathology?
To reduce pain and inflammation
Which of the following is a common surgical intervention for peroneal tendon tears?
All of the above
What is the primary difference between peroneal tendonitis and peroneal tendon tears?
Type of injury
What is the primary mechanism of injury in peroneal tendon pathology?
Repetitive strain
What is the primary mechanism of peroneal tendon subluxation and dislocation?
Forceful dorsiflexion of the ankle with hindfoot in an inverted position
Which of the following imaging modalities is most useful in identifying subluxation of the peroneal tendons?
Ultrasound
What is the characteristic imaging finding of peroneal tendon tears?
Fleck sign
Which of the following is a common complication of peroneal tendonitis?
Tendon rupture
What is the primary goal of conservative management in peroneal tendonitis?
To reduce pain and inflammation
What is the Eckert and Davis classification used for?
Classifying peroneal tendon subluxation and dislocation
What is the primary indication for surgical intervention in peroneal tendon subluxation?
Failed conservative management with recurrent subluxation
What is the primary cause of painful os peroneum syndrome?
All of the above
What is the primary symptom of peroneal tendinosis?
Pain directly over the peroneal tendons
What is the primary goal of conservative management in peroneal tendonitis?
Reduction of pain and inflammation to manageable levels
What is the primary difference between peroneal tendonitis and peroneal tendinosis?
Tendonitis is an inflammatory condition, while tendinosis is a degenerative condition
What is the primary surgical approach for peroneal tendon tears involving greater than 50% of the tendon?
Tendon allograft with re-routing
What is the primary mechanism of injury in peroneal tendon subluxation?
Hindfoot varus and cavovarus deformities
What is the primary role of ultrasound in evaluating peroneal tendon pathology?
To identify tendon tears and subluxation
What is the primary indication for immobilization in conservative management of peroneal tendonitis?
Refractory cases with persistent symptoms
What is the primary surgical approach for peroneal tendon subluxation?
Retromalleolar groove deepening with bone block
What is the primary goal of physical therapy in conservative management of peroneal tendonitis?
Reduction of pain and inflammation
What is the primary complication of surgical management of peroneal tendon tears?
Chronic pain and stiffness
What is the primary indication for surgical intervention in peroneal tendonitis?
Failed conservative management with recurrent symptoms
What is the primary advantage of using orthotics with lateral forefoot posting in conservative management of peroneal tendonitis?
Reduction of pressure on the peroneal tendons
What is the anatomical location of the peroneal tendons in relation to the fibula?
Posterior to the fibula, in a shared synovial sheath
What is the primary insertion point of the peroneus brevis muscle?
Base of the 5th metatarsal
Which of the following conditions is often associated with peroneal subluxation?
Painful os peroneum syndrome
What is the primary difference between peroneal tendonitis and peroneal tendinosis?
Type of tendon fibers involved
What is the primary mechanism of injury in peroneal tendon subluxation?
Trauma to the lateral ankle
What is the main function of the peroneus longus muscle in the foot?
Plantarflexion of the first ray
Which nerve provides innervation to the peroneal tendons?
Superficial peroneal nerve
What is the primary role of the peroneal muscles during sudden ankle inversion?
To resist forced inversion
Which artery supplies blood to the peroneal tendons?
Posterior peroneal artery
What is the primary action of the peroneus brevis muscle?
Eversion of the foot
Through which tunnel does the peroneus longus muscle insert?
Cuboid tunnel
What is the most common site of peroneus longus tear?
Peroneal tubercle
What is the main cause of peroneal tendon tearing?
All of the above
What is the primary treatment for peroneal tendon subluxation?
Surgery
What is the Redfern and Myerson algorithm used for?
Deciding on surgical management for peroneal tendon tears
What is the main symptom of painful os peroneum syndrome (POPS)?
Pain
What is the main cause of peroneal tendonitis?
All of the above
What is the main goal of conservative management for peroneal tendonitis?
All of the above
What is the primary treatment for peroneal tendon tears?
Surgical repair
What is the main complication of surgical management for peroneal tendon tears?
All of the above
What is the primary indication for surgical intervention in peroneal tendon subluxation?
All of the above
What is the nerve responsible for innervating the peroneal tendons?
Superficial peroneal nerve
What is the primary function of the peroneus brevis muscle?
Eversion of the foot
Through which tunnel does the peroneus longus muscle insert?
Cuboid tunnel
What is the primary role of the peroneal muscles during sudden ankle inversion?
To contract and stabilize the ankle joint
What is the primary blood supply to the peroneal tendons?
Posterior peroneal artery
What is the primary purpose of the Coleman block test in peroneal tendon physical exam?
To assess varus rearfoot alignment
What is the primary advantage of using ultrasound in peroneal tendon imaging?
Allows for dynamic evaluation of the structures
What is the characteristic finding on an MRI in peroneal tendinosis?
Focal degeneration and swelling of the tendon
What is the primary role of a CT scan in peroneal tendon imaging?
Characterizing retro malleolar groove
What is the Eckert and Davis classification used for?
Staging peroneal tendon subluxation
What is the primary advantage of using MRI in peroneal tendon imaging?
Better evaluation of tendon tears
What is the primary role of radiographs in peroneal tendon imaging?
Assessing pes cavus
What is the Fleck sign pathognomonic for?
Superior peroneal retinaculum avulsion
What is the primary advantage of using CT scans in peroneal tendon imaging?
Identifies stress fractures
What is the primary role of ultrasound in peroneal tendon imaging?
Allows for dynamic evaluation of the structures
What is the primary indication for using MRI in peroneal tendon imaging?
Evaluating tendon tears
What is the imaging modality of choice for diagnosing peroneal tendon pathology?
MRI
What is the Eckert and Davis classification used for in peroneal tendon pathology?
Grading peroneal tendon tears
Which of the following imaging modalities is most useful for detecting peroneal tendon tears?
MRI
What is the primary advantage of using ultrasound in diagnosing peroneal tendon pathology?
Real-time dynamic imaging
What is the primary role of CT scans in evaluating peroneal tendon pathology?
Evaluating bone involvement
Test your knowledge of surgical treatment options for orthopedic conditions, including decision-making considerations, complications, and contraindications. Learn about the factors that influence surgical management and how to evaluate patient suitability for surgery.
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