Visser Test 3

cjforsbach's version from 2017-07-25 16:37


Question Answer
Calcaneovalguscommon, flexible, no equinus
Oblique talussemi-flexible, equinus, reducible
Vertical talusleast common, equinus, noticed at birth
Kroeker classificationflatfoot xray classification (ankle must be at 90)
LeNoir signtalus has subluxed in TCN articulation in flatfoot
Arthrocoasis multiplex congenitalligament laxity in calcaneovalgus
Type 1 Congenital Vertical talusFF deformity that is not reducible and talus and 1st met wont line up and lie below cuboid (+Lenoir)
Type 2 Paralytic Vertical talusFF deformity with TP, FHL and FDL paralysis, peroneals intact, reducible
6-7 months of agetime to treat pediatric pronation - start with stabalizing heel
Schaffer plateorthotic for ped flatfoot with high medial flange with deep heel cup, no posting, support heel position
Robert's braceorthotic for ped flaftoot with extension of heel stabilizer, cups heel to c-c joint, supports medial arch to TNJ
Whitman plateorthotic for ped flatfoot with stainless steel, high medial phalange, lateral clips, corrects TCN position
Haruguchi classification systemposterior malleolar ankle fractures
Type 1 Haruguchi(Posterior mal fx) posterior lateral wedge shape fragment - approached between peroneals and FHL
Type 2 Harughich(Posterior mal fx) single fx line from fibula to medial mal
Type 3 Haruguchi(Posterior mal fx) aka Volkman's, shell type fragment of posterior mal
Treatment for SER2 posterior mal fxDo not have to treat posterior mal
Hunter's Signpain with dorsiflexion of the foot indicative of lateral column pain
Zone A peroneal tendon pathologyarea where the peroneals are behind the retromalleolar groove
Zone C peroneal tendon pathologywhere the PL passes into the cuboid notch
Zone B peroneal tendon pathologysite of the peroneal tubercle
Stewarts classification5th met base fractures
Stewart zone 1avulsion of the 5th met base
Stewart zone 2distal to base of 5th met and involve lateral band of PF
Stewart zone 3Jones
Forefoot whip manipulationpopping the cuboid back into place while patient is prone and plantarflexed at ankle
Clinical significance of S1 radiculopathylateral column pain coming from nerve entrapments, S1 innervates anterolateral aspect of foot
4th and 5th TMTconsidered essential joints of the midfoot
Anchovy procedure with dowell techniqueused in lateral column pain - resection arthroplasty with Wright medical spherical ceramic ball. Goal is to relieve subchondral compression
Intrinsic muscle function interosseoi in relation to hammertoesinterossei stabilize proximal phalanx to floor and give transverse plane stability
Intrinsic muscle lumbricals in relation to hammertoeslumbricals plantarflex prox phalanx, extend DIPJ
Rigid beam effectHammertoes - EDL fires and stretchs FDL which causes lumbricals to plantarflex PIPJ...which causes extension at DIPJ
Digital deformity are primarily in what two planes?sagittal and transverse
Explain cavus foot and relation to hammertoesSTJ/OMTJ supinated & PMTJ pronated --> forefoot plantarflexes --> intrinsics stretch & can't stabilize proximal phalanx
Taylor-Gridlestone procedureHT sx with FDL transfer to dorsal aspect of proximal phalanx with MPJ capsulotomy
Teirny procedureHT sx with osteotomy at neck of prox phalanx to shorten it (semiflexible deformities)
Gragard procedureHT sx with resection midshaft of proximal phalanx (semiflexible deformites)
TaylorHT sx with PIPJ fusion, kwire NOT bent (rigid)
SeligHT sx PIPJ fusion, kwire bent (rigid)
Young procedureHT sx with peg in hole (rigid)
Gocht procedureHT sx resection of proximal phalanx base (rigid)
Glassman procedureHT sx with resection of entire proximal phalanx (rigid)
Lambrinudi procedureHT sx with DIPJ and PIPJ fusion
Romash procedureCalcaneal osteotomy for neglected calc fxs that recreates original fx lines
Carr procedureDistraction bone block arthrodesis for neglected calc fxs
Zwipp classification 1STJ incongruence
Zwipp classification 2STJ incongruence and hindfoot varus /valgus
Zwipp classification 3STJ incongruence and varus and loss of height
Zwipp classification 4STJ incongruence and varus and loss of height and translation
Zwipp classification 5STJ incongruence and varus and loss of height and translation and talar tilt
Stephen Sanders Classification 1calc nonunions - lateral wall decompression and peroneal tenolysis
Stephen Sanders Classification 2calc nonunions - in situ STJ arthrodesis
Stephen Sanders Classification 3calc nonunions - distraction arthrodesis
Drago Olaff and Jacobs stage 3some motion left at 1st MPJ
Drago Oloff and Jacobs stage 4loss of motion at 1st MPJ
Drago Oloff and Jacobs stage 5no motion, large osteophyte
how much 1st MPJ ROM is required for propulsion?65-70 degrees
Parameters to check for ankle fractureShelton line, talocrural angle, medial clear space, tibfib overlap, talar subluxation, talar tilt
Mueller classificationmedial mal ankle fracture classification
Mueller Amedial mal avulsion of tip
Mueller Bmedial mal intermediate
Mueller Cmedial mal at level of plafond
Mueller Dmedial mal near vertical, above plafond (adduction
Types of Lauge Hansen?SAD (2), PER (4), SER (4), PAB (3),
SAD 2?Medial mal vertical fx
SER 1AITFL rupture with Chaput/Tillaux or Destot/Wagstaff
Chaput/Tillaux fx?Lateral tibia fx (SER 2)
Destot Wagstaff fx?Medial fibular fx (SER2)
Pott's fx?bimalleolar fx
Cotton fx?trimalleolar fx
First to describe planal dominance?Borelli & Smith
Critical angle of Gissane?calc fx, parallel to posterior facet and parallel to anterior and middle facet (125)
Bohler's angle?calc fx, line from high point of calc and posterior facet and anterior calcaneus (25)
Essex Loprestiintra-articular calc fx classification
Sour and Remi classificationcalc fx classifcation similar to Essex lopresti
Rowecalc fx type 1-5, extra articular
Degan classificationanterior superior fx of calcaneus, non displaced, displaced, displaced intraarticular
Sanders classificationCT calc fx (1-4)
Lateral proces talar fracture eponym?**martoli fx
Posteriormedial talar fx eponym?**Siddel fx
Hawkins classification?Talar neck fx (1-4)
Marty-Weber classification?Body fx (1-3)
HAV procedure for high PASA?Reverdin/Green
Oloff procedure?joint salvage procedure for grade III/ IV limitus
Nunley and vertullo Classification?subtle lisfranc
Tachdjian's Classification?tarsal coalitions
TN coalition age and frequency?3-5, least common
NC coalition age and frequency?8-12
TC coalition age and frequency?12-16, most common
McKeever incision?neuroma - dorsal longitudinal, most common
McElveney incision?neuroma - dorsal web splitting primary neuroma
Kaplan incision?neuroma, plantar approach, transverse
Betts incision?neuroma, longitudinal plantar recurrent neuroma
Bleck classification?met adducutus (normal <15)
Engle angle?bisection medial cuneiform and 1st met, normal 24
Kites angle?talus and 1st met, normal 25
Ganley splintMA, 3 plane correction
Wheaton braceMA AFO with medial flare, tibial torsion
Heyman, Hendon, and Strong procedure?MA, 2-3 longitudinal incisions, capsulotomies of all met joints
Thompson procedureMA, resection of abductor hallucis
Berman GartlandMA, dome shaped osteotomies to met bases
Lepird procedureMA, 3 linear dorsal incisions, closing wedge ostoeotmy 1st and 5th, oblique wedges and osteotomies
Fowler procedureMA, open wedge osteotomy
Steytler and Van Der Walt procedureMA, V shaped osteotomies