4- Foot and Ankle Conditions Flashcards Preview

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Flashcards in 4- Foot and Ankle Conditions Deck (24)
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1

What is hallux valgus?

Lateral deviation of the big toe

2

Hallux valgus is commoner in males. True/False?

False
Females 4:1 males

3

What is a bunion?

Inflamed bursa over the 1st metatarsal head

4

List conservative treatment for hallux valgus

Wearing more accommodating shoes
Spacers between 1st webspace

5

Surgery for cosmesis in hallux valgus is really effective and patients are usually super happy. True/False?

False
Quite the contrary.

6

What is hallux rigidus?

OA of the 1st metatarso-phalangeal joint

7

What is the gold standard surgical treatment for hallux rigidus?

Arthrodesis - alleviates pain but reduced motion

8

Arthrodesis prevents women wearing high-heels. True/False?

True

9

What is Morton's neuroma?

Irritation of plantar interdigital nerves, causing inflammation and swelling (neuroma)

10

List clinical features of Morton's neuroma

Pain/tingling radiating within toes
Loss of sensation in webspace

11

What is a Mulder's +ve click test for Morton's neuroma?

Compression of metatarsal heads causes symptoms/clicking

12

Women are more affected by Morton's neuroma - what is a significant implicated cause of this?

High-heels

13

Where do metatarsal stress fractures usually occur?

2nd-3rd metatarsal

14

List aetiology for Achilles tendonitis

Repetitive strain (sports)
Quinolone antibiotics
Rheumatoid arthritis
Gout

15

Steroid injections are contraindicated at the Achilles tendon. True/False?

True

16

What clinical test is used to define tendon rupture?

Simmonds test (no plantarflexion of foot when calf is squeezed)

17

List proposed causative factors for plantar fasciitis

Diabetes
Obesity
Walking on hard floors
Poor cushioning in shoes

18

Where does the tibialis posterior tendon predominately insert?

Navicular bone

19

What is pes cavus?

Abnormal high arch of the foot

20

Describe claw toes

Hyperextension at MTPJ
Hyperflexion at PIPJ + DIPJ

21

Describe hammer toes

Hyperextension at DIPJ + MTPJ
Hyperflexion at PIPJ

22

Describe mallet toes

Hyperflexion at DIPJ

23

What is the most common cause of acquired pes planus in adults?

Tibialis posterior dysfunction

24

What is a fairly specific finding in tibialis posterior dysfunction?

Pain and swelling posterior to medial malleolus