Foot And Ankle Problems

Question 1

What would lateral angulation of the big toe be?

Answer 1

Hallux Valgus

Question 2

What would the operative measures to treat hallux valgus be?

Answer 2

Release lateral soft tissue
Osteotomy - 1st metatarsal +/- proximal phalanx
Scarf osteotomy
Basal Osteotomy

Question 3

What would Hallux Rigidus be?

Answer 3

Stiff Big toe

OA of the 1st MTP Joint

Question 4

What would the Gold Standard for Hallux Ridigus be?

Answer 4

Arthrodesis

Question 5

What is Interditial neuralgia?

Answer 5

(mechanical induced digital neuropathy)

Question 6

Where would interdigital neuralgia usually affect?

Answer 6

3rd webspace and toe
THEN
2nd webspace and toe

Question 7

What type of pain is Interdigital Neuralgia?

Answer 7

Neuralgic burning toe pain, that is intermittent with altered sensation in webspace

Question 8

When is interdigital Neuralgia a Morton’s neuroma?

Answer 8

When the pain is beneath the metatarsal head

Question 9

What is mulder’s click?

Answer 9

Squeeze the two metatarsal heads together with one hand, while concomitantly putting pressure on the interdigital space with the other hand.
The pain of the Morton’s neuroma will be localized strictly to the plantar surface of the involved interspace, with paresthesias radiating into the affected toes

Question 10

How would you test wether an Achilles tendon is fully ruptured or not?

Answer 10

Squeeze the soleus muscle if a reflex is emitted through to move the foot the tendon is not fully ruptured

Question 11

What is the gold standard tx for ankle osteoarthritis?

Answer 11

Arthrodesis