Pes planus Flashcards

1
Q

Kite’s angle

A

15-35
Transverse plane
Bisect talus and calcaneus AP view

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2
Q

Cuboid abduction

A

0-5
Transverse plane
Lateral border of cuboid and calcaneus AP view

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3
Q

Talar head uncoverage

A

0-30%
Transverse plane
Amount of talar cartilage uncovered by navicular bone

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4
Q

Meary’s angle

A

0-10
Sagittal plane
Bisect talar head and 1st met Lateral view

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5
Q

Calcaneal inclination

A

18-20ish
Sagittal plane
Inferior border of calcaneus and the ground lateral view

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6
Q

Talar declination

A

18-20ish
Sagittal plane
Bisection of head of the talus and the ground lateral view

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7
Q

Cyma line

A

Curved line that connects the TN and the CC joints on the lateral view. This line should be continuous

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8
Q

STJ angles

A

42 from transverse

16 from sagittal

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9
Q

STJ ROM

A

Mostly equal amounts inversion/eversion and abduction/adduction

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10
Q

MTJ oblique

A

52 from transverse

57 from sagittal

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11
Q

MTJ Longitudinal

A

15 from transverse

9 from sagittal

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12
Q

MTJ ROM

A

Oblique axis is mostly pronation/supination

Longitudinal axis is mostly inversion/eversion

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13
Q

Heel rise test

A

Patient stands on tip toes and the valgus heel should invert

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14
Q

Hubscher maneuver

A

Dorsiflexion of the hallux should cause the arch to rise

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15
Q

RCSP and NCSP

A

Measures bisection of the heel as compared to the ground when standing relaxed and neutral STJ, respectively

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16
Q

Tibial influence

A

Measures bisection of the tibia as compared to the floor with patient standing

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17
Q

Stage I PTTD

A

Medial ankle pain along PTT
Patient able to perform single and double heel rise
No radiographic changes

18
Q

Stage IIa PTTD

A

Medial ankle pain along PTT
Flexible heel valgus
Heel inverts with double heel rise

19
Q

Stage IIb PTTD

A

Medial ankle pain along PTT
Increased heel valgus as compared to stage II
Flexible
Heel inverts with heel rise

20
Q

Stage III

A

Rigid deformity

Pain located medial and lateral

21
Q

Stage IV

A

Rigid deformity

Ankle joint degeneration

22
Q

FDL transfer

A

Can be used in all stages

23
Q

Cobb procedure

A

Split TA transfer, transfer through a drilled hole in the navicular or medial cuneiform

24
Q

Young tenosuspension

A

Rerouting half the TA through the navicular bone

25
Q

Kidner procedure

A

Resection of accessory navicular and reinsertion of the PTT into the navicular

26
Q

Evans procedure

A

Lateral column lengthening via the lateral surface of the calcaneus. Transverse plane.

27
Q

Cotton osteotomy

A

Medial cuneiform opening wedge. Plantarflexion of the first ray. Sagittal plane correction

28
Q

MDCO procedure

A

Slide the posterior aspect of the calcaneus medially to create more a varus force from the ground. Frontal plane correction

29
Q

Miller arthrodesis

A

Fusion of the naviculocuneiform joints, also fusion of 1st metatarsal cuneiform (Lapidus)

30
Q

Hoke arthrodesis

A

Fusion of the navicular and first 2 cuneiform joints

31
Q

Triple arthrodesis

A

Fusion of the STJ, TN, and CC joints

32
Q

Pantalar arthrodesis

A

Fusion of the ankle, STJ, and midtarsal joints

33
Q

Stage 1 conservative treatment

A

Short leg cast or walking boot 4-6 weeks
PT
Anti-inflammatory
Orthotics

34
Q

Stage 2 A conservative treatment

A

Typically orthotics with a deep heel cup

35
Q

Stage 2 B conservative treatment

A

Typically orthotics with a deep heel cup, UCBL, extended medial counter or medial heel wedge

36
Q

Stage 3 conservative treatment

A

Custom AFO, supramalleolar brace, allow AJ ROM

37
Q

Stage 4 conservative treatment

A

Non-articulated AFO

38
Q

Stage 1 surgery

A

Synovectomy

39
Q

Stage 2 A surgery

A
Synovectomy
Debridement
Direct tendon repair
Tendon Transfer
Osteotomy
Posterior muscle lengthening
40
Q

Stage 2 B surgery

A

Synovectomy
Tendon transfer
Osteotomy and/or Arthrodesis
Arthroeresis

41
Q

Stage 3 surgery

A

Typically arthrodesis and lengthening of the posterior muscle group

42
Q

Stage 4 surgery

A

This typically involves the AJ, so it will require arthrodesis and deltoid ligament repair.

MDCO is sometimes required when valgus ankle deformity without DJD

Total ankle replacement or supramalleolar osteotomy