Exam 4 Foot Ortho Emergencies Flashcards Preview

Q4 EM Surg > Exam 4 Foot Ortho Emergencies > Flashcards

Flashcards in Exam 4 Foot Ortho Emergencies Deck (17)
Loading flashcards...
1
Q

Fracture blisters typically seen where?

A

Over fractures where there is little SQ b/w skin and bone (e.g. ankles)

2
Q

5th Metatarsal Fxr: Mechanism of Injury (MOI)?

A

Foot inverted w/ heel raised

Includes vertical and/or medial-lateral force

3
Q

5th Metatarsal Fxr: Jones?

A

Fxr to 5th MT base (metaphyseal/diaphyseal jxn)
May extend to 4th-5th inter-metatarsal area
Area is poorly vascularized = easier to break, harder to heal

4
Q

5th Metatarsal Fxr: Peroneus brevis?

A

Wide insertion of peroneus brevis mm in that area may cause avulsion (pulling away chunk of bone)

5
Q

Lisfranc Injury is?

A

Fxr/dislocation of 1st/2nd TMT joint

6
Q

Lisfranc: MOI?

A

High energy: MVA, fall from height

Low energy: Step of curb, step into hole

7
Q

Lisfranc: Issue?

A

Stability of foot

2nd MT is “keystone” to foot’s arch

8
Q

Lisfranc: Presentation?

A

Midfoot pain w/ weight
Point tender
Swell/deform midfoot
Plantar flex and forefoot rotation pain

9
Q

Lisfranc: XRays views/findings?

A

AP: Misalign of 2nd MT MEDIAL margin and middle cuneform

Lateral: Misalign of 1st/2nd MT DORSAL margin and middle cuneform

Oblique: Misalign of 4th MT base and cuboid

10
Q

Lisfranc: tx?

A

Early identification!

Stabilize w/ cast or surgery

11
Q

Calcaneus fxr: tx?

A

Non-weightbearing Cast x 6 wks

Surgery

12
Q

Achilles tendon: Insertion for what mm?

Fxn?

A

Gastrocnemius/Soleus

Plantarflex ankle/foot

13
Q

Achilles tendon: Acute injuries? (2)

Chronic injuries?

A

Tendonitis
Rupture

Tendinosis
Insertional enthesitis (inflammation)
14
Q

Achilles tendon C misdiagnosed as?

A

ankle sprain

15
Q

Achilles tendon: Presentation?

A

Point tenderness
Palpable defect
+ Thompson

16
Q

Thompson Test is?

A

For Achilles tendon injury

Pt prone
Squeeze gastroc -> foot should plantar flex
If no or min mvmt = + result for injury

17
Q

Achilles tendon: Imaging?

Tx?

A

XRay
MRI

Immob in equinus position (toes down)
Surgery