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):
1

Fracture blisters typically seen where?

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

2

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

Foot inverted w/ heel raised
Includes vertical and/or medial-lateral force

3

5th Metatarsal Fxr: Jones?

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

5th Metatarsal Fxr: Peroneus brevis?

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

5

Lisfranc Injury is?

Fxr/dislocation of 1st/2nd TMT joint

6

Lisfranc: MOI?

High energy: MVA, fall from height

Low energy: Step of curb, step into hole

7

Lisfranc: Issue?

Stability of foot
2nd MT is "keystone" to foot's arch

8

Lisfranc: Presentation?

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

9

Lisfranc: XRays views/findings?

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

Lisfranc: tx?

Early identification!
Stabilize w/ cast or surgery

11

Calcaneus fxr: tx?

Non-weightbearing Cast x 6 wks
Surgery

12

Achilles tendon: Insertion for what mm?

Fxn?

Gastrocnemius/Soleus

Plantarflex ankle/foot

13

Achilles tendon: Acute injuries? (2)

Chronic injuries?

Tendonitis
Rupture

Tendinosis
Insertional enthesitis (inflammation)

14

Achilles tendon C misdiagnosed as?

ankle sprain

15

Achilles tendon: Presentation?

Point tenderness
Palpable defect
+ Thompson

16

Thompson Test is?

For Achilles tendon injury

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

17

Achilles tendon: Imaging?

Tx?

XRay
MRI

Immob in equinus position (toes down)
Surgery