November 13, 2015 - Foot and Ankle Flashcards Preview

COURSE 2 > November 13, 2015 - Foot and Ankle > Flashcards

Flashcards in November 13, 2015 - Foot and Ankle Deck (16):
1

Normal Hindfoot Alignment

Slightly valgus

2

Ankle Joint

The main dorsoflexor and plantarflexor of the foot.

A image thumb
3

Achilles Tendon Rupture

Missed 25% of the time.

Easy to diagnose with the Thompson test.

Can be treated with a plantarflexion split or through surgery.

4

Achilles Tendon Rupture - Treatment

Treated non-surgically (ideal) through a plantarflexion splint.

Or treated surgically.

 

Big risk of DVTs (30%)

5

Ankle Sprain

Usually due to plantarflexion/inversion.

Commonly anterior tibiofibular ligament is damaged.

6

Ankle Sprain - Treatment

RICE followed by early functional rehabilitation.

99% successful

7

Sprain Not Getting Better

May be a bad actor of a sprain...

Could be a bone injury, a tendon injury, or a ligament injury.

8

Malleoli

Three Musketeers

 

Lateral

Medial

Posterior

A image thumb
9

Treatment for Broken Ankle

Reduce it before you take X-rays

Call orthopedics if you need to

10

Hallux Valgus

aka Bunion

Medial deviation of the first metatarsal and lateral deviation of the hallux.

 

Most common risk factor is genetics.

A image thumb
11

Hallux Vangus - Treatment

Other than surgery, nothing has been shown to slow the progression or correct the bunion.

Surgical indications are pain not cosmesis.

Non-operative management can include analgesia, activity modification, and accommodative footwear.

12

Hallux Rigidus

Degenerative arthritis and stiffness due to bone spurs that affect the MTP which can range in severity from mild to completely ankylosed.

Can be caused by trauma, or idiopathy.

This is NOT the end-stage of a bunion, but the two may co-exist sometimes.

A image thumb
13

Hallux Rigidus - Treatment

Rest, NSAIDS, and activity modification are the first line treatments.

Cortisone injections may also be used.

Surgery is a really good option too (but NOT arthroplasty; 50% failure with bad salvage). For surgery, it can range from a "bumpectomy" to MTP fusion.

14

Pes Planovalgus

Flat foot.

Not necessarily a problem; many people have flat feet with no symptoms. Usually, patients just need reassurance that having flat feet can be normal.

Except, pediatric stiff flatfeet and flatfeet that have emerged.

15

Pes Planovalgus - Cause

Usually (99%) due to tibialis posterior tendon dysfunction.

Degenerative is more common than traumatic.

16

Ples Planovalgus - Treatment

Start off non-operatively (big operation).

Early stages you can use RICE, anti-inflammatory drugs, corrective orthotics.

Later, you can use ankle supports, or surgery.

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