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PMP2 > PMP2 Final > Flashcards

PMP2 Final Flashcards

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1
Q

How do you calculate the true IMA?

A

IMA + (MAA -15)

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2
Q

What is a normal HIA?

A

10

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3
Q

What is a normal HAA?

A

15

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4
Q

What is a normal PASA/DASA?

A

7.5

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5
Q

What is a normal IMA?

A

8

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6
Q

What is a normal MAA?

A

15

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7
Q

What is a normal 1st met dec angle?

A

21

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8
Q

What procedure would you consider doing for an increased PASA?

A

Reverdin or Reverdin-Green

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9
Q

What type of procedure is a Reverdin and all of its modifications?

A

metatarsal head medial wedge osteotomy

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10
Q

What is a Reverdin-Green modification?

A

protects the sesamoids

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11
Q

For an increased PASA and moderate increased IMA (12-15) what procedures would you consider?

A

Bicorrectional Austin, Mitchell, Hohmann, Wilson

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12
Q

What is an Austin procedure?

A

chevron cut at 60 degree angle in the met head; it corrects moderate IMA (12-15)

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13
Q

What is a Mitchell procedure?

A

for moderate IMA (12-15); allows for lateral translation of the met head and preserves the lateral cortex

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14
Q

What is a Hohmann procedure?

A

for moderate IMA (12-15); through and through medial wedge which will shift met head lateral and plantarflex

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15
Q

What is a Wilson procedure?

A

for moderate IMA (12-15); it is a oblique cut distal-medial to proximal-lateral; it WILL SHORTEN the first met

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16
Q

For an increased PASA and severe IMA (>15), which procedures would you consider?

A

Logroscino (CWBO + Reverdin), Lapidus + Reverdin

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17
Q

What is a Logroscino procedure?

A

For increased PASA and severe IMA (>15); CWBO + Reverdin

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18
Q

For moderately increased IMA (12-15), which procedures would you consider?

A

Austin, Kalish, Mitchell, Hohmann, Wilson, Scarf

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19
Q

What is a Kalish procedure?

A

For moderate increased IMA (12-15); chevron osteotomy with a long dorsal arm; angle is 55

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20
Q

What is a closing wedge base osteotomy?

A

For severe IMA (>15)

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21
Q

What is an opening wedge base osteotomy?

A

For severe IMA (>15); you add in a wedge

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22
Q

What is the Vogler (offset V) procedure?

A

For severe IMA (>15); similar to Austin but the angle is at 40 degrees

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23
Q

What is a Ludloff procedure?

A

For severe IMA (>15); shaft procedure with a cut proximal-dorsal to distal-plantar

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24
Q

What is the Mau procedure?

A

For severe IMA (>15); shaft procedure incline angle with a cut proximal-plantar to distal-dorsal

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25
What is a Lapidus procedure?
For severe IMA (>15); arthrodesis of 1st met and medial cuneiform
26
What is a cheilectomy?
removes portion of metatarsal head to relieve hallux limitus
27
What is a Youngswick procedure?
for mild bunions or hallux limitus; modified Austin but an extra dorsal wedge is removed to allow plantarflexion of 1st ray
28
What percent of shock is absorbed by the heel fat pad?
25%
29
In plantar fasciitis, what is the underlying cause?
plantar fascia is thickened with tenocytes bc tissue is trying to repair itself from all the microtears
30
In plantar fasciitis, as tissue is trying to adapt what a long term effect on the calcaneus?
bone spur growing in the transverse plane (it is a secondary effect and not the main problem)
31
The radiograph for 3 view heel include which ones?
MO, lateral, and axial calcaneal view You don't want the DP view.
32
1st toe directed laterally in transverse plane HAV angle = >12
Hallux Valgus
33
1st dtoe directed laterally in transverse plane + abduction in frontal plane HAV angle = >12
Hallux Abducto Valgus
34
What is the primary motion of the 1st ray?
45 degrees in sagittal and frontal planes (DF, PF, Inversion, Eversion)
35
Which is more severe in the sense that there is a decreased ROM, structural or functional hallux limitus?
Structural bc both the OKC and CKC ROM <65
36
Which stage of Hallux Limitus would you rate if you observed crepitus?
At least stage 3
37
For mild bunion procedures, what is the post-op course?
WBAT post op shoe 6-8 weeks. Then PT
38
For moderate to severe bunion procedures, what is the post-op course?
NWB
39
A positive Veilleux's sign indicates what?
sciatica or radiculopathy
40
The gastroc, soleus are major _____ during gait.
accelerators
41
The tib anterior is a major _____ during gait.
decelerator
42
During heel strike, what is the specific role of the criss-cross between PT and peroneus longus in acceleration?
They are concentric plantarflexing the ankle in the sagittal plane
43
During heel strike, what is the specific role of the criss-cross between PT and peroneus longus in decceleration?
(F*ck The Desk) They are concentric stabilizer the ankle in the frontal & transverse plane
44
Be able to identify plantar fasciitis on an ultrasound. If fascia is thicker than __mm = plantar fasciitis
3
45
What is verruca plantaris?
plantar warts
46
What’s the medical terminology for ingrown toenail?
onychocryptosis
47
What are the differences between avulsion and matrixectomy for an ingrown toenail?
Avulsion → removal of some or all nail plate → use tools Matrixectomy → permanent destruction of nail matrix → prevent nail growth → using chemical Can be done as partial or total matrixectomy
48
Functional orthotics will correct what type of foot problem?
Restore abnormal biomechanic and function of joint
49
Accommodative orthotics will correct what type of foot problem?
Reduce pressure or strain
50
What is the THA for DP WB view?
15 degrees
51
What is the THA for MO WB view? How does pt position the foot?
0 degrees; pt rotates foot 45 degrees with the plate
52
What angle is used to diagnose foot cavus vs planus on radiograph?
Meary's Angle Normal: 0 degree Pes cavus: > 4 degrees → convex upward Pes planus:< -4 degrees → convex downward
53
What are the mechanics of a claw toe?
flexed DIPJ, flexed PIPJ, extended MTPJ
54
What are the mechanics of a hammertoe?
extended DIPJ, flexed PIPJ, extended MTPJ
55
What are the mechanics of a malletoe?
flexed DIPJ
56
What is the difference between apophysis and exostosis?
apophysis is where a tendon or ligament attaches exostosis is a bony outgrowth from an existing bone
57
Describe the wing and sling apparatus.
the sling wraps around the metatarsal w/ the EDL tendon superior and plantar plate inferior the wing extends from the lumbrical
58
What is a Type I Fallet classification?
enlarged lateral met head
59
What is a Type II Fallet classification?
lateral bowing
60
What is a Type III Fallet classification?
increased mini IM angle (most common)
61
What is a Type IV Fallet classification?
combined (not common)
62
What is the most common etiology for tailor's bunion?
forefoot varus
63
What is the average 4th IMA for symptomatic feet regarding tailor bunion?
9
64
What is the only wedge osteotomy performed on the 5th met that is a lateral opening wedge?
mercado

PMP2 (10 decks)

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