Review Test (Chapman)

Question 1

HO After syndesmotic injury: treatment strategy

Answer 1

HO/synostosis can occur if interosseous ligament is disrupted.

• occurs in 6-12 months
• surgery for patients with persistent pain and once the ossification is “cold” on bone scan, saying that it is stable

Question 2

surgical management of chronic achilles tendon ruptures?

Answer 2

gastroc tendon turn down, FHL transfer

• allograft is not indicated

Question 3

Indications for peroneal tendon repair vs tenodesis?

Answer 3

tear <50% = repair

tear >50% = tenodesis

Question 4

Risk factors for achilles tendon re-ruptures?

Answer 4

• tobacco
• diabetes
• steroid use

Question 5

Floating toe deformity:

Answer 5

occurs after weil osteotomy

- MT head does not touch the floor when standing

Question 6

The classic surgical treatment for stage II PTTD?

Answer 6

medializing calcaneal osteotomy, FDL transfer to the navicular

Question 7

Best treatment for talar OCD lesions?

Answer 7

excision, curettage, and drilling (85% success rate)

Question 8

Level 1 evidence regarding operative vs non-operative management of achilles tendon ruptures?

Answer 8

level 1 evidence says the only difference in outcome is MORE WOUND COMPLICATIONS FROM SURGERY
- no dif in SMFA scores, strength, re-rupture rates

Question 9

Post-polio syndrome is:

Answer 9

new onset muscle weakness, myalgia, fatigue
- 20-40 years after initial viral infection
-

Question 10

What is a Cotton osteotomy?

Answer 10

plantarflexion opening wedge medial cuneiform osteotomy

- treatment for forefoot supination/varus in PTTD stage IIC

Question 11

Typical deformity in the feet after a CVA?

Answer 11

spastic equinovarus

• need achilles lengthening
• need SPLATT procedure

Question 12

Pathoanatomy of Baxter’s Nerve Pain

Answer 12

1st lateral plantar nerve

entrapped within the abductor halluxis and deep fascia

Question 13

Isolated tibial sesamoidectomy for sesamoid fracture?

Answer 13

you can do it

• must repair the plantar plate and fascial structures afterward
• can do it in chronic sesamoiditis as well

Question 14

Treatment of navicular stress fractures

Answer 14

Do NOT operate (at least for the test)

Question 15

Best way to augment achilles tendon insufficiencies?

Answer 15

FHL transfer

Question 16

Facts about LATERAL Talar OCDs:

Answer 16

• less common than medial
• smaller, more shallow
• usually TRAUMATIC
• respond poorly to non-operative treatment
• more likely to displace into the joint

Question 17

Indicatiosn for Keller Resection Arthroplasty?

Answer 17

low demand older patient with severe pain symptoms from hallux rigidus

Question 18

What is the Knot of Henry:

Answer 18

in the midfoot, where the FHL transitions to being anterior to FDL, and the immediately DORSAL to the FDL

• remember, behind the medial malleolus, the FDL is medial to the FHL

Question 19

What shoe best reduces plantar forefoot pressure?

Answer 19

rocker soles