Podiatry Boards Part 2
Card Set Information
Podiatry Boards Part 2
What is the postural definition of CONGENITAL clubfoot?
Definition of TALIPES EQUINOVARUS clubfoot?
Lateral rotation of the Talus in Ankle Mortise
Of the congenital and Talipes which has a better prognosis and can be treated with conservative tx?
Which is more ST?
What are Neuromuscular Disorderes that are acquired causing clubfoot?
What are some post trauma causes?
Spinal cord trauma
peripheral nerve trauma
Who is Clubfoot MC in?
What is the talar neck declination angle in clubfoot?
Normal is 150
Where may the navicular go in a clubfoot?
Plantar medial, may articulate with the MM
Talus head is oriented plantar and medial also
What is the orientation of the talus?
Lateral rotation with the head and neck medial plantar
What is the general appearance of the LE on examination?
Foot is adducted, calf atrophy, smaller foot, wrinkles medial, prominent navicular, stretched skin lateral, fibula posterior
What does Kite's angle do on TEV?
What does Lateral TC angle do?
When does the navicular ossify?
3 years old
What angles do we look at to see if the navicular is subluxed?
TC is <15
Talo 1st met is >15
When do you begin conservative treatment on clubfoot?
You manipulate for 10-15 minutes and now what position or corrections are you going to apply in the casting?
Evert Heel (Hatch says no)
Above the knee cast for 1-2 weeks
After casting for 1-2 months what other therpaies can be done?
What are some complications of serial casting?
Rocker bottom foot
Flat top talus
Wedge shaped navicular
Dorsal displacement of navicular
: Talus, navicular, distal tibia
What age is ideal for sx?
What is the squential release of clubfoot?
Retract tarsal tunnel
PT tendonw lengthening
TN Joint Capsulotomy
FDL tendon lengthening distal to knot of henry
Superfical deltoid ligament
Achilles tendon lengthening
Posterio ankle joint capsulotomy
When would you do an osseous procedure?
Severe rigid deformity
Performed only in the child and adult never in INFANTS
What is the cincinnati incision?
incision starts medially at the medial cuneiform bone, runs around the hindfoot at the same level, and ends at the cuboid bone laterally and a verticle incision to help link it.
This is to release the peroneals and any tightness there that may be causing the calcaneus to internally or place fibula posteriorly. This is also to help reposition any osseous deformity noted.
What osseous procedures?
Medial column lengthening of the medial cuneiform opening wedge
Lateral column shortening
: Evans closing wedge, Lichtblau anterior calcaneal osteotomy, Ganley closing abductory cuboid osteotomy
What other osteotomies?
: DF wedge
: V osteotomy
: DF wedge at the MTJ
: Lateral closing wedge or opening medial wedge
: DF Lapidus
: of all mets
: DF of all tarsometatarsals
List all the ST procedures?
Plantar fascial release
Split TA tendon transfer
PL tendon transfer
PT tendon transfer
How do you determine the apex of deformity?
Meary's Angle in cavus foot >5