18 y/o gymnast substance acute inversion ankle injury and ruptures her lateral collateral
ligaments
(a)NWB 6 weeks, ankle Brace
(b)Ankle bracing followed by aggressive PT 12 weeks
(c)Early functional rehab program
(d)NWB x8 weeks followed by PT - correct answer. (c) Early functional rehab program
Patient is a 45 y/o male performing a triple arthrodesis he has 6 degrees of tibial varum
what is the appropriate position for the calcaneus to the tibia to be in this position?
(a)4 Degrees Everted
(b)6 Degrees Everted
(c)8 Degrees Everted
(d)10 Degrees Everted - correct answer. (c)8 Degrees Everted
Performing a triple arthrodesis if you translate the talus anteriorly on the calcaneus what
would be the effect?
(a)Anterior talus will plantarflex the forefoot increase the arch height
(b)Anterior talus will dorsiflex the forefoot and increase arch height
(c)Anterior talus will plantarflex the forefoot and decrease arch height
(d)Anterior talus will dorsiflex the forefoot and decrease the arch height - correct
answer. (a)Anterior talus will plantarflex the forefoot increase the arch height
You are performing a pantalar arthrodesis. The patient is a smoker and you are
concerned about a nonunion. Which joint has the highest risk of nonunion?
(A)CCJ
(B)TNJ
(C)Ankle
(D)STJ - correct answer. (C)Ankle
You are performing a triple arthrodesis which joint would you prep last and fixate first?
(A)TNJ
(B)CCJ
(C)STJ
(D)Ankle - correct answer. (C)STJ
,You are performing a lateral subtalar arthrodesis, which structure do you incise in order
to access the joint?
(A) ATFL
(B) CFL
(C) PTFL
(D) Bifurcate ligament - correct answer. (B) CFL
You are performing a STJ arthrodesis what is the hardest deformity to fix
(A) Varus
(B) Valgus
(C) Sagittal Plane
(D) Transverse plane - correct answer. (A) Varus
You are performing an ankle arthrodesis on a patient you make a mistake with
positioning of the arthrodesis, which position would be best to have the foot in?
(A)5 Degrees Plantarflexed
(B)5 Degrees Dorsiflexed
(C)5 mm Anteriorly Offset
(D)6 degrees of valgus - correct answer. (B)5 Degrees Dorsiflexed
You are with a certain attending who fuses the ankle in a plantarflexed position, what
would be the complication with this positioning?
(A) Shoulder drop on the affected side
(B) Supination of the affected extremity
(C) Pronation of the contralateral extremity
(D) Vaulting gait - correct answer. (D) Vaulting gait
What would be a contraindication to Arthroscopic ankle arthrodesis?
(A)Severe Inflammatory Arthritis
(B)Endstage arthritis with extensive osteophytes
(C)BMI 35
(D)15 degrees of ankle varus - correct answer. (D)15 degrees of ankle varus
Also 5 degrees of varus. 10 degrees varus/valgus for TAR contraindication
You are performing a triple arthrodesis. You put the patient in varus by accident. What
would be the most common complication ?
(A) Ankle Arthritis
(B) Lateral Column Pain
(C) Lateral ankle instability
(D) Plantar Fasciitis - correct answer. (B) Lateral Column Pain
Patient has a calcaneal fracture with a massive lateral wall blowout. What is the most
common complication for a poor reduction?
(A)Nonunion
(B)Lateral Column Instability
Patient has a 4 cm rupture of the achilles tendon you repair the rupture what is the most
common complication?
(A)Re-rupture
(B)Infection
(C)Weakness
(D)Dehiscence - correct answer. (D)Dehiscence
You are doing a medial subtalar joint dissection approach. Which structure do you not
incise?
(A)Superficial Deltoid
(B)Deep Deltoid
(C)Posterior Tibialis
(D)Interosseous Ligament - correct answer. (B)Deep Deltoid
You wish to block factor II which medication does this?
(A)Pradaxa
(B)Eliquis
(C)Brilinta
(D)Plavix - correct answer. (A)Pradaxa
In performing a posteromedial release for a congenital clubfoot deformity, what is the
most important joint to release to prevent recurrence of the deformity?
•A. ankle.
•B. subtalar.
•C. talonavicular.
•D. calcaneocuboid. - correct answer. C. talonavicular
For a severe rigid and painful talipes equinovarus in an adult, what primary surgical
approach is contraindicated? (note negative format)
•A. soft-tissue release and tendon transfer.
•B. talectomy and foot-to-leg arthrodesis.
•C. tarsal osteotomies.
•D. triple arthrodesis. - correct answer. A. soft-tissue release and tendon transfer
In a six-month-old child, aggressive casting for the equinus component of a clubfoot
deformity may result in which of the following conditions?
•A. dislocation of the ankle.
•B. subluxation of the midtarsal joint.
•C. compression of the subtalar joint.
•D. rupture of posterior talotibialligament. - correct answer. B. subluxation of the
midtarsal joint
For a one-year-old patient with calcaneal valgus, what is an acceptable treatment plan?
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