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Podiatric Surgery Exam Study Guide Questions with Answers
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Podiatric Surgery Exam Study Guide Questions with Answers
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Podiatric Surgery Exam Study GuideQuestions with Answers
Lateral Rim Pain secondary to _________ - ANSWER Compensating for plantar
fasciitis pain
Topaz (instrument) - ANSWER Radiofrequency Coblation, microscopic
damage increase BS via microtears, angiogenesis/healing
Plantar Fasciitis sx - ANSWER EPF, heel spur resection, either medial or plantar
incision both need parallel to plantar fascia
Spring ligament "complex" - ANSWER Superomedial and inferior CNL (spring) and
Superficial Deltoid ligament
Zone of Hypovascularity in PTT - ANSWER 1cm distal to MM for 1cm in length between
"dual" BS's, 4cm proximal from navicular tuberosity
Heel Rise Test - ANSWER Stage 1 - able with pain
Stage 2 - unable single but double inverts
Stage 3/4 - unable single with stiffness/immobility
Johnson and Strom classification - ANSWER Stage I - tenosynovitis PTT with
inflammation, foot is rectus, pain
Stage II - RF valgus with or without FF abduction, A - able to perform single heel raise,
B - fibular impingement progress to loss MLA/no varus double heel/unable single heel
raise
Stage III - Rigid unable to correct RF/FF, lateral pain, unable
single Stage IV - Rigid involve ankle, attenuation deltoid DJD
, Conti MRI classification - ANSWER Type I - Hypertrophic 4-5x, A - few
longitudinal splits, B - increased longitudinal splits
Type II - Atrophic more intramural degeneration (gray) 1/2-1/3x
Type III - A - diffuse swell/degeneration few intact strands, B - rupture and retraction
(stir image best)
Synovectomy PTT indication - ANSWER Stage I tenosynovitis no attenuation
Tarsal Coalition Ossification (TC, CN, TN) - ANSWER TN 3-5yrs, CN 8-12yrs, TC 12-
16yrs
Conservative tx Tarsal Coalition - ANSWER Inverted BK cast 3wks (at least 2x
before sx)
Weber Cech Classification - ANSWER Hypertrophic, Oligotrophic, Atrophic
Paley-Herzengberg Classification - ANSWER Stiff (<5 degrees), Partially mobile (15-20
degrees), Flail (>20 degrees)
Spastic Equinus sx's - ANSWER Neurectomy, Advancement Achilles
(Murphy procedure)
Non-Spastic Equinus sx's - ANSWER Tendon Slide, Z-plasty (sagittal or frontal),
Gastroc Recession (Vulpeous procedure - Inverted V)
Orientation Achilles superiorly --> inferiorly - ANSWER Gastroc posterior/Soleus
anterior --> Gastroc lateral/Soleus medial
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