Rapid Fire

Name steps for lateral release.

• Extensor hood

• Adductor hallucis (ADH) tendon release

• Fibular sesamoid ligament

• Lateral collateral ligament

• Flexor hallucis brevis (FHB)

• Fibular sesamoid excision (if performing)

8 year old girl presents with painful rigid flat foot and you want to determine whether it is flexible or rigid deformity.  Name two clinic tests you can do to determine this.

Hubscher and double limb rise

What is Harris-Beath view? Why is this projection useful i.e. what pathologies does it help you uncover?

Used to visualize the calcaneus and the middle and posterior facets of the subtalar joint.

It is particularly useful for identifying talocalcaneal coalition.

What is an abnormal 4-5 IM angle?

>9 abnormal
normal= 6.22-6.47

What is the fastest way to reverse warfarin in a patient with life-threatening bleeding?

4-factor PCC + IV vitamin K. PCC provides immediate clotting factors (II, VII, IX, X), while vitamin K provides sustained reversal.

What are the Gustilo Anderson classifications?

Type 1: <1cm, not contaminated

Type 2: 1-5 cm, w/ minimal soft tissue damage

Type 3A: >5 cm, adequate soft tissue coverage

Type 3B: >5 cm, excessive soft tissue damage with periosteal stripping

Type 3C: >5 cm, arterial damage requiring repair

What cardiovascular changes occur with hyperthyroidism, and what is the major perioperative risk?

↑ HR, ↑ cardiac output, ↓ systemic vascular resistance. Surgical stress can precipitate thyroid storm, causing arrhythmias and cardiovascular collapse.

What nail deformity is associated with iron deficiency anemia?

Koilonychia (spoon nails), characterized by concavity of the nail plate.

How long after revascularization does local blood flow around a wound typically optimize?

4-10 days

What is the order of deformity correction in the Ponseti method for clubfoot?

CAVE: Cavus → Adductus → Varus → Equinus. Equinus is corrected last, often with Achilles tenotomy.

What is the most common joint involved in Charcot neuroarthropathy, and what classification corresponds to it?

Lisfranc (tarsometatarsal) joints, Sanders-Frykberg Type II. Commonly causes midfoot collapse and rocker-bottom deformity.

Which joint provides the osseous locking mechanism of the midtarsal joint during gait?

Calcaneocuboid joint. The rotating cuboid abuts the dorsolateral calcaneus, restricting excessive motion during propulsion.

What is the first-line oral antibiotic for mild, nonpurulent cellulitis?

Cephalexin (Keflex), which covers streptococci and MSSA. Avoid hydrogen peroxide because it is cytotoxic and can delay wound healing.

What is the relationship between hematocrit and hemoglobin?

Hematocrit is approximately 3 times hemoglobin (Hct ≈ 3 × Hgb). So 3:1.

Name

Adson Brown

Ollier’s

Donati allgower

• demonstrated to interfere with sq tissue oxygen the least 

• It offers the advantage of grasping a relatively broad amount of tissue (thus spreading the tension force over a large area) while not disrupting as much of the vertical blood flow as a truly horizontal mattress.

High steppage gait for drop foot

onychogryphosis

Lymes disease: Bulls-eye sign caused by borrelia burgdorferi transmitted by the ixode tick

Hoke Achilles Lengthening

A: Bohlers angle- 20-40

B: Gissanes – 120-140

Runout

Martel’s Sign - gout

Arbeitsgemeinschaft fur osteosynthese fragen