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Met adductus which limb is MC?
Left
What is the term to describe a overly large medial cuneiform?
Atavistic medial cuneiform
What are some possible etiologies of met adductus (Unknown)?
Genetic
Atavistic medial cuneiform
Intrauterine position
Enviromental- sleeping on stomach
Arrest in fetal development
Muscle imbalance of abductor hallucis and insertion
Tibialis anterior and posterior insertions
absent medial cuneiform
What are some common subjective findings of met adductus?
In toeing
Tripping
Shoes
Lateral shoe wear
Bunions and hammertoes
When do we see a skew foot?
Compensate met adductus foot
What else might we see with compensated met adductus?
HAV
Digital contractures
What is the lichtblau test?
Stabilize the heel
Brace 5th met headÂ
Lateral pressure to the medial aspect of the 1st met head and will see a bowstring of the tight abductor hallucis
What is Engle's angle?
Bisection of the medial cuneiform and the 2nd met
What does the ankle of Kite do in Cavus foot and what does it do in a met adductus foot?
Increases in a met adductus foot
Decreases in a cavus foot
What is the clinical difference between met adductus and clubfoot?
Met adductus: Adducted FF, lateral navicular subluxation, hindfoot neutral/valgus, no equinus
Clubfoot: Adducted FF, medial navicular subluxation, hindfoot varus, equinus
When should you start stretching, casting and manipulation?
Immediantly up to until walking
What are some BIOMECHANICALLY SOUND braces that can be used?
Ganley splint
Bebax shoe
Wheaton brace
What are some BIOMECHANICALLY UNSOUND braces?
Reverse last shoe
Denis-Brown Bar
Fillauer Bar
Unibar
When casting or conservatively fixing a met adductus, in what position should the heel be kept?
Varus
At what age is it too old to do a soft tissue procedure?
6 year old
What is the optimal age for ST procedure?
2 years old
What are some ST procedures?
LaPorta and Sokoloff: TP tendon lengthening with TN joint capsulotomy.
What was the ST procedure by Thomson?
Resect the abductor hallucis
What was the ST of lichtblau?
Modified thompson with complete or partial resection of the abductor hallucis muscle
What is the Berman and Gartland osseous procedure for met adductus?
Crescentic osteotomy of the each met 6mm distal to the growth plate.
Modified is abductory closing base wedge of all mets
Author
dhubbard
ID
190242
Card Set
Podiatry Boards Part 2
Description
Pediatrics
Updated
2012-12-20T00:58:48Z
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