Biomechanics
Surgery
5th Digit Surgery
Supplemental Procedures
MIS surgery
100

In patients with pes planus to which the posterior tibial tendon loses plantarflexion ability to which the long flexors (FDB/FDL) compensate and take mechanical advantage over the interossei

What is flexor stabalization?

100

Correct surgery indicated for patient with flexible deformity at the PIPJ upon kilikian push up test

What is arthroplasty?

100

A hyperkerratotic lesion on the distal medial tuft of the 5th digit due to friction of the head of the 5th distal phalanx and the head of the 4th proximal phalanx

What is helloma molle

100
Skin procedure done with a 5th digit condylectomy to correct varus rotation

What is derotational skin plasty?

100
Percutaneous tenotomy conducted the MTPJ when flexible extension at the MTPJ

What is extensor tenotomy

200

In patients with cavus foot type, the tibialis anteriot loses dorsiflexion ability leading to the extensor tendons (EDB/EDL) compensating and overpowering the lumbicals

What is extensor substitution?

200

Surgical procedure indicated for rigid deformity at the PIPJ upon kilikian push up test

What is arthrodesis

200

Surgical procedure indicated when hyperkerratotic lesions are present on the base of the medial proximal nail fold due to prominent medial margin of the 5th DIPJ

What is distal medial condylectomy

200

Skin procedure conducted with painful interdigital keratosis

What is syndactyly

200

The distance to cinduct a flexor breves and flexor longus tenotomy

What is 1cm distal to MTPJ

300

In patients with weak tricep surae muscles, the patient is unable to produce the final plantarflexion of the ankle joint in pre-swing, therefore the posterior compartment muscles compensate and fire during pre-swing.  These muscles gain mechanical advantage over the interossei?

What is flexor substitution

300

Extensor tendon lengthening; Dorsal capsulotomy; Collateral ligaments are cut; McGLamry elevator release; Weil osteotomy; Flexor to extensor transfer

What is MTPJ release?

300

Surgery indicated for painful pressure based hyperkerratotic lesion located over the 5th DIPJ with clear nail dystrophy and failed condylectomy

What is distal phalangectomy?

300
Skin procedure conducted to lengthen associated skin contracture at the level of the digits (Common on the 5th digit)

What is v-y plasty or z-plasty

300

When conducting a percutaneous extensor tenotomy, it is best to hold the digit in which direction

What is extension

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