First Ray
The correct position to fuse a 1st MTPJ in
What is 15 degrees of dorsiflexion, 5-10 degrees of abduction, and neutral varus position?
This Rowe classification is the same as an Essex-Lopresti type fracture.
What is Rowe IV/V?
This is the mechanism of injury for a medial talar dome fracture.
What is plantarflexion and inversion?
This is a bacteria associated with puncture wounds to the plantar foot.
What is pseudomonas?
A Brostrum procedure includes this structure for repair of ATFL.
What is inferior extensor retinaculum?
A patient develops a hammered hallux after a distal bunion procedure. What structure was cut?
Flexor Hallucis Brevis Tendon
A patient with a Gustilo-Anderson type IIIB fracture had his latest tetanus shot 8 years ago. Patient should get:
1. Tetanus booster + TIG
2. Tetanus booster
3. TIG
4. Nothing
Answer: tetanus booster + TIG
This the MOI for a tibial sesamoid fracture.
What is hyperextension of MTPJ?
(Bonus: +50 a drug used for this infection if patient is allergic to the firstline med)
What is oral vancomycin?
(Bonus: flagyl PO)
This is the ligamentous avulsion associated with a juvenile Tillaux fracture.
(Bonus +50 : this is the bone that is avulsed)
What is the antero-inferior tibulo-fibular ligament?
(Bonus: antero-lateral distal tibia)
This named procedure is a dorsiflexory osteotomy of base of proximal phalanx and used to treat for this condition.
What is a Kessel-Bonny procedure? What is hallux limitus?
This is NOT an indication for compartment syndrome:
1. Pain
2. Hypothermia
3. Paralysis
4. Paresthesia
What is hypothermia?
This the MOI for an anterior calcaneal process fracture.
(Bonus +50 for naming ligament rupture associated with this fracture)
(Bonus: bifurcate ligament)
This is a bacteria that is commonly seen in pediatric patients with hematogenous acute osteomyelitis.
What is haemophilus influenzae?
This is the optimal position for an ankle fusion.
What is neutral dorsiflexion, 0-5 degrees of external rotation, around 5 degrees of heel valgus?
One of these is NOT a common complication of a Lapidus procedure:
1. Shortens the medial column
2. Lesser metatarsalgia
3. Troughing
4. Delayed/non-union
What is troughing?
This the MOI for a Lisfranc dislocation.
What is axial load on a plantarflexed forefoot?
These are common side effects associated with aminoglycosides.
What are ototoxicity, nephrotoxicity, and neurotoxicity?
Patient with severe ankle valgus when inserting ankle implant (TAR). What ligament needs to be repaired?
Deltoid ligament
This is a procedure for a first ray deformity with an IM = 17 degrees, HAb = 20 degrees, HIA = 25 degrees, no hypermobility of first ray.
What is a Scarf/CBWO/crescentic + distal Akin?
These are methods of fixating 5th met base fractures.
What are tension banding/hook plate/IM nail/K-wires?
A vertical medial malleolus fracture and a low avulsion fibular fracture is classified under this Lauge-Hansen type.
(Bonus +50 points for the numerical type)
What is SAD (Supination-Adduction)?
Bonus: SAD II
This is the genetic difference between HA-MRSA and CA-MRSA
What is Panton-Valentine Leukocidin (PVL) toxin gene?
Tibial varum is 8 degrees. STJ varum is 2 degrees. This is the patient's rearfoot varus.
What is 10 degrees?