Spina bifida
Clubfoot
Clubfoot Surgery
Ponseti casting
Myelo foot/ankle
100
These allergies are common in spina bifida.
What are latex allergies?
100
These are the four deformities that make up a clubfoot.
What are cavus, adductus, varus, and equinus?
100
This procedure is required in 1/3 to 1/2 of clubfeet treated with the Ponseti method.
What is tibialis anterior transfer?
100
This is the first deformity that should be corrected during Ponseti casting.
What is cavus?
100
This is the most common foot deformity in patients with spina bifida.
What is clubfoot?
200
This should be suspected in a myelo child with a red, hot, swollen leg.
What is a fracture?
200
This is the most common cause of late failure after correction with the Ponseti method.
What is poor compliance with bracing?
200
During tibialis anterior transfer, the tendon should be transferred to this bone.
What is lateral cuneiform (B)?
200
90% of patients treated with Ponseti casting will require this procedure.
What is Achilles tendon release?
200
This is the most appropriate treatment for an ambulatory 8 year old with spina bifida and 15 degrees of ankle valgus.
What is medial malleolar epiphysiodesis?
300
This is the most appropriate treatment for a myelo child with a dislocated hip.
What is observation?
300
This is the overall incidence of clubfoot.
What is 1 in 1,000 live births?
300
In clubfoot patients treated with surgery during infancy, this is correlated with worse functional outcomes later in life.
What is extent of soft tissue release?
300
Attempting to correct this deformity too early during Ponseti treatment will lead to a bad result.
What is equinus?
300
This is the most appropriate treatment for an 18 month old spina bifida patient with recurrence of clubfoot.
What is posteromedial release?
400
This condition can cause progressive scoliosis in a myelo child.
What is a tethered cord?
400
A recurrence of clubfoot before age 2 is generally treated with this.
What is repeat casting?
400
The condition in the picture is caused by weakness of this muscle in a patient with a history of clubfoot surgery.
What is the peroneus longus?
400
This position should be avoided during casting using the Ponseti technique.
What is pronation?
400
This procedure may be necessary in a myelo patient with a recurrent clubfoot following posteromedial release.
What is talectomy?
500
This spine surgery is necessary in 90% of children with thoracic myelo.
What is kyphectomy and posterior fusion?
500
Clubfoot is linked to this transcription factor.
What is PITX1?
500
Complications of posteromedial release surgery include dorsal bunion, rigid pes planus, and this condition affecting the talus.
What is osteonecrosis of the talus?
500
Correction of deformity to this many degrees of foot abduction should be accomplished prior to Achilles tenotomy.
What is 70 degrees of abduction?
500
This is the appropriate surgery for an L5 level myelo patient with the X-ray shown.
What is posterior transfer of the tibialis anterior tendon?