Anatomy section reading from Crozer Keystone Manual. Simple episode, enjoy!

Info for this episode from Chapter 21 of McGlamry's 5th edition of Foot and Ankle Surgery

QUESTIONS

Info From McGlamry's Foot and Ankle Surgery 5th edition.

Questions:

1. What is the amount of fibular displacement that is tolerated for nonoperative treatment ?

Between 0 and 5 mm

2. Maisonneuve fx's are a result of injury to what structure?

The ankle syndesmosis

3. What are the two methods of fixating the syndesmosis?

You can use a screw or a suture button

Info from McGlamry's Foot and Ankle Surgery, 5th edition.

What is the avg range of the talocrural angle in degrees?

83 ± 4 degrees

As little as 1 mm of lateral talar translation has been reported to decrease the tibiotalar contact area by what percent?

42%.

What should the tib fib clear space measure less than on the AP and mortise radiographs?

< 6 mm

Information sourced from Ch 35 McGlamry's Foot & Ankle Surgery 5th Edition

Questions:

1. The Lauge-Hansen PER corresponds with which Danis-Weber classification?

- Danis-Weber C

2. What stage of SER and PER involves a spiral oblique fx of the fibula?

- SER 2 and PER 3

3. What classification involves a vertical medial malleolus fx?

- SAD 2

Content from McGlamry 5th edition Chapter 18

Question 1: What is the approach for treating zone 2 and 3 fractures?

“high and inside”

Question 2: How are zone 1 and diaphyseal fractures typically treated?

Non operatively in a walking cast, removable cast boot, or surgical shoe for 4-8 weeks

Question 3: What sized screws are typically used for zone 2 and 3 fractures?

4.5 - 6.5 mm non-cannulated screws

5th metatarsal base classifications.

Questions:

1. What Stewart classification is considered a true Jones fracture?

- Type 1

2. What Lawrence-Bott classification refers to proximal diaphyseal fractures?

- Type 3

3. What Torg classification is considered a delayed union?

- Type 2

Reference:

Cheung CN, Lui TH. Proximal Fifth Metatarsal Fractures: Anatomy, Classification, Treatment and Complications. Arch Trauma Res. 2016;5(4):e33298. Published 2016 Jun 13. doi:10.5812/atr.33298

A review of Chapter 29 from McGlamry's Foot and Ankle Surgery minus classifications.

1. What is the pathognomonic physical exam sign called for calc fractures? - Mondor's sign

2. How much IR of the leg is required for Brodens view? - 45 degrees

3. An increase/decrease in Bohlers angle and an increase/decrease in the Critical angle of Gissane is associated with a calc fracture

There are three calcaneal fracture classifications. Essex-Lopresti, Rowe, and Sanders. Essex-Lopresti and Sanders information are from McGlamry's 5th edition. There is less literature for Rowe classification, the source in this episode is unknown.

Practice Questions:

Essex-Lopresti has described two distinct fracture types of the calcaneus based on the primary or secondary fracture line?

What Rowe classification is a beak fracture?

In the Sanders Classification Is C closer to the medial or lateral aspect of the posterior calc?

Answers in the episode.

Welcome to the first episode of this podcast series. This episode will go over some tips that are useful for starting clinical rotations followed by OR etiquette. Thanks for listening! The next episode will cover a podiatry topic, stay tuned! I will be posting at least one episode a week.