ABFAS - Trauma Section
Study online at https://quizlet.com/_3dks7g
1. Achilles tendon rupture is likely to occur in this posi- Sprinters
tion
2. Gastroc-soleal complex is enervated by: Tibial nerve (S1 - S2)
3. Runs between the gastrocnemius and soleus. Assists Plantaris
in plantarfexion of the foot and flexion of the knee
4. Nerve enervation of the plantaris L4, L5, S1
5. The narrowest part of the achilles tendon 4cm proximal to its inser-
tion
6. An Achilles tendon rupture is likely to occur at what 2-6cm proximal to attach-
anatomical location? ment (watershed area) of
the left lower extremity
(due to handedness: Right
handed individuals more
commonly push off with
the left foot).
7. Name the Test: squeezing of the calf muscle does not Thompson Test
result in plantar flexion of the foot
8. Name the Test: A 25 gauge needle is inserted at a right O'Brien Test
angle to the leg through the skin of the calf muscle
just medial to midline. This should be performed 10
cm proximal to the calcaneal insertion of the Achilles
tendon. Motion of the hub of the needle in a direction
opposite that of the tendon during passive dorsiflex-
ion and plantarflexion of the foot confirms an intact
tendon distal to the level of needle insertion.
, ABFAS - Trauma Section
Study online at https://quizlet.com/_3dks7g
9. The parameters of Kager's triangle are. . . Anterior border: FHL, Pos-
terior border: Achilles Ten-
don, Inferior Border: Su-
perior cortex of the calca-
neus
10. What classification is used for achilles tendon rup- Kuwada (1: partial tear 2:
tures? complete tear up to 3, 3:
3-6cm tear, 4: greater than
6cm tear
11. Case: 34 year old male presents with left 2cm Achilles End-to-end anastomosis
tendon rupture confirmed on MRI. No other comor-
bidities. What is the best treatment of choice?
12. Case: 36 year old female presents with 7cm Achilles 1. Gastroc recession, 2.
tendon rupture occurring just yesterday while skiing. Turn down with tendon
She states that she had been on levofloxacin for 2 graft and or synthetic
weeks for abscess in her left thigh. She has no other graft.
significant past medical history. What is the best treat-
ment of choice?
13. Case: a 42 year old male presents with an Achilles Following surgical de-
tendon rupture to the left lower extremity occurring bridement of the ten-
while running a marathon the previous day. He de- don ends to healthy tis-
nies taking any medications and has no significant / sue. Recommended treat-
contributory past medical history. MRI reveals a 4cm ment: Tendon graft flap,
complete rupture of the left Achilles tendon. Which +/- a synthetic graft aug-
of the following is the most appropriate treatment of ment. Additionally a V-Y
choice. advancement, a Bosworth
turndown, tendon trans-
fer, or a combination of
, ABFAS - Trauma Section
Study online at https://quizlet.com/_3dks7g
these may also be used for
type 3 injuries.
14. Which component of the deltoid ligament blends with Tibiocalcaneal
the spring ligament?
15. Which component of the deltoid ligament is deep to Anterior tibiotalar
the others?
16. What two tendons pass over the Deltoid ligament? FDL and Tibialis posterior
17. What is the strongest of the lateral collateral liga- Posterior talofibular liga-
ments of the ankle? ment
18. Which of the lateral collateral ligaments of the ankle Posterior talofibular liga-
are extrasynovial but intracapsular? ment
19. Which of the extracapsular lateral collateral ligaments CFL
of the ankle are just deep to the peroneal tendons?
20. Which is the shortest lateral collateral ligament of the ATFL
ankle?
21. A surgeon is inverting the foot with the ankle in a CFL
dorsiflexed position. The surgeon is preparing to do
a modified brostrum. Which ligament are they specif-
ically assessing?
22. The proximal tibiofibular joint is best described as plain synovial joint
what type of joint?
23. A patient presents to the office complaining that they CFL
"rolled their ankle". X-rays reveal soft tissue inflam-
mation. If the patient were to have, hypothetically,
Study online at https://quizlet.com/_3dks7g
1. Achilles tendon rupture is likely to occur in this posi- Sprinters
tion
2. Gastroc-soleal complex is enervated by: Tibial nerve (S1 - S2)
3. Runs between the gastrocnemius and soleus. Assists Plantaris
in plantarfexion of the foot and flexion of the knee
4. Nerve enervation of the plantaris L4, L5, S1
5. The narrowest part of the achilles tendon 4cm proximal to its inser-
tion
6. An Achilles tendon rupture is likely to occur at what 2-6cm proximal to attach-
anatomical location? ment (watershed area) of
the left lower extremity
(due to handedness: Right
handed individuals more
commonly push off with
the left foot).
7. Name the Test: squeezing of the calf muscle does not Thompson Test
result in plantar flexion of the foot
8. Name the Test: A 25 gauge needle is inserted at a right O'Brien Test
angle to the leg through the skin of the calf muscle
just medial to midline. This should be performed 10
cm proximal to the calcaneal insertion of the Achilles
tendon. Motion of the hub of the needle in a direction
opposite that of the tendon during passive dorsiflex-
ion and plantarflexion of the foot confirms an intact
tendon distal to the level of needle insertion.
, ABFAS - Trauma Section
Study online at https://quizlet.com/_3dks7g
9. The parameters of Kager's triangle are. . . Anterior border: FHL, Pos-
terior border: Achilles Ten-
don, Inferior Border: Su-
perior cortex of the calca-
neus
10. What classification is used for achilles tendon rup- Kuwada (1: partial tear 2:
tures? complete tear up to 3, 3:
3-6cm tear, 4: greater than
6cm tear
11. Case: 34 year old male presents with left 2cm Achilles End-to-end anastomosis
tendon rupture confirmed on MRI. No other comor-
bidities. What is the best treatment of choice?
12. Case: 36 year old female presents with 7cm Achilles 1. Gastroc recession, 2.
tendon rupture occurring just yesterday while skiing. Turn down with tendon
She states that she had been on levofloxacin for 2 graft and or synthetic
weeks for abscess in her left thigh. She has no other graft.
significant past medical history. What is the best treat-
ment of choice?
13. Case: a 42 year old male presents with an Achilles Following surgical de-
tendon rupture to the left lower extremity occurring bridement of the ten-
while running a marathon the previous day. He de- don ends to healthy tis-
nies taking any medications and has no significant / sue. Recommended treat-
contributory past medical history. MRI reveals a 4cm ment: Tendon graft flap,
complete rupture of the left Achilles tendon. Which +/- a synthetic graft aug-
of the following is the most appropriate treatment of ment. Additionally a V-Y
choice. advancement, a Bosworth
turndown, tendon trans-
fer, or a combination of
, ABFAS - Trauma Section
Study online at https://quizlet.com/_3dks7g
these may also be used for
type 3 injuries.
14. Which component of the deltoid ligament blends with Tibiocalcaneal
the spring ligament?
15. Which component of the deltoid ligament is deep to Anterior tibiotalar
the others?
16. What two tendons pass over the Deltoid ligament? FDL and Tibialis posterior
17. What is the strongest of the lateral collateral liga- Posterior talofibular liga-
ments of the ankle? ment
18. Which of the lateral collateral ligaments of the ankle Posterior talofibular liga-
are extrasynovial but intracapsular? ment
19. Which of the extracapsular lateral collateral ligaments CFL
of the ankle are just deep to the peroneal tendons?
20. Which is the shortest lateral collateral ligament of the ATFL
ankle?
21. A surgeon is inverting the foot with the ankle in a CFL
dorsiflexed position. The surgeon is preparing to do
a modified brostrum. Which ligament are they specif-
ically assessing?
22. The proximal tibiofibular joint is best described as plain synovial joint
what type of joint?
23. A patient presents to the office complaining that they CFL
"rolled their ankle". X-rays reveal soft tissue inflam-
mation. If the patient were to have, hypothetically,
