- Study guides, Class notes & Summaries

Which MPJ is most often injured? - correct answer 1st MPJ What is the definition of a turf toe? - correct answer Hyper dorsiflexion, hyper plantarflexion, hyper add duction, or hyper abduction stress resulting in first MPJ sprain without alignment changes Which of those is the most common mechanism of injury for a first MPJ dislocation? - correct answer ...

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4 pages

Written in 2023/2024

Grade A+

RealGrades

Eval - correct answer NWB/WB examination Evaluate the deformity at each level: MPJ, PIPJ, DIPJ Determine the plane(s) of deformity Check toe purchase Is the toe flexible, semi-rigid or rigid What is the etiology of the hammertoe Flexor substitution Extensor substitution Flexor stabilization* #1 - correct answer Arthroplasty PIPJ (Post procedure) Take out head prox phalanx Art...

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6 pages

Written in 2023/2024

Grade A+

RealGrades

Gals x MPG = ? - correct answer Total Miles ? x MPG = Total Miles - correct answer Gallons Gals x ? = Total Miles - correct answer MPG If I purchase 50 gallons of gas and my car uses 1 gallon for every 45 miles (45 MPG) , how many miles can I drive? - correct answer 2,250 miles (50 x 45 = Total Miles) ...

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1 pages

Written in 2023/2024

Grade A+

RealGrades

23 year old African American female hiker with a familial history of sickle cell, sustains a fall to her left foot. She reports severe pain to her entire left foot. - correct answer Physical Exam: Gait, Pedal Pulse, skin, Mobility, dorsiflexion external rotation, Palpate 1st TMT, ROM 1st TMT, Tibialis Ant Labs: Pregnancy, sickle dex Imaging: foot Xray, CT, MRI 23 year old African American female hiker with a familial history of sickle cell, sus...

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3 pages

Written in 2023/2024

Grade A+

RealGrades

Discuss the forces that affect health and wellbeing in the community where you are located. Give an example of each force. Which of these forces do you think healthcare managers can control and change the most to improve people's health? - correct answer - The four forces that determine the health of a population are heredity, medical services, environment, and lifestyle. - In Boulder Creek, heredity affects how likely people are to have a subs...

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78 pages

Written in 2023/2024

Grade A+

RealGrades

Function of lesser digits - correct answer decelerate the foot, stabilize the forefoot, aid in propulsion, kinesthetic sensation EDL EDB action - correct answer dorsiflexion at MPJ and passive flexion at PIPJ and DIPJ Insertion of EDL and EDB - correct answer splits into 3 slips- middle=middle phalanx and lateral 2 rejoin and insert at distal phalanx ...

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5 pages

Written in 2023/2024

Grade A+

RealGrades

MPJ Sequential Release for a Hammertoe (5 steps): - correct answer 1. Release of extensor expansion 2. Tenotomy/lengthening of extensor digitorum longus/extensor digitorum brevis 3. Transverse MPJ capsulotomy 4. Release of collateral ligaments 5. Plantar plate release What happens if the tibial sesamoid is excised? - correct answer Hallux valgus What happens if the fibular sesamoid is...

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16 pages

Written in 2023/2024

Grade A+

RealGrades

What is public health? - correct answer - It is about improving the health of populations How does the World Health Organization define health? - correct answer - The WHO defines health as a state of complete physical, mental, and social wellbeing rather than the mere absence of disease or infirmity Public Health Definition - correct answer - The scie...

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6 pages

Written in 2023/2024

Grade A+

RealGrades

Health Care, Public Health - correct answer Quality Improvement _________________ -QI consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups. (HRSA) __________________ -QI in Public Health is the use of a deliberate and defined improvement process which is focused on activities that are responsive to community needs and improving population ...

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43 pages

Written in 2023/2024

Grade A+

RealGrades

Implants: - correct answer ∙Most common pathogen to cause infection during implant surgery is *Staphylococcus epidermis*. ∙*Vancomycin* is the drug of choice for antibiotic prophylaxis during implant surgery. ∙Most *metal joint implants are made of cobalt-chromium* due to its high strength and smooth-polished finish. *→Less destructive on cartilage.* ∙Implants may have stems and undersurfaces that are coated with *titanium plasma sp...

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13 pages

Written in 2023/2024

Grade A+

RealGrades

What is a Bunion? What do you find at the site? What plane is disturbed? What happens at the first MT? Hallux? - correct answer 1. Localized swelling around Medial/dorsal aspect of 1st MPJ 2. Bursal sac, Prominent met head, erythema. 3. Sagittal deformity- pain in dorsalflexion 4. Deviates medially and hallux deviates laterally Bunion- Hallux Abductus What plane is disturbed and Which way does the hallux deviate? What is it caused by? An...

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9 pages

Written in 2023/2024

Grade A+

RealGrades

60 yo pt comes in and complains of pain on 1st MPJ. Its crepitant, 10 degrees of dorsiflexion, xrays demonstrate DJD, severe pain sub-met 2/instability along the medial column - correct answer 1st MPJ fusion ankylosis - what stage? - correct answer stage 4 - not salvageable excess removal of bone from a dorsiflexory base wedge osteotomy of the first met would most likely lead to? - correct answer ...

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19 pages

Written in 2023/2024

Grade A+

RealGrades

primary congenital hallux varus - correct answer medially deviated proximal phalanx affecting only the MPJ secondary congenital hallux varus - correct answer Medial deviation of the 1st met at the metatarsalcuneiform joint (may occur with club foot) Tertiary congenital hallux varus - correct answer Teratogenic classic Hallux varus is classically de...

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4 pages

Written in 2023/2024

Grade A+

RealGrades

Define hammer toes - correct answer a hyperextension of the toe at the MPJ, flexion at the PIPJ, and mild to severe hyperextension at the DIPJ. Primarily a sagittal plane deformity What is the Post Procedure? - correct answer Arthroplasty (joint formation) • Resection of the head of the proximal phalanx • Do not resect base of middle phalanx at any time, can cause flail toe Arthrodesis def...

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7 pages

Written in 2023/2024

Grade A+

RealGrades

Volar - correct answer Refers to palm of the hand Dorsum/dorsal - correct answer Refers to back or posterior side of hand Radial - correct answer Located on the volar side of wrist Ulnar - correct answer Refers to the medial side of the hand IPJ (interphalangeal joint) - correct answer ...

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1 pages

Written in 2023/2024

Grade A+

RealGrades

What are the common problem in the forefoot? - correct answer Hallux abductovalgus (HAV) Hallux Limitus/Rigidus Sesamoiditis Morton's Neuroma 1st MPJ joint sprain Turf toe Stress fracture - metatarsals# Fracture (5th Met)# What are the less common problem in the forefoot? - correct answer Freiberg's infarction* (Osteochondritis) Joplin's Neuritis* Stress Fracture (Sesamoid)# Subungual Ex...

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9 pages

Written in 2023/2024

Grade A+

RealGrades

What are the structural joint abnormalities associated with a hammered hallux? What is it also known as? - correct answer Extended MPJ, Flexed IPJ Hallux Malleus or Claw Hallux What are the structural joint abnormalities associated with a hallux extensus? - correct answer Extended MPJ, Neutral IPJ What are the structural joint abnormalities associated with a cocked hallux? - correct answer...

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4 pages

Written in 2023/2024

Grade A+

RealGrades

Extrinsic Extensor tendon - correct answer -dorsal to the axis of motion for the PIP joint -passes above the MPJ axis of motion Intrinsic lateral band - correct answer -dorsal to the axis of the motion of the PIP joint -pass below the axis of motion of MPJ axis With both intrinsic and extrinsic tightness you may see... - correct answer -Finger Defor...

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3 pages

Written in 2023/2024

Grade A+

RealGrades

What are the steps for a lateral release? - correct answer 1. Cut Deep Transverse Intermetatarsal Ligament 2. Adductor Tendon * slips superior and inferior to DTIL 3. Fibular Sesamoidal Ligament 4. Tenotomy of lateral head of FHB 5. Excision of Fibular Sesamoid 3 ways to perform a adductor hallucis transfer - correct answer (1928: McBride) Transfer from proximal phalanx to lateral aspect of 1s...

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8 pages

Written in 2023/2024

Grade A+

RealGrades

Case presentation - correct answer 52 y/o otherwise healthy former marathon runner presents to clinic with pain in their foot. They report they had previous surgery with an outside surgeon, but was unhappy with their care. 1st MPJ retained painful implant with decrease ROM. Physical Exam - correct answer - Hallux exam: Less than 15 degrees dorsiflexion, crepitus - Palpate 1st MPJ: Pain dorsally - ...

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1 pages

Written in 2023/2024

Grade A+

RealGrades