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80 Cards in this Set
- Front
- Back
What is the outer covering of a tendon |
Epitenon |
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What layer provides blood supply to tendon |
Paratenon |
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Allows the transfer of blood supply from paratenon to tendon |
Mesotenon |
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Basic molecular unit of a tendon |
Tropocollagen |
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The connective tissues of a tendon are collectively called |
Peritenon |
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Layer of tendon that surround the collagen fibers |
Endotenon |
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What layer must be reapproximated after tendon surgery |
Paratenon |
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What layer must be reapproximated after tendon surgery |
Paratenon |
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Group of collagen fibers in a tendon bundled together |
Fascicle |
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Most important structure in the tendon repair process |
Epitenon |
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What is the strongest tendon end to end anastomosis |
Krackow |
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Krackow |
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Kessler |
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Front (Term) |
Bunnel |
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Front (Term) |
Bunnel |
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Round cortical plug removed with a trephine, tendon is inserted and tendon is replaced |
Trephine plug |
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Bunnel |
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Round cortical plug removed with a trephine, tendon is inserted and tendon is replaced |
Trephine plug |
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Explain 3 hole suture |
Tendon tied to suture
Tendon inserted into bone
2 more holes for suture to exit and suture is tied |
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Buttress and button anchor |
Suture on tendon passed through bone
Pass through skin and hold with button on skin |
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Tunnel with sling |
Hole in bone
Tendon passed through and sutured to itself |
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Mason-Allen stitch is often used in |
Rotator cuff repair |
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Method used to draw a tendon through a drill hole |
Chinese finger trap |
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Z plasty tendon lengthening |
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Accordion tendon lengthening |
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Paratenon should be preserved to allow |
Gliding
Preservation of blood flow |
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How much strength does the muscle loose on a tendon transfer |
1 grade |
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To qualify for a tendon transfer a muscle must be what grade of strength |
4 or higher |
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How long should CVA pt wait to have a tendon transfer |
6 months |
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What occurs in phase conversion of a muscle in a tendon transfer |
Switch between stance/swing phase
Vise versa |
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Swing phase muscles |
Tibialis anterior EHL EDL Peroneus tertius |
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Post op care for tendon transfer |
4 weeks cast NWB
-at 3rd week passive ROM in cast to prevent adhesions
-at 4th week start active mobilization |
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Adductor tendon transfer |
Tendon is detached from lateral sesamoid
Moved dorsally and attached to medial capsule |
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Adductor tendon transfer |
Tendon is detached from lateral sesamoid
Moved dorsally and attached to medial capsule |
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Adductor tendon transfer can be done in what surgery |
HAV |
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Adductor tendon transfer |
Tendon is detached from lateral sesamoid
Moved dorsally and attached to medial capsule |
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Adductor tendon transfer can be done in what surgery |
HAV |
|
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Adductor tendon transfer |
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Flexor tendon transfer |
FHL transected close to insertion at distal phalanx and cut longitudinally
Wrapped dorsally around proximal phalanx and sutured |
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Flexor tendon transfer |
FHL transected close to insertion at distal phalanx and cut longitudinally
Wrapped dorsally around proximal phalanx and sutured |
|
Other name for flexor tendon transfer |
Girdlestone procedure |
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Flexor tendon transfer |
FHL transected close to insertion at distal phalanx and cut longitudinally
Wrapped dorsally around proximal phalanx and sutured |
|
Other name for flexor tendon transfer |
Girdlestone procedure |
|
Front (Term) |
Flexor tendon transfer |
|
Flexor tendon transfer |
FHL transected close to insertion at distal phalanx and cut longitudinally
Wrapped dorsally around proximal phalanx and sutured |
|
Other name for flexor tendon transfer |
Girdlestone procedure |
|
|
Flexor tendon transfer |
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Jones tenosuspension |
EHL transected
Rerouted medial to lateral through head of 1st met
Distal stump attached to EDB
Arthrodesis of 1st IPJ |
|
Jones tenosuspension indicated for |
Pressure under forefoot Flexible Cavous foot Plantarflexed 1st ray |
|
Jones tenosuspension indicated for |
Pressure under forefoot Flexible Cavous foot Plantarflexed 1st ray |
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Kirk modification to jones |
EHL goes dorsal to plantar |
|
Front (Term) |
Jones tenosuspension |
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Hibbs tenosuspension |
EDL transected and ends are gathered
Moved to 3rd cuneiform or 3rd met
Attachments of EDB are cut and attached to distal pieces of EDL |
|
Front (Term) |
Jones tenosuspension |
|
Hibbs tenosuspension |
EDL transected and ends are gathered
Moved to 3rd cuneiform or 3rd met
Attachments of EDB are cut and attached to distal pieces of EDL |
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In a Hibbs what is done with the transected 4th and 5th distal EDL |
Attached to 4th EDB |
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Front (Term) |
Jones tenosuspension |
|
Hibbs tenosuspension |
EDL transected and ends are gathered
Moved to 3rd cuneiform or 3rd met
Attachments of EDB are cut and attached to distal pieces of EDL |
|
In a Hibbs what is done with the transected 4th and 5th distal EDL |
Attached to 4th EDB |
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Indication for Hibbs |
Equinus |
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Front (Term) |
Hibbs tenosuspension |
|
Spit tibialis tendon transfer |
Tibialis anterior split just proximal to superior retinaculum
Lateral fibers are passed through peroneus tertius sheath
Attached to tendon or cuboid |
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Front (Term) |
Hibbs tenosuspension |
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Spit tibialis tendon transfer |
Tibialis anterior split just proximal to superior retinaculum
Lateral fibers are passed through peroneus tertius sheath
Attached to tendon or cuboid |
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Split tibialis tendon transfer indicated for |
Excessive supination Flexible rearfoot varus Dorsiflexory weakness |
|
|
STATT |
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Peroneus Longus tendon transfer |
Peroneus Longus cut at level of cuboid and transferred to 3rd cuneiform or 3rd met base |
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Peroneus Longus tendon transfer indicated for |
Foot drop Cavous foot |
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Tendon transfer of all long extensor tendons to the met heads |
Heyman |
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Tendon transfer of all long extensor tendons to the met heads |
Heyman |
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Heyman indicated for |
Cavous foot |
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Tibialis anterior tendon transfer |
Tibialis anterior transferred to the 3rd cuneiform |
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Tibialis anterior tendon transfer |
Tibialis anterior transferred to the 3rd cuneiform |
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Tibialis anterior tendon transfer indicated for |
Drop foot Recurrent clubfoot Flexible forefoot equinus |
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Tibialis posterior tendon transfer |
PT tendon passed through interosseum membrane and attached to 3rd cuneiform |
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Tibialis posterior tendon transfer indicated for |
Drop foot Recurrent clubfoot |
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Is a tibialis posterior tendon transfer in phase or out of phase |
Out of phase |
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Name 2 tendon transfers for cavous foot |
Jones Heyman Peroneus longus |
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Name 2 tendon transfers for cavous foot |
Jones Heyman Peroneus longus |
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Name 2 tendon transfers for recurrent clubfoot |
Posterior tibialis Anterior tibialis |