Exam (elaborations)
ABFAS FOOT REVIEW QUESTIONS AND ANSWERS 2024
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ABFAS FOOT REVIEW QUESTIONS AND ANSWERS 2024
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ABFAS FOOT REVIEWA 40 y/o patient underwent ankle arthroscopy 6 months ago for a talar OCD. He
continues to have pain on the lateral portal states pain is more superficial that the
original pain. He has a shooting pain to his distal foot radiates to the medial foot
and ankle when the lateral portal is tapped. A diagnostic injection around that
area previously afforded relief. What treatment would best eliminate the pain?
•A. Sural nerve neuroplasty
•B. Neuroplasty of the deep peroneal nerve
•C. Neuroplasty of medial branch of superficial peroneal nerve
•D. Repeat arthroscope
•E. Physical therapy - ANSWERS-C. Neuroplasty of medial branch of superficial
peroneal nerve
A 46 y/o male in 2.5 years out from a closed STJ dislocation treated with
reduction and casting. His radiograph shown (collapsing talus). His MRI
demonstrates significant talar AVN, bracing and injections has failed. What is the
most appropriate management for this patient?
•A. TTC using anterior approach
•B. Ankle arthrodesis using anterior approach
•C. TTC using lateral transfibular approach
•D. Total ankle arthroplasty with STJ arthrodesis
,•E. Total Talectomy using lateral approach - ANSWERS-C. TTC using lateral
transfibular approach
As an alternative to ORIF for the injury pattern what treatment would be most
effective for the injury shown (lis franc 2-5 dislocation)?
•A. Open reduction arthrodesis medial and middle column with pinning of the
lateral column
•B. Open reduction with primary arthrodesis of the medial, middle and lateral
column
•C. Closed percutaneous pinning of the medial middle and lateral column
•D. Closed reduction of midfoot with casting
•E. Partial weight bearing in removable cast - ANSWERS-A. Open reduction
arthrodesis medial and middle column with pinning of the lateral column
Figure shows XR of a 45 y/o female (unremarkable) underwent resection of
interdigital neuroma through dorsal approach 1 year ago. The neuroma was
excised 5 mm proximal to the intermetatarsal ligament he continued to have
interspace pain with a well healed incision and positive Tinel's sign from the
interspace. What is the most common cause of the persistent pain?
•A. Painful scar
•B. Infection
•C. Frieberg's disease
•D. MPJ arthritis
•E. Inadequate proximal resection - ANSWERS-E. Inadequate proximal resection
,35 y/o female presents with lateral sided ankle pain and bruising after rolling her
ankle. T2 weighted image of the ankle are shown what is the diagnosis?
•A. Dislocation of the peroneus longus at the SPR
•B. Dislocation of the peroneus brevis at the SPR
•C. Dislocation of the Peroneus Longus and Peroneus brevis at SPR
•D. Dislocation of the peroneus longus tendon at the level of the IPR
•E. Dislocation of the peroneus brevis at the IPR - ANSWERS-A. Dislocation of the
peroneus longus at the SPR
Which of the following tendon transfers best suited to deal with the peroneal
muscle atrophy?
•A. FHL
•B. EDB
•C. Achilles Tendon
•D. PT
•E. PL
•F. FDL - ANSWERS-D. PT
Patient 22 y/o female sustained open fracture of the midfoot to the forefoot
which is 8 cm in length from lawnmower what would the gustillo and Anderson
be for this?
•A. I
•B. II
, •C. III
•D. IV - ANSWERS-C. III
What is the most appropriate reperfusion time prior to re-inflating the ankle
tourniquet for surgery that has passed the 2 hour mark?
•A. 5 minutes / 10 minutes tourniquet time
•B. 5 minutes / 15 minutes of tourniquet time
•C. 5 minutes / 30 minutes of tourniquet time
•D. 5 minutes / 60 minutes of tourniquet time - ANSWERS-C. 5 minutes / 30
minutes of tourniquet time
Which inflammatory marker is the most sensitive within the first 48 hours
following postoperative implant infection ?
•A. CRP
•B. ESR
•C. WBC
•D. Tmax - ANSWERS-A. CRP
What's the recommended time to hold heparin prior to surgery?
•A. 2 hours
•B. 8 hours
•C. 24 hours
•D. 48 hours - ANSWERS-B. 8 hours
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