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80 Cards in this Set

  • Front
  • Back

What is the outer covering of a tendon

Epitenon

What layer provides blood supply to tendon

Paratenon

Allows the transfer of blood supply from paratenon to tendon

Mesotenon

Basic molecular unit of a tendon

Tropocollagen

The connective tissues of a tendon are collectively called

Peritenon

Layer of tendon that surround the collagen fibers

Endotenon

What layer must be reapproximated after tendon surgery

Paratenon

What layer must be reapproximated after tendon surgery

Paratenon

Group of collagen fibers in a tendon bundled together

Fascicle

Most important structure in the tendon repair process

Epitenon

What is the strongest tendon end to end anastomosis

Krackow

Krackow

Kessler

Front (Term)

Bunnel

Front (Term)

Bunnel

Round cortical plug removed with a trephine, tendon is inserted and tendon is replaced

Trephine plug

Bunnel

Round cortical plug removed with a trephine, tendon is inserted and tendon is replaced

Trephine plug

Explain 3 hole suture

Tendon tied to suture



Tendon inserted into bone



2 more holes for suture to exit and suture is tied

Buttress and button anchor

Suture on tendon passed through bone



Pass through skin and hold with button on skin

Tunnel with sling

Hole in bone



Tendon passed through and sutured to itself

Mason-Allen stitch is often used in

Rotator cuff repair

Method used to draw a tendon through a drill hole

Chinese finger trap

Z plasty tendon lengthening

Accordion tendon lengthening

Paratenon should be preserved to allow

Gliding



Preservation of blood flow

How much strength does the muscle loose on a tendon transfer

1 grade

To qualify for a tendon transfer a muscle must be what grade of strength

4 or higher

How long should CVA pt wait to have a tendon transfer

6 months

What occurs in phase conversion of a muscle in a tendon transfer

Switch between stance/swing phase



Vise versa

Swing phase muscles

Tibialis anterior


EHL


EDL


Peroneus tertius

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

Adductor tendon transfer

Tendon is detached from lateral sesamoid



Moved dorsally and attached to medial capsule

Adductor tendon transfer

Tendon is detached from lateral sesamoid



Moved dorsally and attached to medial capsule

Adductor tendon transfer can be done in what surgery

HAV

Adductor tendon transfer

Tendon is detached from lateral sesamoid



Moved dorsally and attached to medial capsule

Adductor tendon transfer can be done in what surgery

HAV

Adductor tendon transfer

Flexor tendon transfer

FHL transected close to insertion at distal phalanx and cut longitudinally



Wrapped dorsally around proximal phalanx and sutured

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

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

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

Kirk modification to jones

EHL goes dorsal to plantar

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

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

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

Indication for Hibbs

Equinus

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

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

Split tibialis tendon transfer indicated for

Excessive supination


Flexible rearfoot varus


Dorsiflexory weakness

STATT

Peroneus Longus tendon transfer

Peroneus Longus cut at level of cuboid and transferred to 3rd cuneiform or 3rd met base

Peroneus Longus tendon transfer indicated for

Foot drop


Cavous foot

Tendon transfer of all long extensor tendons to the met heads

Heyman

Tendon transfer of all long extensor tendons to the met heads

Heyman

Heyman indicated for

Cavous foot

Tibialis anterior tendon transfer

Tibialis anterior transferred to the 3rd cuneiform

Tibialis anterior tendon transfer

Tibialis anterior transferred to the 3rd cuneiform

Tibialis anterior tendon transfer indicated for

Drop foot


Recurrent clubfoot


Flexible forefoot equinus

Tibialis posterior tendon transfer

PT tendon passed through interosseum membrane and attached to 3rd cuneiform

Tibialis posterior tendon transfer indicated for

Drop foot


Recurrent clubfoot

Is a tibialis posterior tendon transfer in phase or out of phase

Out of phase

Name 2 tendon transfers for cavous foot

Jones


Heyman


Peroneus longus

Name 2 tendon transfers for cavous foot

Jones


Heyman


Peroneus longus

Name 2 tendon transfers for recurrent clubfoot

Posterior tibialis


Anterior tibialis