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A patient presents to your clinic with minor toe deformities in Figure A. She has been given a recent diagnosis of multiple sclerosis. Which of the following below best fits the description of the associated minor toe deformities?
Flexed metatarsalphalangeal joint with flexed proximal and distal interphalangeal joints
Neutral metatarsalphalangeal and proximal interphalangeal joint and flexed distal interphalangeal joint
Neutral metatarsalphalangeal joint, flexed proximal interphalangeal joint and extended distal interphalangeal joint
Laterally deviated metatarsalphalangeal joint, flexed proximal interphalangeal joint and neutral distal interphalangeal joint
Extended metatarsalphalangeal joint, flexed proximal and distal interphalangeal joints
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A 62-year-old female presents with pain on the plantar surface of her foot. Figure A is a clinical photograph. The patient is scheduled for the osteotomy shown in Figure B. What is the pathophysiologic mechanism of the most common complication caused by this osteotomy method?
Disruption of dorsal capsular artery
Lengthening of the metatarsal
Conversion of interossei from plantarflexors to dorsiflexors
Iatrogenic ligament instability
A 56-year-old diabetic female presents with the painful right toe deformity shown in Figure A. Physical exam reveals MTP dorsiflexion, and flexion at the DIP and PIP joints. The PIP and MTP joints are flexible, and she has failed conservative treatment. Which of the following is the best surgical treatment option for this patient?
Girdlestone-Taylor flexor-to-extensor tendon transfer
Complete MTP capsulotomy and resection arthroplasty of the proximal phalanx with tendon release/lengthening
Complete MTP capsulotomy and resection arthroplasty of the proximal phalanx with a Weil osteotomy
Isolated Weil osteotomy of the affected metatarsal
A 54-year-old female has struggled with 2nd metatarsalgia that is not relieved with orthotics. She undergoes a metatarsal shortening osteotomy using the technique demonstrated in Figure A. Following surgery she complains that her 2nd toe "floats" above the level of the remaining lesser toes. Which of the following is the most likely cause?
Lack of appropriate post-operative immobilization
Technique of surgical osteotomy
Post-operative cerebrovascular event causing neuromuscular imbalance
Inadvertent tethering of the extensor tendon during surgical procedure
Surgical site infection