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A 58-year-old active man with worsening heel pain in the setting of chronic ankle pain for the last 2 years after missing a step off a curb. An MRI was obtained and is depicted in Figure A. He elects to undergo surgical intervention. Intraoperatively, a 4 cm gap is observed. Which of the following would lead to the best functional outcome?
Open primary repair with suture anchors
Debridement and augmentation with a tendon that inserts on plantar aspect of great toe metatarsal head
Debridement and augmentation with a tendon that inserts on plantar aspect of the metatarsal heads of the lesser toes
Debridement and augmentation with a tendon that inserts on plantar aspect of great toe distal phalanx
Debridement and augmentation with a tendon that inserts on dorsal aspect of distal phalanges of the lesser toes
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A 65-year-old man complains of left ankle pain for 9 months. A sagittal MRI image of the left ankle is shown in Figure A. He is given a brochure with exercises on them. The exercises are depicted in Figures B through E and instructions given. Which of the following statements is correct?
The exercises shown in Figures B and C are most likely to relieve pain and return him to his previous activity level
The exercises shown in Figures B and D are most likely to relieve pain and return him to his previous activity level
The exercises shown in Figures C and E are most likely to relieve pain and return him to his previous activity level
The exercises shown in Figures D and E are most likely to relieve pain and return him to his previous activity level
Surgery is necessary
Which of the following exercises is important to incorporate into an Achilles tendinopathy rehabilitation protocol following a period of diminished intensity of activities?
A 48-year-old male complains of 5 years of heel pain while running. Initially the pain was relieved with Achilles tendon stretching, orthotics, and open-backed shoe wear. Over the past year these modalities are no longer helpful and he is beginning to have pain with walking. Clinical photograph and radiograph are provided in figures A and B. Which of the following treatment options is the best choice to relieve pain and improve function?
Arizona gauntlet brace
Achilles tendon debridement
Achilles tendon debridement, calcaneal exostectomy, and possible FHL transfer