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Review Question - QID 8561

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QID 8561 (Type "8561" in App Search)
A dorsal bunion is a complication of clubfoot treatment. The pathophysiology is believed to be a muscle imbalance between

a weak anterior tibial muscle and strong peroneus longus muscle.

25%

2/8

weak triceps and strong toe flexors.

12%

1/8

strong triceps and weak toe flexors.

0%

0/8

strong anterior tibial and strong toe flexors.

62%

5/8

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Two mechanisms can create a dorsal bunion in a treated clubfoot. In the clubfoot, strong toe flexors, flexor hallucis brevis, and abductor hallucis try to compensate for a weak triceps during push off. The classic mechanism is a strong anterior tibial dorsiflexing the first metatarsal, which is unopposed by weak peroneals. The other responses would not produce this deformity.

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