Stepping Up the Game:

Expert Insights on Adolescent Foot & Ankle Sports Injuries

Event Quiz

Hello everyone,

We appreciate your attendance in the lerEXPO event Stepping Up the Game.

Please answer the following questions to earn your credits. You will be emailed when graded. You must score 80% or greater to receive 6.5 CME.

Name(Required)

First Last

Email(Required)

Credentials(Required)

Company Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1. A 13-year-old sustains an ankle injury while running at football practice. There is a fracture on the medial aspect extending from the joint across the physeal plate and out of the metaphysis in a vertical pattern. A reduction maneuver is attempted under conscious sedation but fluoroscopic images are unchanged. What is the next best step in management?(Required)

A) Cast immobilization and outpatient follow up in 4-6 weeks

B) Closed reduction under general anesthesia followed by cast immobilization

C) Open reduction and internal fixation

D) Repeat closed reduction under general anesthesia & internal fixation followed by cast immobilization

2. A 12-year-old sustains a supination external rotation ankle injury while tumbling at cheer. After imaging, you determine that it is a Tillaux fracture with 5mm of displacement. The following surgical plan would be most appropriate:(Required)

A) Closed reduction and casting under anesthesia

B) Closed reduction and percutaneous pinning of the posterior fragment

C) Closed or open reduction and fixation of the anteromedial fragment

D) Closed or open reduction and fixation of the anterolateral fragment

E) Closed or open reduction and fixation of the central die punch fragment

3. A triplane fracture can be described as:(Required)

A) lateral epiphysis fracture in the sagittal plane, separation of the physis on the axial plane, lateral metaphysis fracture in the coronal plane

B) lateral epiphysis fracture in the sagittal plane, separation of the physis on the axial plane, posterior metaphysis fracture in the coronal plane

C) lateral metaphysis fracture in the sagittal plane, separation of the physis on the axial plane, posterior metaphysis fracture in the coronal plane

D) lateral epiphysis fracture in the sagittal plane, narrowing of the physis on the axial plane, posterior metaphysis fracture in the coronal plane

E) medial epiphysis fracture in the sagittal plane, narrowing of the physis on the axial plane, posterior metaphysis fracture in the coronal plane

4. Transitional ankle fractures occur over an 18-month period with a predictable closure of the tibial physis in the following pattern:(Required)

A) central > lateral > posteromedial > anteromedial

B) posteromedial > anteromedial > central > lateral

C) anteromedial > posteromedial > lateral > central

D) central > anteromedial > posteromedial > lateral

E) lateral > anteromedial > posteromedial > central

5. The ER calls you for a McFarland or displaced medial malleolus fracture in a 10-year-old. They are unsure if it is a Salter Harris 3 or 4, but the good news is that they were able to partially reduce it and put it into a splint. The patient is scheduled to follow up in your office in 3 days, however they actually show up 3 weeks later with a soiled splint and no crutches. Now, x-rays show partial consolidation with displacement and a joint step off. The following are reasonable next steps:(Required)

A) Your decision to choose a career that involves treating children

B) Closed reduction should be attempted, followed by immobilization.

C) A CT scan should be ordered for further evaluation. There is a possibility of malunion and physeal arrest that will require open reduction internal fixation.

D) No further intervention is needed. There is evidence of bone healing.

E) No reduction should be performed, but it should be immobilized for another 2-4 weeks

6. What conservative measures often help with respect to pediatric heel pain/ apophysitis?(Required)

A) Calf stretching, Motion control shoe (shoe that does not bend in the middle), Icing

B) Flexible shoes

C) Barefoot walking

7. What are the radiographic findings most consistent with Calcaneal apophysitis?(Required)

A) Severe sclerosis of growth plate

B) Cystic changes

C) Unremarkable radiographic findings of calcaneus

8. This is often a component of symptomatic pediatric Achilles tendonitis or symptomatic pes planovalgus:(Required)

A) Equinus

B) Ecchymosis

C) Edema

9. What is the best predictor of the occurrence of an injury?(Required)

A) Cross training

B) Stress

C) Multiple sport participation

D) Single sport participation

E) None of the above

10. Which of these are signs of positive adjustment to injury?(Required)

A) Strong compliance with rehabilitation and treatment

B) Positive attitude about injury and life

C) Motivated and determined to improve

D) Asks questions and becomes knowledgeable about their injury and recovery process

E) All of the above

Reach Us

Feel free to call or email us to discuss your opportunities



Calendly.com/LERmagazine



+518.221.4042



rich@lermagazine.com

Send A Message

Name

Phone

Email Address

Message