Podiatry Interview Practice

How do you fixate a danis weber B ?

Danis weber B with a medial mall fracture classifies which SER? SER 4

AP/ Mortise decreased overlap = syndesmotic rupture

How to fix syndesmosis? 3 screws, tight rope, 4 screws

How do position the tight rope for syndesmosis?

Pic of erythrysma? medication? erythrymcin

Topical ointment for MRSA ? pic of infection – Bactroban

Oral medication for mrsa? Bactrim

What is the dose for Lamisil? 250mg

Should you plate a high fibular fracture? No, be aware of common peroneal

Posterior spike synonymous with? SER2

Secondary ORIF using a delta frame for comminuted pilon fracture. Why? wound dehiscnence wait for swelling, and ligamentotaxis

Name some nsaids other than Ibuprofen

What should you always order for pilon fxs? CT

How do you evaluate the posterior facet from a lateral view for intra-operative Calc fxs? Broden’s view

What is AO principles?

Pic of well defined lesions in caclaneus. Name 3 differentials – UBC, ABC, Lipoma, GCT

Pic of well defined lesions in fingers. Name 3 differentials – GCT, enchondromas

Flat foot reconstruction pics – name the procedures, name the plane of dominance

What are P’s of compartment syndrome?

Which side of the talus is this?

What should be used for CRPS?

What is Sudeck’s atrophy?

Name the stages of charcot and how each stage is treated?

Name 3 lateral ankle stablization procedures?

Pic of christmas snook xray with a hole in the fibula. What procedures and where does it attach? Christman snook

Clicking sound heard upon ROM ankle, pain along lateral side of ankle, constant sprains. what Musculoskeletal questions? eversion prodceues pain, palpate the peroneal tendon, have patient do a talar tilt.  know all eckert and davis classifications and who added the last classification?  Oden

What foot type causes Haglunds? compensated forefoot valgus, compensated forefoot varus, rearfoot varus




100’s of Podiatric EPONYMS

Can be cateogrized by “physical examination – and subcategorized – patient does the test? eg jack’s test….or physician squeezes something and causes tinel’s sign”











Riverdin – Green

Mc Bride


Hibb’s angle/tenosus






Hoke’s fusion

Hoke’s recession

Hoke’s tonsil

Charcot foot

Morton’s neuroma

Jone’s fracture

Stieda’s process

Cedell’s fracture

Sheperd’s fracutre

Heberden’s nodes

Bouchard’s nodes

Hubscheur maneuveur

Jack’s test

Tinel’s sign

Valeux’s sign

Kirby’s sign

Engle’s angle

Simon’s angle

Kite’s angle

Lachman’s test

McMurray’s test


Renandier’ s disease – tibial sesamoid

Trevor’ s disease – fibular sesamoid

Freiberg’ s disease – second metatarsal head


Kohler’ s disease – navicular


Diaz/Mouchet disease – talus


Blount’s disease in adolescents – medial proximal tibial epiphysis


Legg Calve Perthes Disease – femoral head

Sever’s disease – calcaneus

Theimann’s disease – phalanges (hand and foot)

Islen’ s disease – 5th MT base

Haglund’ s disease – accessory navicular

Osgood Schlatter’s disease – tibial tuberosity

Blount’s disease in children – proximal medial tibial epiphysis

Reiter’s syndrome






Which are the most common treatments used?

  • Cam Walker
  • RICE
  • Custom orthotics
  • Compression stockings


Plantar Fasciitis

CC: Pain is worse upon ambulation at mornings. Pain is on the medial posterior heel. Patient had pain for a couple years.

Objective: MSK- POP to medial calcaneal tubercle. Equinus.

Assessment: Plantar fasciitis

Plan: Duexis (NSAID), Stretching, RICE,


Gas gangrene

Plantar wart

Tinea pedis/ungium


Hallux limitus/arthiritis

DFU (Neuropathic)


Ischemic leg ulcer

Ruptured achilles tendon


Midfoot arthritis

Toe fracture/Metatarsal fx

Ankle fracture/Calcaneal fracture

Peroneal tendinitis


Talar dome lesion

Plantar Neuroma

Tarsal tunnel syndrome



Podiatry Made Easy – A compilation of mnemonics and memory aids

Podiatry Mnemonics



“Bra” in the name can give you two clues. The B in bra means it is usually bi-lateral and affects females. There are 4 A’s in the name, so it most commonly affects the 4th toe.



Polydactyly refers to an extra digit. There are two classifications for post-axial and pre-axial. Both classifications have “poly names” i.e. two names in each classification. The pre-axial classification is called Temtamy & McKusick. Note how temtamy sounds like tem-temy, which is similar to an extra digit! It is doubled.  The post axial classification is called Venn Watson. Note how the V is like the pattern in post axial polydactly, which resembles a V.  Another association with the V is that there are 5 types under the Venn Watson classifcation, from A – E. There is an E in complete, for complete duplication. So D, is partial duplication.



This is also known as lobster extremities.  The classification is Blauth and Borish, which you can picture as two lobsters, Blau and Bor. The first letter, is B&B (bed and breakfast), which starts at 6am. There are 6 classifications. If you can remember the classification system is based on loss of digits, then the last classification, i.e the 6th one, is for one met. You must have at least one met or else there won’t be anything to classify!



Achterman and Kalamachi  classification: There are two words. It comprises of 1 and 2, in which type 1 there is a fibula and type 2 there isn’t. Type 1 can be subdivided into A and B. The name of the classification is A-K (at knee which suggests its a bone at the knee and also addresses the growth plates!) The proximal growth plate of the fibula is inferior to the tibial growth plate, and the distal growth plate is just above the ankle. The fibula looks displaced inferiorly. Whilst, type 1B represents a shortened fibula, i.e the proximal fibula is absent for part of it’s length. Therefore, type 1a fibula is normal length but looks displaced inferiorly, 1b the fibula is shortened, and type 2, there is no fibula.

Stanitski and Stanitski –



MRI imaging Made Easy – How to identify STIR imaging.

An introduction to identifying STIR images.

by Rossi Bad

Original Date: 2016-04


MRI image appearance

The best way to identify STIR images is to look for areas that should be filled with either fat or fluid. For example bone marrow should be filled with fat, and joint spaces should be filled with fluid. Next, you want to see that the fat is very dark, while the fluid is lighting up, and bright. Remember that STIR is a “fat suppression” technique that allows for detection of water and fluid content. 

Therefore, muscle will appear darker than fat. Bone marrow, blood, fat (eg. subcutaneous), air will also appear dark. Fluids will appear very bright. Since pathological processes usually involve edema, which is an increase in the water content, this type of MRI is great for for pathological processes.

With regards to the podiatry, a minimal amount of fluid is found within tendon sheaths. This is usually clinically insignificant. However, fluid within the flexor hallucis longus tendon is a common finding, and should not be treated as pathological. This is due to the communication between the sheath of the FHL and ankle joint.

 Therefore STIR is great for joint pathology, and tendon pathology.

stir images of a normal ankle
STIR – Ankle Sagittal MRI – note the BRIGHT fluid in the joints, and DARK bone marrow
STIR ankle joint normal
STIR – sagittal MRI ankle. Remember: look at the joints: BRIGHT. Look at the marrow: DARK.
ruptured tendoachilles STIR edema
Arrows show edema, ruptured tendoachilles tendon.


The following website is a great resource for identifying and learning about imaging techinques!





A podiatric introduction to Biomechanics of the Foot

There are three main theories that help determine the cause of the foot pathology from a biomechanical standpoint:

  1. Sagittal plane facilitation (SPF)
  2. Subtalar joint neutral (SJN) or Foot Morphology theory
  3. Tissue stress theory (TS)


STJN was initially described by Merton L. Root, and therefore is  also known as “Rootian” biomechanics. STJN occurs at heel strike, and at the end of midstance. Foot morphology is currently used term to describe abnormal or normal foot function as it relates to STJN. For example, a foot that has FM that deviates from “normal” such as forefoot varus, would need to an orthotic device to return the foot to normal. If the foot remains with a forefoot varus,  pronatory compensatory motion would occur at the STJ thereby causing an abnormal STJN.

How is the orthosis made to return the abnormal FM to normal?

Negative Casting

  1. Casting the foot in NWB neutral position
  2. Lock the midfoot i.e. end point so that arch isn’t “wobbly”
  3. Ensure the forefoot to rearfoot alignment is correctly captured
  4. Ensure the cast has a proper arch, and the lateral edge of the foot is captured

Positive Cast

  1. After pouring

Podiatric Eponyms and Nicknames

Runner’s toe – subungal hematoma of the SECOND TOE

Tennis toe – subungal hematoma of HALLUX

Turf toe – sprain of HALLUX MPJ due to hyperextension

Sand toe – sprain of HALLUX MPJ due to hyperflexion

Runner’s knee – Patellofemoral dyfunction

Basketball foot – STJ dislocation

Lachman’s test – ACL test

McMurray’s test – Meniscal test

dreaded black line – transverse stress fracture across the anterior tibial cortex

Theater sign – patellofemoral dysfunction



Beginner’s guide to 1st Metatarsal Fractures


Terms to know:

  1. Jahss classification


Conservative treatment for 1st met fractures: NWB in SLC for 4-6 weeks

When should you do ORIF for met fractures?

  1. Extra-articular: >2-3 mm displacement and >10 degrees angulation
  2. Intra-articular: fracture involves >20% articular surface if


When should you do open surgery for Jahss?

  1. Jahss classification 1
  2. Order is ADI – adductor, DTML, intersesamoidal ligament